by Jason Woods, Children’s National with Pavan Zaveri, Children’s National The Case 4 year-old no PMHx p/w edema and a red rash involving bilateral eyelids as well as abdominal pain/distention and fatigue. Challenges of this case include what labs/imaging to obtain and who to consult in the setting of multi-organ involvement. Here’s How You Answered […]
Hot Seat #45: 4yo F with edema
by Jason Woods, Children’s National with Pavan Zaveri, Children’s National The Case 4 year-old no PMH p/w with concern for “allergic reaction”. She awoke this morning with swelling and a red rash involving bilateral eyelids. +pruritis. Denies stridor, wheezing, emesis. Has no know allergic history and no new exposures. Her mother called her PCP this […]
AOTW: Limping By on Splint Placement
This comes from a NY Times article Mistakes in Treating Childhood Fractures published late last week that references an abstract presented at the AAP Conference. This abstract seems to be getting a good bit of press (second only to keynote speaker Hilary Clinton getting heckled by someone with a bullphone), so this may be brought […]
AOTW: Chikungunya
Dear All, The gPEM team was supposed to go to Jamaica in a month for a conference, but this was unfortunately just canceled because of an outbreak keeping the hospital busy there. This outbreak appears to be secondary to a virus, Chikungunya. So, from Enterovirus to Ebola… here’s an other one to potentially expect in […]
Hot Seat #44 Denouement: 3 yo F s/p appendectomy with fever
by Mordechai Raskas, Children’s National with Dave Mathison, Children’s National The Case 3 year-old female, bounceback to the ED s/p appendectomy 3 days ago, now with fever, poor po intake, headache, and emesis. Also with concerns for an unreported significant fall. Here’s How You Answered Our Questions Overall, attendings seemed to be more concerned about […]