The Case: 9mo M presenting with poor feeding, decreased stooling and sleepiness, found to have decreased tone and concern for respiratory failure during evaluation in ED. Here’s how you answered the questions: Discussion: The discussion for this case focused on 2 key aspects: work up and management of clinical deterioration while in the ED. With […]
Author: Mary Beth Howard
Hot Seat Case #132: 9 mo M with poor feeding
Rachel O’Brian, MD, INOVA Fairfax Children’s Hospital with Ioannis Koutroulis, MD, Children’s National Medical Center HPI: 9 month old ex FT male transferred from an outside hospital for abdominal distension and decreased oral intake. Over the past 3-4 days, parents noticed the patient had become less active, weaker and more fussy. Parents felt his abdomen […]
Hot Seat Case Denouement #131: 10y F with fever and swollen left knee
Case: a 10 yo F presenting with fever and swollen left knee Here’s how you answered the questions: Discussion: This case presented multiple clinical dilemmas ripe for discussion. When the patient arrives in shock, the initial question is how aggressive to be. Most agreed that the patient needed aggressive fluid resuscitation, but calling a “code […]
Hot Seat Case Denouement #130: 3mo with concern for seizure
Case: A 3 mo ex FT otherwise healthy boy presenting with first time seizure at home Here’s how you answered the questions: Discussion: The classic newborn doing funny things. In this case, a 3 mo infant presents with reported seizure at home. With an otherwise benign history, normal vitals, and normal exam, the question becomes […]
Hot Seat Case Denouement #129: 8 yo with hyperglycemia
Angelica DesPain, MD, Children’s National Medical Center with Christina Lindgren, MD, Children’s National Medical Center Case: 8 yo girl with DKA becoming progressively more altered during ED stay with concern for cerebral edema Here’s how you answered the questions: Discussion: Despite DKA being “bread and butter” Peds EM, there is enough about this case to […]