Jennifer Chapman, MD Children’s National Medical Center Case of a 12yo boy with upper chest pain after football collision. Your responses: Respondents: 4 PEM fellows and 2 faculty, no Associate/PA Diagnosis: 7 votes – No injury (0) Fracture of clavicle (60%) Other: R SC separation (12% ) Other: Sternoclavicular joint dislocation (28%) Is Orthopedic consult […]
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 Denouement #125: 16 day old with lethargy
Mary Beth Howard, MD Children’s National Medical Center Case: 16 day old FT male with 2 days of fussiness and poor feeding. Parents felt the infant was sleepier than usual and often had to be awakened to feed. Mother was GBS positive and inadequately treated. On exam was afebrile with normal vital signs but pale, […]
Hot Seat Case #124: 15 month old with failure to thrive
Haroon Shaukat, MD Children’s National Medical Centerwith Joelle Simpson, MD Children’s National Medical Center HPI: 15 month old ex FT male with no significant PMH who presented with his father after their WCC checkup concerning for no weight gain over the past 8 months. Father stated the PMD was concerned that the patient was the […]
Hot Seat Case Denouement #123: 5 year old male with red urine
Hilary Ong, MD Children’s National Medical Center Case: 5 yo male with speech delay presented with 2 days of acute onset red urine with potential dysuria. No associated abdominal pain, nausea, or emesis. Workup at the PMD was unremarkable and treated as potential irritation with mupirocin. Examination in the ED was unremarkable, however, UA contradicts […]
Hot Seat Case Denouement #122: 10 day old with rapid breathing
Mike Hrdy, MD Children’s National Medical Center Case: 10 day old full-term female presents with a chief complaint of rapid breathing. They were a bounce-back from the day prior to the PMD and this time a video was obtained revealing intercostal and subcostal retractions. Family states it is usually after a feed but not always. […]