by Jared Friedman, Inova Children’s Hospital The Case The case is an adolescent male presenting with worsening back and shoulder pain x1 week, and fever x3 days, SOB and decr PO intake.  The challenge of this case is broadening the differential from a simple sports injury to address his multi-system complaints. Here’s How You Answered Our Questions […]

by Jared Friedman, Inova Children’s Hospital The Case 16 year old p/w back and shoulder pain x1 week, and fever x3 days. Seen at an OSH 6 days prior to visit with right shoulder pain after playing basketball. XR then was negative, was given Motrin, and sent home. However, he has had worsening right shoulder pain […]

I don’t know if anyone else has seen this yet, but it has been all over social media the past couple of days.  Researchers in New York are looking at the Vaca campana flower as a possible new anti-pyretic medication.  They have a very small N (5), but the drug did show improvement over tylenol […]

by Jaclyn Kline, Children’s National with Mike Quinn, Children’s National The Case The case involves a previously healthy 3 yo boy presenting with fever, refusal to walk, b/l knee swelling and fever. It provides a great discussion of bilateral knee pain and swelling. Here’s How You Answered Our Questions Many physicians felt that they should […]

To continue the theme of allergies (one of the recent AOTWs was about decreasing peanut allergy by introducing peanuts early) – the latest Pediatrics has an interesting study entitled “Allergy in Children in Hand Versus Machine Dishwashing”. In a nutshell: risk of allergic disease was reduced in kids where hand washing (not machine dishwashing) was […]