Case by Brandon Kappy MD, CNH PEM Fellow A 35-day-old female presents to the ED with what Mom describes as a “right-sided chest rash.” Mom states that she noticed the mild erythema around 2 days ago when she was breastfeeding the infant. Since then, Mom believes that it has become moderately more erythematous, though no […]
Author: Brandon Ho
Hot Seat #220: High-Risk Blue or High-Risk BRUE?
Case by Richmond Castillo, CNH PEM Fellow A 14 day old ex-35 weeker M was in his usual state of health until today at 1pm. He was sleeping and suddenly started crying and turned purple. Parents also reported he was cold, limp, and stopped breathing for a short time (parents unsure how long) and then […]
Hot Seat #219: Denouement
This week we highlight the case of a well-appearing child who presents with intermittent bilious emesis. The crux of the decision centered around the appropriate imaging when there is concern about malrotation with volvulus but an upper GI is unavailable. Junior learners preferred a CT abdomen with contrast whereas senior learners preferred an abdominal ultrasound. […]
Hot Seat #219: Gut-sy Decisions
Case by Brandon Ho, CNH PEM Fellow It is a wonderful Saturday evening in the ED when an 11-month-old female presents with 3 days of projectile vomiting after every feed. Vomiting occurs 4-5 times a day and is described as occasionally yellow-green. Parents note that her stomach is very hard after feeding but becomes soft […]
Hot Seat #218: Denouement
This week we highlight the case of a child who had a toothbrush impaled in the oropharynx. The crux of the decision centered around sedation for imaging with a potentially unstable oropharyngeal injury. It is important to note that though the patient was currently stable in this case, he had a high potential to be […]