Author: Brandon Ho

Case by Brandon Ho MD, Children’s National PEM Fellow An 11-year-old female presents with her mother with concern for wound infection. Three days ago, she was un-helmeted and fell off her bicycle and struck her head on the ground sustaining a forehead laceration. The mother states that patient initially blacked out for ~5 sec and […]

Case by Chidimma Acholonu MD, Children’s National PEM Fellow A 17-year-old female with no significant PMH presented with 3 days of fever, cough, back pain intermittent headaches, and muscle aches. She reports nausea without vomiting, though she continues to have an appetite. Additionally, she is having suprapubic discomfort but has no dysuria. Her last menstrual […]

This week’s case involved a child who initially presented with presumed bronchiolitis but developed worsening neck swelling and respiratory distress. As the neck swelling and respiratory distress intensified, discussions focused on the next steps for escalating respiratory support and imaging. The team had to consider whether the patient could remain stable while lying flat for […]

Case by Steven Garbin MD, INOVA PEM Fellow An 11-month-old girl with a history of Diamond-Blackfan anemia presents with fever, a left-sided neck mass, and trouble breathing. The patient’s mother reports the child developed a fever 1-2 days ago (Tmax 101F) for which they have been giving regular antipyretics. Last night she noticed a bump […]

Case by Christina Rojas MD, Children’s National PEM Fellow A 4-year-old male with a history of ITP presents with vomiting and increased sleepiness. His mother reports that he had three days of nasal congestion, and then today had 4 episodes of NBNB emesis. This morning, he seemed more sleepy than usual, however was still responding […]