Case Presentation: Previously healthy 2-month-old female presented with 4 day history of fever, rhinorrhea, cough, emesis, diarrhea, decreased intake and progressing rash on abdomen and extremities. Exam notable for injected conjunctiva and flash capillary refill. Patient was admitted to the Pediatric Intensive Care Unit (PICU) for fluid resuscitation and severity of presentation. Given concern for [...]

Case Presentation: A 15-year-old female was transferred to our facility with a complaint of worsening chest pain for the previous two weeks. The pain initially started in her shoulders and then spread to her substernal area. She had initially presented to the same facility three days previously and was discharged with a diagnosis of musculoskeletal [...]

Case Presentation: A 16-month-old male with a history of reactive airway disease presented to clinic for evaluation of vomiting for four months. He had a history of chronic cough and had been started on acid suppression for gastroesophageal reflux but did not have any improvement in symptoms. His physical examination was unremarkable. He also had [...]

Case Presentation: A 15-year-old male presented with sharp, constant back pain following a mechanical fall from standing height two days previously. He did not have any loss of consciousness and was able to ambulate following the injury. The back pain started immediately after the fall and continued to worsen over the following two days. He [...]

Case Presentation: We present a 12-year-old female with paresthesia and swelling to the left lower extremity. She was seen in the outpatient setting two weeks prior and diagnosed with cellulitis. After only two days of antibiotics, she presented to the Emergency Department for worsening symptoms; she was noted to have a blue, cold, and swollen [...]

Case Presentation: A 5-year-old healthy female presented to the Emergency Department (ED) three times within 48 hours for a right facial wound with worsening swelling and redness. Prior to presentation, the patient was running down the hall with a colored pencil when she collided with her father. Half of the broken pencil was located but [...]

Case Presentation: A 6mo female with GERD presented with poor weight gain. She was born full-term with a normal newborn screen. Family history was non-contributory. Since birth, she had poor weight gain despite medical therapy . She had large-volume spit ups shortly after eating, prompting GI evaluation. She was developmentally delayed, unable to sit without [...]

Case Presentation: A healthy 3 year-old male from Arizona was seen in outpatient ENT clinic for 2.5 weeks of intermittent stridor, hoarse voice, barky cough, and 1 day of increased work of breathing. He had previously been evaluated on 4 separate occasions by his pediatrician or the emergency department. Each time, he was treated for [...]

Case Presentation: A 10-year-old girl with recently diagnosed rheumatic fever presented to the emergency department with two days of right thigh pain. The pain began after her first dose of intramuscular (IM) benzathine penicillin G (BPG) in her right lateral thigh. The medication was administered by her mother, a pediatric nurse, with sterile technique. She [...]

Case Presentation: A 10-year-old female presented with her third episode of painless hematochezia. Episodes were separated by months, each lasting 3 to 5 days with passage of multiple “fist-sized” bright red clots. There were no other associated symptoms and resolution of bleeding was spontaneous. Extensive prior workup included coagulation studies, upper and lower gastrointestinal (GI) [...]