by Jaclyn Kline, Children’s National with Mike Quinn, Children’s National The Case Previously healthy boy presents with refusal to walk today, and maternal report that both of his knees appear swollen. Per report, 4 days ago, he was limping and refusing to walk when he was at his father’s house, only his mother is present […]
AOTW: Smokin’ Weed
Given the recent legalization of marijuana in DC, I thought it might be pertinent/helpful to review the AAP’s stance on this. The link below will help answer the following questions … (and give you some interesting cocktail party/water cooler material!) …have recent laws legalizing medical and/or recreational use of pot increased its use among adolescents? […]
Hot Seat #52 Denouement: 21 yo M with painless hematuria
by Astrid Sarvis, Children’s National with Asha Payne, Children’s National The Case The case involves a 21 yo M, presenting with hematuria. This case provides a great reminder of how to approach hematuria in the ED. Here’s How You Answered Our Questions At this point, which lab test “would help most” was mixed. All of […]
Hot Seat #51 Denouement: 5yo M p/w bilateral LE pain and fever
by Anne Whitehead, Inova Children’s Hospital with Joelle Simpson, Children’s National The Case This is a case of a 5 yo previously healthy African American boy presenting with bilateral lower extremity pain, abdominal pain and fever. The challenge is determining an appropriate work up in a case with a broad differential diagnosis. Here’s How You Answered […]
EM/HM Conference: UTI Take Home Points
by Katie Donnelly (EM) and Jamie Librizzi (HM), Children’s National UTI take home points: Definitions: – UTI= detection of significant bacteria in the urine with associated signs/symptoms – Cystitis= inflammation of the bladder (may or may not include upper urinary tract infection – Pyelonephritis= diffuse pyogenic infection of pelvis and parenchyma of kidney – UTI with systemic signs including […]
