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Pediatric Management and Diagnostic Dilemma Tool
Pediatirc Point-of-care-ultrasound
A professional, physician team with bedside images
Pediatric ECG's
Case based modules on common conditions

Hot Seat

Dilemmas: The Art of Medicine

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Hot Seat: You’re as Cold as Ice

Case by: Masouma Mohamed, PGY4, Inova PEM fellowship HPI: 50 day old, ex FT, born to GBS negative mom, presents to the ER with low temperature. The child was doing well until 4 hours prior to presentation, when mom noticed that she felt cool to touch with forehead sweating. Mother checked a rectal temperature, and […]

Hot Seat #187: Why won’t he eat?

Case by: Dennis Ren, MD HPI: A 5-year-old boy presents to the ED refusing to eat. He had an episode 5 days ago when he choked on a meatball while eating. Parents state that spit the meatball out in its entirety. Since that time, he has been extremely anxious about eating. His parents have offered […]

Hot Seat #186: An 18 MO Boy with Fever

By Hannah Kotler MD, Children’s National Medical Center HPI: 18mo healthy male presenting with 3 days of fever (Tmax 101.5), associated with fatigue, decreased urine output (3-4 wet diapers daily), and non-bloody loose stools. He had a negative COVID test performed by his PMD. Referred by PMD for MISC workup.  ROS: Constitutional symptoms: Fever, Diapers:: Decreased […]

Hot Seat #185: Denouement

This week we highlight the case of a child with altered mental status and unusual mixed metabolic derangements. The initial management was complicated by an incomplete clinical history and delay in obtaining Creole interpreter services. Most respondents agreed that, given the initial clinical impression of an uncomplicated child with mild dehydration, there was no further […]

Hot Seat #185: An IVF Conundrum

By Harrison Hayward, MD, Children’s National Medical Center HPI: You receive a call from an outside hospital to transfer an 8yo M with NBNB vomiting x2 days with soft stools and abdominal pain who received two boluses and failed a PO trial. No fever, respiratory symptoms, rash, sick contacts, or travel. They require transfer for […]