Rachel Hatcliffe, MD, Children’s National Medical Center HPI: 4.5 year old female with history of prior febrile seizure presents to the emergency room after a 5-10 minute seizure in the setting of one day of fever. Earlier this morning she had one episode of NBNB emesis and was found to have fever to 39.3C. Her […]
Hot Seat #173: 5yo with fever and rash
Malek Mazzawi, MD, Children’s National Medical Center HPI: Outside hospital calls requesting transfer of a 5-year-old previously healthy girl with fever and rash for 7 days. She was diagnosed with roseola 5 days prior at urgent care then started having worsening headache, somnolence and decreased PO. She developed a diffuse, non-pruritic, erythematous rash on her […]
Hot Seat #172: A Case of a Broken Heart?
HPI: A 12-month-old girl with cerebral palsy, chronic lung disease, and G-tube dependence is brought in by ambulance for bradycardia. Her caregiver states that she had an episode of bradycardia on her home monitor with HR 50s. Her usual baseline is heart rate of 100 to 130s This lasted about 1 minute. During the episode, […]
Hot Seat #171 Denouement
The case: A 3 year old with neck swelling and concern for neck infection who will not tolerate a CT scan. Here’s how you answered the questions: Discussion and Denouement: This patient represents an unusual presentation for peritonsillar abscess in both his young age and his primary complaint being external neck swelling. Although not all […]
Hot Seat #171: Toddler with neck swelling
Walt Palmer, MD, Children’s National Medical Center HPI: A 3-year-old previously healthy boy presents to the Emergency Dept for left-sided neck swelling. Two weeks ago, he presented to another ED for neck swelling in the setting of URI symptoms, diagnosed with reactive lymphadenopathy, discharged home with supportive care instructions. Symptoms (including swelling) soon thereafter resolved. […]