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Pediatric Management and Diagnostic Dilemma Tool
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Hot Seat #162: A Patient with Inadequate Imaging

HPI: 16-year-old male with no pertinent past medical history presents for medical clearance with police.  Earlier today he was in a physical altercation and was subsequently arrested.  During the altercation, he notes that he was punched multiple times in the face, and ultimately thrown to the ground. He currently reports pain in his jaw and […]

Hot Seat #157: 10 day old with elbow swelling

CC: 10 day old girl with elbow swelling HPI: 10 day old ex FT girl presenting with left elbow swelling and decreased movement of left arm. Parents report that in the middle of the night, they noticed she was not moving her left arm the same way she was her right. Waking every 1-3 hours […]

Hot Seat #169 Denouement

The case: a 4 yo with an embedded foreign body and mildly elevated inflammatory markers Here’s how you answered the questions: Discussion: This case raises many interesting questions regarding work up and management of a foreign body that has been in place for some time. In terms of the initial work up, the group was […]

Hot Seat #169: 4 yo with foreign body

4 yo M with no PMH presenting with foreign body in his left foot. Per parent, he stepped on a sewing needle 2 days ago while barefoot. His father thought he had completely removed the needle at the time. His father has noticed redness and swelling of the foot today, worsening pain when walking. He […]

Hot Seat #168: The Toddler who Seized

HPI: 2-year-old unimmunized male presents after seizure at home. Per parent’s report, the seizure lasted about 30 seconds and self-resolved. The episode was described as generalized shaking of the bilateral upper and lower extremities with eye blinking. Mother reports that the patient had a fever which started earlier today and has been less energetic since […]

Hot Seat #167 Denouement

The Case: A 14 year old presenting after closed head injury while sledding, found to have pneumocephalus on CT Head and carotid abnormality CTA. See how you answered the questions here. Discussion: This case brings to light sledding as a potentially dangerous mechanism of injury (a quick pubmed search reveals a plethora of articles on […]

Hot Seat #167: The Slippery Slope of Head Trauma

Tim Carr, MD HPI: 14 year old previously healthy male presenting after hitting his head on a tree 1 hour prior to arrival. Patient was sledding on a steep embankment an hour prior to arrival when he lost control catching the right side of his head on a tree three-quarters of the way down the […]