Monica Prieto, MD Children’s National Medical Center Case: 3 year old healthy and thriving male presents with MGM in the setting of recurrent bloody emesis. Has presented to multiple ED’s with similar complaints with a “normal” workup and has never been witnessed by a medical professional. You are reassured that the patient appears well on […]
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: Femoral Nerve Block
4 year old with a left femur fracture for which Dr. Thomas did an ultrasound guided femoral nerve block. US is crutial in performing this procedure given the close proximity to the relatively large femoral artery. The video below shows the artery and the vein. Mneumonic ‘NAVEL’. To the right of the artery you may […]
Hot Seat Case # 109 Denouement: 16 year old male with a chronic cough
Hilary Ong, MD Children’s National Medical Center Case: 16 yo male with a history of asthma and HIV, non complaint with therapy, presenting with a chronic cough for the past few months. It seems to wax and wane, but, was treated 2 weeks prior for asthma exacerbation with short term relief. He was afebrile but […]
POCUS IOTW: Mandibular Swelling
6 year old boy with right lower mandibular swelling s/p trauma after family member hit him in the face with a blunt object. Initially thought to be a hematoma but on ultrasound as seen below there was a string of enlarged lymph nodes. To differentiate a lymph node from an abscess or a hematoma, look for the stalk […]
Hot Seat Case # 108 Denouement: 17 year old male with an intractable headache
Daniella Santiago-Haddock, MD Inova Children’s Hospital Case: 17 yo male with a history of migraine headaches and negative brain imaging one month prior to presentation with persistent headache. He presented with worsening headache despite home NSAID’s and Sumitriptan despite a history of non compliance to both pharmacologic and non-pharmacologic therapies. His mental status exam changed acutely […]