Case Presentation: A previously healthy 4 year-old male presented with bilateral leg pains and abnormal gait for 3 days. One week prior to admission, the patient had viral upper respiratory symptoms consisting of dry cough, congestion and rhinorrhea without abdominal pain or diarrhea, which resolved prior to presentation. Three days prior to presentation he began [...]

Case Presentation: A 12 year-old girl with a history of asthma and migraine headaches presented to the ED with a one week history of headaches and bloody tears. She first developed headache and left eye pain and pruritis one week prior, followed by blurry vision and bloody discharge from the left eye. She presented to [...]

Case Presentation: A 4-year-old previously healthy boy presented with 10 days of fevers, intermittent abdominal pain, and poor appetite. Exam was notable for mild abdominal distension without tenderness. Labs showed leukocytosis, normocytic anemia, and elevated inflammatory markers. An echocardiogram showed mild dilation of his left anterior descending and left main coronary arteries, and he was [...]

Case Presentation: Heyde syndrome is a rare multisystem disorder characterized by the triad of aortic stenosis (AS), gastrointestinal bleeding, and acquired von Willebrand syndrome (AVWS). The pathophysiology of AVWS in Heyde syndrome is thought to be due to the increased circulatory shear forces resulting from AS, leading to cleavage of large VWF multimers and loss [...]