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Hot Seat #214: Frustrating Flummoxing Fevers

Case by Jasmine Thomas MD, CNMC PEM Fellow A previously healthy 4-year-old female presents with 7 days of fever. The patient was seen at an urgent care a few days prior where a rapid strep test was positive, and she was started on a 7-day course of amoxicillin. Since then, she has developed new loose […]

Hot Seat #213: Blistering Truths and Rash Revelations

Case by Kala Frye-Bourque MD, CNMC PEM Fellow A 6-month-old female with a history of rash presents to ED with a worsening leg rash. The patient was seen by her pediatrician two days ago for a rash and “white stuff” behind her knees. Was told it was most likely a fungal infection, so the family […]

Hot Seat #212: Just in the Neck of Time

Case by Mohamed Masouma MD, INOVA PEM Fellow A 3-year-old otherwise healthy male presents after he and his father had a fall about 2 hours PTA. They were reportedly outdoors with the patient on Dad’s shoulders when Dad slipped on a rock causing them both to fall. Dad was not sure how the boy landed […]

Hot Seat #211: Tumbling Toddler

Case by Jasmine Thomas MD, CNMC PEM Fellow A 2-year-old male presents with his father after a fall that occurred while playing. The patient’s father was throwing him in the air when he slipped from his hands, falling face forward approximately 5 feet onto the concrete ground. No reported loss of consciousness or vomiting. He presented […]

Hot Seat #210: To Be or Not To Be

Case by Ilana Lavina MD, CNMC PEM Fellow A previously healthy 17-year-old female is presenting with 3 months of abdominal pain, distension and anemia. She is being referred in by an outpatient GI at another institution. The patient reports that she had been in her usual state of health until 3 months ago when she […]