Author: Mary Beth Howard

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 […]

Hot Seat #165: Denouement

The case: 7 yo transferred from an OSH for r/o meningitis with hypotension Here is the case with answers to the questions. Discussion: n a patient with concern for sepsis vs meningitis vs appendicitis, most were in agreement that antibiotics, and pressers were indicated. The time at which pressors were indicated differed, some would recommend […]

Hot Seat #165. 7 yo with vomiting

Harrison Hayward, MD HPI: 7-year-old male with an elevated BMI and otherwise healthy presents to an outside ED with 1 week of fever. He had COVID-19 one month ago, from which he fully recovered. Last week, he developed a fever and headache/abdominal pain. His PMD diagnosed him with a UTI and started cefdinir, which the […]

Hot Seat #163: Denouement

The Case: 3 year old girl with constipation and hematuria after abdominal trauma, found to have large abdominal mass with anemia on work up. Discussion: The challenges in this case included both the medical workup of an constipation (with a possibly related history of hematuria) as well as limitations of working at a satellite site […]

Hot Seat #161: Denouement

The case: a 3 month old with poor feeding and otherwise normal exam, found to have transaminitis and gallstones on US. Here’s how you answered the questions: Discussion: While sleep is part of an infant’s job description, determining the degree of ‘sleepiness’ and degree of work up represents a clinical challenge. For this infant, with […]