Author: Brandon Ho

Case by Gabrielle Jasmin MD, CNH PEM Fellow 8-year-old male with history of eczema presents with RLE weakness. Mom reports that the child was recently seen in an outside hospital’s emergency department 2 weeks prior to presentation for cough and cold symptoms along with right leg calf and hip pain. At that time, he was […]

This week’s case highlighted a patient with fever and umbilical drainage who progressed into septic shock. The patient was started on ceftriaxone, vancomycin, and clindamycin for septic shock vs TSS. Started on NE in the ED for persistently widened pulse pressures. Transferred to the PICU, where she continued pressors until the next morning. Started on […]

Case by Maria Elena Arrate MD, CNH PEM Fellow A 15-month-old female presents to the ED for fever and umbilical drainage. Seen 9 days ago for drainage from the belly button that had been ongoing for 6 weeks, and intermittent fevers. Had been on a course of a first generation cephalosporin for soft tissue infection […]

Case by Kala Frye Bourque MD, CNH PEM Fellow A 6-year-old male presents to the ED with pain and swelling to the left neck that started this morning. His symptoms began with pain in the left gums the prior evening, with swelling noted after awakening. He denies fevers, chest pain, shortness of breath, or drooling. […]

This week’s case focuses on a child with decreased neck movement. The initial presentation of decreased neck movement in a 12-month-old male prompted consideration of torticollis, atlantoaxial rotary subluxation (AARS), and deep neck space infections. The distinction between subluxation, which typically presents with a fixed neck position rather than pain-limited range of motion, is helpful […]