Case: A 14 year old female with history of a mediastinal tumor resection presents with worsening chest pain for one week. She complains of dyspnea and sharp mid-sternal chest pain. She is currently undergoing chemotherapy and radiation treatment. On the day of presentation, the patient had a syncopal episode with a prodrome of “floaters and […]
Author: Haroon Shaukat MD
I was born and raised in Silver Spring, Maryland, but with very little knowledge of all things DC. “Crabs and football, that’s what Maryland does”, unfortunately I could only partake in one of those. I grew up with a crab allergy so blue crabs are a make believe creature to me, much like the lochness monster. I decided to take the leap of faith and attend medical school abroad but family and home could not keep me away for too long. Residency took me to New Jersey where I began to cultivate my love for medical education and low tolerance for poor pain control. Did I mention I also learned that I outgrew my crab allergy in NJ! Alas, to the DMV I return! Hopefully to contribute to medical education and quality improvement while feasting on a Maryland blue crab or two.
Hot Seat Case #105 Denouement: 17 year old intoxicated female
Michael Hrdy MD, Children’s National Medical Center The Case: 17 year old female who was brought in by police in their custody as she was under arrest but also concerned about substance abuse and possible ETOH intoxication. Her exam was consistent with conjunctival injection and a confused sensorium but otherwise stable without any other neurologic deficits. […]
Hot Seat Case #104 Denouement: 10 week old female with emesis
Hilary Ong MD, Children’s National Medical Center The Case: 10 week old ex-FT female with no significant PMH presented with fever Tmax 101 and vomiting for 3 days and 1 day of intermittent increased work of breathing. Had sick contacts at home with URI symptoms, but the patient had no cough or congestion. Was tachycardic […]
Hot Seat Case #103 Denouement: 3 mo infant with bilious emesis
Rachel O’Brian, MD Inova Children’s Hospital The Case: 3 mo ex-FT infant who presented with acute onset fussiness and emesis. Emesis was reportedly non bilious at home but a witnessed episode by the pediatrician was noted to be bilious. Initial workup at an OSH included an unremarkable complete blood count, abdominal xray, and pyloric ultrasound. […]
Hot Seat Case #102 Denouement: A Family of Four in a House Fire
Caleb Ward MB BChir, Children’s National Medical Center The Case: EMS calls 15 minutes ahead of time as they are en route with 4 children pulled from a house fire. 15 year old girl who is “unresponsive” on the ground but breathing on her own 13 year old boy who seems to be having a panic […]