Background: Pediatricians are mandated by law to report cases of suspected child abuse. The National Association of Children’s Hospitals and Related Institutions 2006 guidelines on the hospital’s role in child maltreatment note that children’s hospitals “are the undisputed leaders in providing medical care to abused and neglected children” and outline that hospitals should ensure that [...]

Case Presentation: A 33 year-old female without significant medical history was admitted as a transfer from an outside hospital for daily fevers and generalized weakness for the preceding two weeks associated with neck pain. Had undergone an extensive infectious disease workup prior to arrival with Computed Tomography (CT) of head, chest, abdomen, and pelvis, blood [...]

Case Presentation: A 59-year old man presented with high grade fever (102 F), non-productive cough, and malaise for two months duration. His medical history was significant for of relapsing Chronic lymphocytic leukemia; on chemotherapy, Chronic kidney disease, and invasive pulmonary aspergillosis diagnosed a year ago and treated with a 12-week course of voriconazole. Initial laboratory [...]

Case Presentation: A 49 year old man with AIDS on anti-retroviral therapy (CD4 count 113) presented to the hospital with dizziness, abdominal pain, and generalized fatigue and malaise. He developed fever as high as 39.9 degree Celsius shortly after admission along with anemia and thrombocytopenia. The patient underwent complete infectious workup including viral and atypical [...]

Case Presentation: Chronic mesenteric ischemia (CMI) is defined as a gradual reduction of perfusion to the bowels. While bowel infarction is the primary concern with CMI, there may be a relationship between CMI and acute acalculous cholecystitis (AAC). We present the case of a 60-year old female with acute onset right upper quadrant (RUQ) abdominal [...]

Case Presentation: 37 year-old male with a medical history significant for intravenous drug usage presented with three years of progressive generalized symptoms including weight loss, fevers, and shortness of breath. The patient started to experience worsening fatigue, drenching night sweats and an unintentional weight loss exceeding 20 pounds over several months leading to admission. Upon [...]

Case Presentation: A 51-year-old man was brought in by family for confusion and unsteady gait for a few days. Medical history was significant for alcoholic cirrhosis and prior (2018) cardioembolic strokes with no deficits. Social history was pertinent for drinking multiple beers daily for years. In ED, patient was oriented to name only, tachycardic otherwise [...]

Case Presentation: A 17 year old male recently diagnosed with high risk B-Precursor ALL and induction failure, was found in clinic to have an acute murmur. Three days prior, he had arm and leg aches, dry cough, a single fever and fatigue that improved with blood transfusion. Now he had a 3/6 holosystolic blowing murmur [...]

Case Presentation: A 56-year-old female with a prior history of acute myeloid leukemia, status-post allogenic stem cell transplant in 2016 (in remission), complicated by chronic graft versus host disease (on mycophenolate), and pulmonary coccidioidomycosis in 2000 presented due to hemoptysis. She experienced 7 days of blood-tinged sputum with upper respiratory symptoms preceding that. Five weeks [...]

Case Presentation: A 32 year-old female with history of systemic lupus erythematosus, depression and anxiety was admitted to the medical ward with cytomegalovirus pneumonitis and viremia. On hospitalization day 21, patient had an acute change in mental status becoming nonverbal and non-interactive with examiner. Medications at the time of incident were ceftriaxone, valgancyclovir, thiamine, prednisone [...]