A 19 year-old female with no significant past medical history presented with subjective fevers, generalized upper abdominal discomfort, and headache for the past month. She described her subjective fevers as intermittent, but had never taken her temperature with a thermometer. The patient also noted that she recently moved to the area from Guinea Bissau.
Read MoreA 5 year-old healthy male presented to the emergency department with his father with a chief complaint of fever, diarrhea, and vomiting. Fever was his first symptom. It started one week prior to presentation and was persistent over the course of the week. His highest temperature was 103.7 °F. Fevers occurred daily despite treatment with antipyretics. After his fever developed, he started having 4-5 daily episodes of watery diarrhea. Dad noted blood in the diarrhea only once. He complained of generalized abdominal pain when having bowel movements…
Read MoreA 70 year-old male, with a past medical history of hypertension, gastroesophageal reflux disease, chronic lymphocytic leukemia on Ibrutinib, and coronary artery disease, presented with right hand weakness since waking that morning. He reported that he felt the strength of his grip was not at baseline, and his wife also noted that, while eating breakfast, the patient dropped his bagel, a dish towel, and his utensils. His last known well was 10:00 PM the night before, although he also endorsed two weeks of persistent right hand numbness and burning paresthesias in his right hand. He denied headache, fever/chills, chest/back/abdominal pain, nausea/vomiting, urinary symptoms, or diarrhea, as well as any visual symptoms, speech changes, or gait problems…
Read More16-year-old male presented to the LBJ Tropical Medical Center with a complaint of fever, chest pain, body achesmyalgias and sore throat for three days. The patient also endorses diffuse joint pain, particularly in his hands, knees, elbows and shoulder and reports pleuritic chest pain intermittently that has been worsening over past three days. Patient He denies any new rashes. Denies any , bleeding gums or easy bruising. Mother has been giving aspirin every four hours at home without any noticeable relief…
Read MoreA 14-year-old male presents with right thigh redness and pain. It’s a busy afternoon and you think to yourself, “This will be a quick and easy disposition. The patient probably has cellulitis.” He reports one week of worsening erythema and pain to his right anterior groin. Last evening, he was able to drain a small amount of white to green-tinged material from a small “pimple” that had formed along the medial aspect of his thigh…
Read More
