Rachael Batabyal, MD Children’s National Medical Center with Christina Lindgren , MD Children’s National Medical Center 2 week old ex-FT F presents as referral from PCP’s office with 1-2 days of hematochezia and 2 episodes of non-bloody, non-bilious emesis. She has had >10 stool diapers in the last 24 hours, mostly watery consistency though 1-2 […]
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 # 113 Denouement: 4 mo male with diffuse ecchymosis
Nancy Gilchrist MD, Children’s National Medical Center Case: 4 month old male, recent immigrant, with no past medical history other than bruising with immunizations who presented with sudden onset of ecchymosis that was worsening. Labs revealed leukocytosis, anemia, thrombocytosis, transaminitis, and abnormal PT/PTT. Other than obvious scattered bruising on exam, the patient was hemodynamically stable […]
POCUS IOTW: Portal Triad
The CBD is most easily identified through its association with the portal vein and the portal vein is most easily identified in the long axis of the gallbladder. It is the ‘point’ of the exclamation point that is created with the gallbladder in the long-axis. The CBD and hepatic artery will appear as two smaller […]
Hot Seat Case # 112 Denouement: 12 mo male with seizure-like activity
Lauren Kinneman, DO Inova Children’s Hospital Case: 12 month old full term male brought in by EMS for concern of a seizure and rash. Had two episodes < 1 minute, one with the parents at home and another with EMS upon transport. On exam appeared not to be encephalitic and noted to have a rash consistent […]
Hot Seat Case # 111 Denouement: 9 year old male with acute neck swelling
Jeremy Root, MD Children’s National Medical Center Case: 9 year old male with right ear and jaw pain that suddenly within the same day spread to anterior and posterior neck swelling. His exam was significant for a hoarse voice without drooling or trismus. He had moderate to severe cervical LAD without palpable fluctuance. Here’s How […]