Comparing Cisgender and Trans-spectrum Postsecondary Student Alcohol and Substance Use: Results From the Arkansas Collegiate Substance Use Assessment.

Purpose: Examine self-reported substance use of cisgender and trans-spectrum students.

Design: Observational Study, cross-sectional design.

Setting: Arkansas post-secondary institutions.

Fever of Unknown Origin: A Case Report of Hepatic Phlegmon in an Immunocompetent Patient.

Methicillin-resistant (MRSA) hepatic phlegmon is a rare cause of fever of unknown origin (FUO) in an immunocompetent patient from a high-income country (HIC). MRSA hepatic phlegmon is typically linked to protein malnutrition and chronic gastrointestinal infections in low- to middle-income countries while immunodeficiencies such as chronic granulomatous disease (CGD) are a more common cause in a HIC. Clinical manifestations of hepatic phlegmon can be vague and nonspecific making a complete FUO workup critical during evaluation.

Altered Mental Status and Cardiac Failure Due to Thiamine Deficiency in an Overweight Teen.

We describe an overweight but otherwise previously healthy 17-year-old female who presented with altered mental status and rapidly progressive weakness. She was ultimately diagnosed with Wernicke encephalopathy and wet beriberi resulting from severe thiamine deficiency. She required admission to the pediatric ICU because of hypoventilation with progressive weakness and worsening encephalopathy and was found to have impaired cardiac function as assessed by echocardiography.

Impact of Preferred Written Language in Patients Discharged With Bronchiolitis From a Children's Hospital.

Objectives: This study aimed to identify differences in length of stay and readmission in patients admitted with bronchiolitis based on preferred written language. A secondary aim was to assess adherence to providing written discharge instructions in patients' preferred language.

Methods: In this cross-sectional study, we included 384 patients aged 0 to 2 years discharged from 2 children's hospitals with bronchiolitis from May 1, 2021, through April 30, 2022; patients were excluded for history of prematurity, complex chronic condition, or ICU stay during the study period.

Giant cell myocarditis causing refractory ventricular tachycardia in a pediatric patient.

Giant cell myocarditis should be considered in all pediatric patients with refractory ventricular arrhythmia. Endomyocardial biopsy should be obtained to confirm the diagnosis of giant cell myocarditis.