Background: Orbital cellulitis/abscess (OC) is an infection of eye tissues posterior to the orbital septum. OC can have significant morbidities such as vision loss, cavernous sinus thrombosis, and intracranial infection if treatment is not initiated promptly. While some patients with orbital cellulitis complicated by subperiosteal abscess require surgical drainage, many are managed with intravenous (IV) [...]

Background: Pediatric orbital cellulitis/abscess (OC) is a known complication of sinusitis that can have detrimental outcomes such as vision loss and intracranial extension if not diagnosed and treated promptly. In many patients with OC, the microbiologic data is not available to guide provider selection of targeted antibiotics, so variation in prescribing patterns exists. Many institutions [...]

Case Presentation: A 61 year old female presented to the emergency department with 1 day of nausea, vomiting, and fever. The day prior to her symptom onset, she had undergone a colonoscopy for colon cancer screening that was normal. Her medical history was notable for splenectomy in 2000 for a hamartoma.On presentation, her temperature was [...]

Case Presentation: A 46-year-old female with obesity and type 2 diabetes mellitus presented with chief complaint of diarrhea for several days. Her diarrhea was watery, non-bloody, greenish in color, and occurred hourly. She had associated nausea, vomiting, and right upper quadrant (RUQ) abdominal pain. She denied recent travel, consumption of unusual foods, and knowing anyone [...]

Case Presentation: An 80-year-old man presented with progressive worsening of altered mental status after a fall and right knee trauma. Four days prior he developed subjective fevers, chills and inability to walk after the fall. Past medical history was significant for diverticulitis complicated by diverticular abscess six months prior to admission. He was homebound, no [...]

Case Presentation: A 55-year old female with no reported past medical or surgical history presented for evaluation of sharp epigastric pain radiating into her lower abdomen. The pain began two days prior upon awakening with associated bloating. She also reported nausea worsened by food but denied vomiting. Her last bowel movement was one day prior [...]

Case Presentation: A 46-year-old man presented with 1 week of fevers, chills, fatigue, myalgias, cough, hemoptysis, nausea, vomiting, diarrhea, and confusion. One month prior to presentation the patient started a new job performing sanitation and sewage work in basements. On presentation, he was afebrile, with pulse 98 and blood pressure 98/71. Exam was notable for [...]

Case Presentation: Our patient is a 15-year-old female, previously healthy, who presented with right facial swelling. She developed swelling of her right upper lip after rupturing a pimple located on her lip. Over the next two days, erythema developed, and the swelling progressed to include her right eye, cheek, both lips, and around her jaw [...]