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 […]
Hot Seat #184: “Rash, Rash, Go Away!”
Case presented by Brandon Kappy, MD HPI: 14moF presents to the ED with diffusely spreading rash and itchiness. Two weeks ago, she received vaccines (MMR, VZV, Prevnar, Flu, HAV) at her well-child check. Following her vaccinations she experienced a tactile fever, but this resolved in 24 hours. Three days ago, she developed an itchy, red […]
Hot Seat #183: 10 Year Old Girl with Fever
By Aditi Ghatak-Roy, INOVA Children’s 10-year-old female with no medical history presents to the ER with 6 days of daily fevers. Highest temperature of 104 orally and controlled with Tylenol and Motrin. Family also mentions right leg pain. Family noticed she was limping about 1 week ago and seemed to favor the right leg. It […]
Hot Seat #181: 5-year-old with difficulty walking.
HPI: 5-year-old female with a non-verbal autism presents to the ED due to progressive refusal to bear weight over the past month. Patient was initially seen three weeks ago by her pediatrician for LLE pain. At that visit the CBC, CK, ESR, and CRP were all normal. She was incidentally found to have Vitamin […]
Hot Seat #180: A 13 yo with Leg Pain
By Chris Kovaleski, Inova LJ Murphy Children’s Hospital A 13-year-old boy with history of mild Factor IX deficiency presents to your ER with leg pain following a bicycle accident approximately 20 minutes prior to arrival. He states that he was riding his bicycle, un-helmeted and fell after hitting a bump in the road. He is […]