Astrid Sarvis MD, Children’s National Medical Center The Case 10 day old full term M presenting for scalp swelling that mom noticed while breastfeeding today. Infant born via via c-section due to FTP. Denies instrumentation or other birth trauma. Mom reports the baby is always in her care and denies any trauma at home. No […]
Author: Astrid Sarvis
Astrid is from rural Mississippi, but feels at home in the DC metro area. She obtained an MPH prior to residency and her current research interests are in health literacy and patient education. Astrid enjoys running in her spare time, but loves eating good food and sleeping far more. She currently lives in northern Virginia with her husband and 2 children.
Hot Seat #69 Denouement: 6 do female w/ dehydration and weight loss
Astrid Sarvis MD, Children’s National Health System with Karen O’Connell MD, Children’s National Health System The Case 6 do FT F sent to the ED by her pediatrician for severe dehydration and 21% weight loss. The challenge of this case involved appropriate diagnostic workup and treatment of this patient. Here’s How You Answered Our Questions Denouement The decision was made […]
Hot Seat #69: 6 do female w/ dehydration and weight loss
Astrid Sarvis MD, Children’s National Health System with Karen O’Connell MD, Children’s National Health System The Case 6 do FT F sent to the ED by her pediatrician for severe dehydration and weight loss. Pt discharged on DOL 2 and followed up with PMD 2 days later at which time the patient’s weight loss was within the normal range. Returned […]
Hot Seat #63: 18 yo M with HbSS and Altered Mental Status
Astrid Sarvis MD, Children’s National Health System The Case 18 yo M HbSS, Protein S deficiency, Asthma and Chronic Headaches presenting with 2 days of worsening bilateral ankle pain. His symptoms began the day prior to arrival with no obvious triggering event. He was using 10mg oxycodone which helped, but the pain progressively worsened. He […]
Hot Seat #52: 21 yo M with painless hematuria
by Astrid Sarvis, Children’s National with Asha Payne, Children’s National The Case 21 yo M, pmhx of mild autism, asthma and complex partial seizures being brought in for painless hematuria and mild dysuria that started this morning. The patient reports that symptoms began with bloody urine, before experiencing dysuria with the last couple voids. Symptoms […]