Case by Gabby Jasmin, CNH PEM Fellow 10 year old female with no significant medical history transferred from an outside hospital with LLQ pain. Pain started 1 day ago and is intermittent. Associated symptoms include nausea and vomiting. Denies any fevers, or URI symptoms. No history of constipation and reports daily regular bowel movements. No sick contacts at home or history of travel. Patient was taken to outside hospital and CT abdomen/Pelvis demonstrated “prominence of left ovary is likely related […]
Author: Brittany Fitzpatrick
Hot Seat #250 Denouement
This week’s case highlights the importance of considering a bleeding disorder in scalp hematomas. Some scalp hematomas will develop into a worsening hemorrhage causing significant blood loss. Good return precautions and monitoring of the size of the swelling is necessary to discuss with parents. Admitted to floor w plan for MRI/MRV/MRA in AM. MRI/MRV w […]
Hot Seat #250: Bogged Down
Case by David Branson, CNH PEM Fellow 7 yr old previously healthy M presenting for 2nd visit w scalp swelling after head trauma. Roughly 2 weeks ago, he was at school when he ran into a piece of playground equipment while playing tag, hitting his head on the equipment. He did not initially say anything, but parents noticed head swelling roughly 1 week later which prompted ED visit. At the initial visit, his exam showed boggy […]
Hot Seat #249 Denouement
This week’s case highlights the importance of repeat evaluations in trauma patients that present POV. A complete primary, secondary and tertiary exam may still be necessary in order to not miss potential injuries. This case also highlights the necessity of observation in pediatric trauma patients because clues such as abdominal pain and vomiting may be […]
Hot Seat #249: I Think I Need A Boost
Case by Jessica Williams, CNH PEM Fellow 15 yo presenting ~ 1 hour after low-speed MVC (10-15 mph). Improperly restrained passenger in back passenger side (belted but not in booster seat, pt is 20 kg). The car was hit on the back driver’s side and airbags were deployed. No LOC but had a few episodes […]