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Hot Seat #59 Denouement: 4yo AMS, weakness, and abnormal eye movements

by Jamie Martin, Children’s National The Case 4 year old previously healthy female presents via EMS with altered mental status, weakness, and abnormal eye movements for a few hours.  One of the challenges of this case was determining what could be the cause of AMS, nystagmus, and ataxia/abnormal gait. Here’s How You Answered Our Questions Other […]

AOTW: Doctors Behaving Badly

“Integrity is doing the right thing, even when no one is watching.” CS Lewis This quote has stayed with me since high school, when it was used by one of my teachers in a futile attempt to keep her students from acting out while she had to leave the room.  The recent stories in media […]

Hot Seat #59: 4yo AMS, weakness, and abnormal eye movements

by Jamie Martin, Children’s National The Case 4 year old previously healthy female presents via EMS with altered mental status, weakness, and abnormal eye movements for a few hours.  Mom reports patient was in usual state of health until this evening when she noted altered mental status, weakness, and an abnormal gait.  During this time, mom […]

World Allergy Organization anaphylaxis guidelines: summary

Simons, F. E. R., Ardusso, L. R., Bilò, M. B., El-Gamal, Y. M., Ledford, D. K., Ring, J., … & World Allergy Organization. (2011). Journal of Allergy and Clinical Immunology. Conclusions: This article offers a summary of anaphylaxis guidelines.

Ultrasound Evaluation of Diarrhea in a Crohn’s Patient

by Lenore Jarvis, Children’s National Health System 14 yo with Crohn’s disease, presenting with concerns for possible flare. She has had decreased PO due to pain, nausea and diarrhea and is lightheaded and weak. The patient has not improved with steroids as an outpatient and now has had 15 lbs weight loss in 3 weeks. […]