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…
Case presentation A 14-month-old female is referred from her primary care pediatrician for increasing abdominal girth and an abdominal mass. For the past month, the child’s abdomen has been increasing in size, as noted by her parents. There has been…
Case presentation An 11-year-old male presents with acute onset of left-sided lower abdominal pain and left-sided flank pain, which began 1–2 hours prior to presentation. The patient was not engaged in any particular activity; he states that he was “just…
Case presentation A 13-year-old female presents with acute onset of right lower quadrant pain for the past 4 hours. She states that she has been in her usual, normal state of health and was “just walking down the street” when…
Case presentation A 4-month-old male presents with bilateral scrotal swelling. Per the mother, this has been present since 1 month of age but has worsened over the past week and she has noted that the right side of the scrotum…
Case presentation A 3-week-old male presents with nonbilious, nonbloody emesis for the past 1.5 weeks. Initially there were two to three episodes per day, occasionally with feeding, but this has increased to emesis with every feed. The parents report that…