Case Studies

A case of progressive joint pain and rash in a 5-year-old

May 12, 2022

A 5-year-old nonverbal boy with autism spectrum disorder and global developmental delay presented to the emergency department with bilateral lower-extremity bruising and progressive difficulty ambulating. What's the diagnosis?

Fever and facial swelling in a neonate

April 11, 2022

An 18-day-old girl whose right cheek had become increasingly red and warm over 24 hours was directly admitted to an inpatient unit. She had firmness and pain to the affected area, fussiness, increased sleeping, and poor feeding, preferring the bottle to breastfeeding. What's the diagnosis?

Altered mental state in a 2-year-old boy

March 09, 2022

A 26-month-old boy presents for mild altered mental status and balance issues following a fall the day before. There was no loss of consciousness or vomiting but he subsequently complained of left-sided head pain. What's the diagnosis?

Persistent foot and leg swelling in a 17-year-old female

October 13, 2021

A 17-year-old girl presents with a 2-year history of unilateral swelling of the left lower extremity as well as a poorly healed ankle sprain of the affected extremity 3 years prior that slowly resolved but left persistent swelling. What's the diagnosis?

Puncture wounds and purpura

October 12, 2021

A neurodevelopmentally impaired 6-year-old girl is referred for examination of asymptomatic skin lesions on the right forearm due to concern for possible child abuse. What's the diagnosis?