23mo presents with increased WOB in the setting of 1 day of fever (tmax 101.5) and URI symptoms. Mom noticed some mild swelling of the right side of his neck. No vomiting or diarrhea. Normal PO intake. Normal UOP.  Mother reports snoring and chronic nasal congestion at baseline. PMHx: Wheezing in setting of previous illness, […]

By Brandon Kappy, MD, Children’s National Hospital You receive an EMS notification about a 5-year-old M being brought in following a near-drowning event that occurred in the last 30 minutes. Per EMS report, patient climbed over a fence and jumped in a pool, despite not knowing how to swim. His mother does not know how […]

13-year-old female initially presented with right knee pain 2 weeks ago and had an X-ray that showed a distal femoral epiphyseal lesion. She then had an outpatient interventional radiology-guided biopsy of it 6 days prior to today. The patient reports her pain was controlled well initially. However, over the last 24 hours, she has had […]

By Chris Kovaleski, Inova Children’s 18-year-old previously healthy girl is being brought into your ED by EMS. Per bystander report, the patient was running around a track and felt her throat “was weird,” so she took 25 mg PO diphenhydramine. By the time EMS arrived, patient was found to be unresponsive with facial swelling and […]

10-month-old ex FT F presents with subjective fever and bloody diarrhea.  Patient with 3 days of non-bloody diarrhea, however, 1st day of bloody diarrhea was day of ER presentation.  Caretaker describes it as bright red streaks of blood and mucus mixed in with stool. Caretaker is unsure of stool frequency but approximates it’s with every […]