Sarah Isbey MD, Children’s National Medical Center Case: 12 yo female with severe seasonal allergies who passed the observation time period in the allergist office after allergy shots but appeared to have an anaphylactic reaction at home. The crux of the dilemma in this case is how to handle cases revolving around AMA (against medical […]
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.
POCUS IOTW: FAST Exam
This is a trauma patient with a positive FAST. This is a transverse view of the bladder in the FAST exam of the pelvis. You can appreciate the sharp corners indicating that it is free fluid rather than encased fluid (such as a cyst, or within the bowel). “The information in these cases has been […]
POCUS IOTW: Embedded Larvae
Patient presented with boils. Recent to travel to Ethiopia. US image shows hyperechoic area – bright white area (arrow) Incision and EXTRACTION of a larva. “The information in these cases has been changed to protect patient identity and confidentiality. The images are only provided for educational purposes and members agree not to download them, share […]
Hot Seat Case #115: 2 yo male with seizure
Amie Cahill, MD Children’s National Medical Center with Sabrina Guse, MD Children’s National Medical Center 2 yo previously healthy male arrived via ambulance after seemingly unprovoked GTC seizure-like activity. The family recently returned from summer trip abroad. They describe the episode as lasting a few minutes with eyes rolling back into his head. It resolved […]
Hot Seat Case # 114 Denouement: 2 week old with bloody stools
Rachael Batabyal MD, Children’s National Medical Center Case: 2 week old, ex-FT, with an uncomplicated neonatal course presents with 1-2 days of hematochezia and 2 episodes of non-bloody, non-bilious emesis. She was afebrile and hemodynamically stable with a distended but soft abdomen and clearly bloody stools. Labs: CBC: 7/15/44/346, 10% bandemia, I:T ratio: 0.65. BMP […]