Case Presentation: 17 year old female with no medical history presented with malaise. Labs were WBC 3.78 with normal differential, a microcytic anemia 7.1, platelets 7, and uric acid 10.6. On admission, she was found to have epistaxis, conjunctival hemorrhage, and hemoptysis. She required escalation to high flow nasal cannula. Chest x-ray was concerning for [...]

Case Presentation: A previously healthy, vaccinated 9-year-old female on amoxicillin for recent Group A strep pharyngitis presented to the emergency department with a 10 day history of daily fevers and severe right lower quadrant abdominal pain limiting her ambulation and activity level. She denied any headaches, nausea, vomiting, hip pain, knee pain, or traumatic injuries. [...]

Case Presentation: A 14-month-old male with history of hemihypertrophy of left lower extremity and macrodactyly of the left third to fifth toes, as well as syndactyly of third and fourth toes, presented to the ER because of facial swelling and anasarca. The swelling began 10 days prior to admission, diagnosed initially as bilateral preseptal cellulitis [...]

Case Presentation: MERS is a radiological-clinical diagnosis with distinct MRI findings and neurological symptoms often associated with an infectious process. Clinical symptoms can include headache, vision changes, delirium, abnormal speech, and seizures. Brain MRI classically demonstrates symmetric lesions in the splenium of the corpus callosum with restricted diffusion. MERS is generally self-limiting and often occurs [...]

Case Presentation: A 2-year-old male with atopic dermatitis presented with worsening eczema, induration, erythema, and inability to bear weight on his left foot. He was afebrile and had initially been diagnosed with cellulitis. He had been treated with 2 different oral antibiotics and was hospitalized due to presumed failure of oral antibiotics. On admission, the [...]

Case Presentation: A 10 year old female presented to the emergency department with 2 days of rapidly progressive left eye pain, purulent drainage, foreign body sensation, painful eye movements and left sided headache. Physical exam revealed moderate left eyelid edema with tenderness, conjunctival injection and copious purulent discharge. She had no leukocytosis or neutrophilia. CT [...]

Case Presentation: A 13- year-old male with a history of food aversions receiving outpatient feeding therapy and normal BMI presented to the ED with one month of vomiting, dysphagia, anorexia, and an unintentional ten-pound weight loss. He was afebrile with normal vital signs. On exam, he had dry mucus membranes and mild diffuse abdominal tenderness. [...]

Case Presentation: A 17-year-old male with no significant past medical history presented for a diffuse rash and shoulder girdle weakness. One month prior to presentation he presented to an urgent care clinic with generalized fatigue, ear pain, cervical lymphadenopathy, and sore throat. He was initially prescribed a course of amoxicillin-clavulanic acid. He completed two days [...]

Case Presentation: A 14-year-old female, with a past medical history of marijuana use and superior mesenteric artery syndrome, presented with tremors, auditory, and visual hallucinations of 1 day duration. Her vital signs were notable for tachycardia ~120 bpm and hypertension (141/89). Her exam was significant for generalized tremors, linear scars from prior self-harm, and tongue [...]

Case Presentation: A 9-year-old female was admitted to a community hospital for intravenous antibiotic treatment of a purulent draining wound on her left shin (Image 1), which had worsened despite completing a 5-day course of oral clindamycin. An ultrasound of the wound showed a 0.8 cm complex hypoechoic collection, prompting urgent incision & drainage for [...]