Author: Angelica DesPain

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 #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 #150: 13 year-old with abscess

HPI: 13 yo F with no pertinent PMH presents as a transfer from OSH with vulvar abscess, which developed 5 days prior.  She denies fevers, vomiting, and is tolerating PO. Per provider at the outside institution who requested transfer, the abscess is large and will likely require surgical drainage. When the provider at the OSH […]

Hot Seat #140: 5yoF with a Laceration

HPI: 5 yo F presenting with lacerations to left forehead and left eyelid from injury that occurred 29 hours ago.  She was playing with her cousin on an electric toy car and jumped off, hitting her head on a metal bed rail.  No LOC, no vomiting.  Acting like herself, eating and drinking normally.  No fevers or […]

Hot Seat Case #129: 8 yo with hyperglycemia

Angelica DesPain, MD, Children’s National Medical Center with Christina Lindgren, MD, Children’s National Medical Center 8-year-old female with no PMH presents to OSH with vomiting, abdominal pain, and 9 lb. weight loss over 2 weeks. Mom thought she had a viral illness as other kids in the house with similar symptoms but over the last […]