By Sonny Tat, Children’s National with Shilpa Patel, Children’s National The Case This is a case of a 3 year-old healthy female with abdominal pain and bloody stools who presents with blood at the anus and anemia. The challenge in this case is how to approach this patient with an ultrasound negative for intussusception and how […]
Hot Seat Case #40 Response by Shilpa Patel
Response to Hot Seat #40: 3 yo with bloody stools Although lower GI bleeding in children may be indicative of a serious illness, usually it is not. Our very own Stephen Teach published a retrospective review of 109 cases (?his fellow’s project – pretty awesome) in which only four had life threatening diagnoses (https://www.dropbox.com/s/b53127f2haoqj43/1-s2.0-S0196064494703507-main.pdf) – […]
Hot Seat #40: 3 yo with bloody stools
The Case by Sonny Tat, Children’s National with Shilpa Patel, Children’s National 3 year-old previously healthy girl presents to your ER with abdominal pain and bloody stools. The patient had abdominal pain starting yesterday. After a few hours, the patient had a bowel movement with dark red blood, which may have eased the pain. She […]
EM/HM Conference: Hypokalemia Take Home Points
by Lenore Jarvis (EM) and Lisa Herrmann (HM), Children’s National · The things to consider regarding safety of giving IV potassium relate primarily to the concentration and rate of the infusion o IV KCl can be given on an acute care floor and does not necessarily require a PICU or Cardiology consult. Telemetry required only […]
Cranial Ultrasound
by Kaynan Doctor Children’s National 2 month old previously healthy male presenting to the ED with altered mental status. For the past 2 days his mother has noticed “eye rolling” with reduced tracking as well as increased fatigue. On the day prior to arriving his mother noted that he slept for 23 hours. No recent […]