HPI: A 12-month-old girl with cerebral palsy, chronic lung disease, and G-tube dependence is brought in by ambulance for bradycardia. Her caregiver states that she had an episode of bradycardia on her home monitor with HR 50s. Her usual baseline is heart rate of 100 to 130s This lasted about 1 minute. During the episode, […]
Author: Chisom Agbim
Hot Seat #163: 3 year old female with constipation
Chisom Agbim, MD HPI: A previously healthy 3-year-old female presents to our satellite ED for constipation and left upper quadrant abdominal pain. Today, her mother has brought her to the ED because she is refusing to eat solids; however, she is tolerating fluids. She had three episodes of nonbilious, non-bloody vomiting. Her mother is unsure […]
Hot Seat #152: 12 month-old with altered mental status
HPI: 11 mo otherwise healthy fully vaccinated male presents to the ED with concerns that he “hasn’t been acting right” for the past 3 hours. About 5 hours ago, he was left in the care of his grandparent for about an hour; however, when his mother picked her up, she noticed that he was more […]
Hot Seat #142: 5yoF with inability to walk
HPI: A 5-year-old otherwise healthy female presents to the ED from a local urgent care with bilateral ankle swelling and inability to bear weight for the past 3 days. Her mother states that over the past 3 days her ankle swelling and pain have worsened and she is now only able to ambulate by crawling […]
Hot Seat Case #126: 11 mo female with unresponsive episode
Chisom Agbim, MD Children’s National Medical Centerwith Jennifer Chapman, MD Children’s National Medical CenterH HPI: 11-month-old fully vaccinated otherwise healthy female presenting after unresponsive episode today. The episode was witnessed by her caretaker; however, she is brought to the ED by different caretakers. Her family states that she was being fed her small bites of […]