Case Presentation: 38 year old male with history of rheumatoid arthritis presented to the emergency department with six months of episodic fever up to three times a week. Associated symptoms included occasional nonproductive cough and intermittent diffuse abdominal pain without any report of nausea, vomiting, or diarrhea. He denied any other localizing symptoms including dysuria [...]

Case Presentation: A five year old male presents to the emergency department with abdominal pain and emesis. Labs were significant for hyponatremia, elevated alkaline phosphatase, mild hyperproteinemia, and leukocytosis with neutrophilia. Urinalysis showed ketones present. A plain film of the kidneys, ureter, and bladder showed distension of the transverse colon and stool in the rectum. [...]

Case Presentation: A 63-year-old man with a history of atopy recently started on dupilumab presented to a hospital in Central Appalachia with 1-week of flu-like symptoms, rigors, and right upper abdomen pain. He was hypoxic with SpO2 75% on room air, febrile to 103.3°F, tachycardic to 105 bpm. He was placed on 2 L nasal [...]