Author: Brandon Ho

Case by Kammeron Brissett MD, CNH PEM Fellow 12 month old male presents with 3 days of left-sided neck stiffness and increased fussiness.  Neck stiffness was first noticed after waking up from a nap 3 days ago. Mom states he appears to be reluctant to turn his neck to the left. He continues to maintain oral […]

This case highlights the complexity of managing a pediatric patient presenting with hypertensive emergency. Hypertensive emergency is characterized by stage II hypertension with signs of end-organ damage. In this case, the patient presented with signs of CNS dysfunction (seizure and altered mental status). Most learners were also concerned for some other intracranial pathology (ie abscess, […]

This week’s case focuses on a 5-year-old who presents with eye pain. The crux of the discussion centers on strategies to examine an eye in an uncooperative patient. Pediatric cooperation is a key barrier to detailed exams. Strategies such as distraction, anxiolytics, and, if needed, procedural sedation can be employed. Before considering procedural sedation, topical […]

Case by Nikki Animasaun MD, CNH Pediatric Emergency Medicine Fellow An 11-year-old female with history of recent sepsis in the setting of recent group A strep skin and soft tissue infection presents with altered mental status and possible seizure activity. Per grandma, yesterday, the patient developed a headache which continued until this morning. This morning […]

Richmond Castillo MD, Children’s National Health System A 5-year-old male with no past medical history presents with right eye pain. Per mom, who had not witnessed event, describes that patient was at school three days prior and was told by school nurse that he fell and hit his eye on the floor. Unclear if he […]