By Dr. Kala Frye Bourque, Children’s National Medical Center HPI: A healthy 18-month-old male presents with his mother and grandmother. About 30 minutes PTA patient was playing in mother’s bedroom while she was doing laundry. Mother heard gagging and looked down to find patient with metal hanger in his mouth. Mother pulled hanger from mouth […]

The patient is a 28 day old ex-FT female presenting with abnormal movement. When the patient was waking up from sleep this AM, parents noted a period of bilateral upper extremity stiffening and foaming at the mouth with associated R sided head deviation and eyes rolling back. The episode lasted < 1 min. Patient was […]

By Dr. Erin Thomas, INOVA Children’s HPI: A 15-year-old previously healthy girl presents with intermittent right facial numbness, difficulty speaking and left arm weakness for the past 3 days. Episodes last about 10 seconds. Also complaining of persistent headache for the past 5 days, with associated nausea and photophobia. On evening of presentation vomited x3, […]

By Dr. Christina Rojas, Children’s National Medical Center You start an overnight shift and got sign out on a 3 y/o female with sickle cell anemia (HbSS) who presented with fever, puffy eyes, and bilateral extremity pain. Fever developed this morning, Tmax 38.5. Puffy eyes started yesterday. Extremity pain is bilateral in all four extremities […]

By Dr. Timothy Carr, Children’s National Medical Center You receive a call about a 2 ½-month-old girl presenting to an outside hospital for 2 days of fever, cough, nasal congestion. Tmax at home 39.5 C. Patient has been feeding, voiding, stooling normally. No respiratory support needed. Patient with no medical problems. No regular scheduled medications. […]