Case presentation A 7-month-old baby presents with left infraorbital swelling and erythema for the past 2 days, which has progressed rapidly. There has been a fever of 101.5 degrees Fahrenheit for the past 24 hours. He has not had cough,…
Case presentation A 10-year-old male presents with left eye edema and pain for the past 2–3 days. The child reports mild congestion for the past week but there has been no fever, vomiting, cough, vision changes, eye discharge, or trauma.…
Case presentation A 13-year-old male presents with acute onset of mental status changes. He was found in his room, lying facedown. Emergency medical services was called. On their arrival, the patient was conversing but appeared sleepy; he was responsive to…
Case presentation A 2-year-old child presents with difficulty ambulating for the past 24 hours. His parents state that the child has had fever, cough, and congestion for the past 5 days. He was seen twice by his primary care provider…
Case presentation A 20-month-old patient presents with decreased activity, including eating and drinking, over the past 2 days. He is currently completing a second course of oral antibiotics for acute otitis media and 1 week ago completed a 10-day course…
Case presentation A 17-year-old male presents with right-sided facial numbness and extremity weakness that has been intermittent for the past 1 month. Several hours ago, the patient noted he had difficulty ambulating when rising out of bed due to the…
Case presentation A 4-year-old female presents with the parents noting that the child has been “not walking right” and “wobbly” for the past 3 weeks. She sustained a head injury 1 month prior to her current presentation but there was…
Case presentation A 6-year-old male with no significant medical history presents with headaches for the past 2 weeks. The headache is described as diffuse and, while occurring throughout the day, seems to be worse at night, at times waking him…
Case presentation An 83-day-old female, with a history of congenital hydrocephalus and chronic subdural fluid collections, presents with a 1-week history of increasing fussiness and decreasing oral intake. She has a ventriculoperitoneal (VP) shunt that was placed soon after birth;…
Case presentation An 11-year-old female presents with severe right-sided abdominal pain that began 5 days ago. The patient reports that she was in her usual state of good health until she experienced the pain, which initially seemed generalized, intermittent, and…