by Anne Whitehead, Inova Children’s Hospital with Joelle Simpson, Children’s National The Case A 5 yo previously healthy African American boy presents with bilateral lower extremity pain and tactile fever. Pain is localized to the thighs and hips bilaterally. It started yesterday, and was initially mild, and well controlled with acetaminophen, but progressed over 2 days […]

by Erin Augustine, Children’s National with Emily Willner, Children’s National The Case This case deals with a  3 mo F with recent travel to Honduras who presents with fever and diarrhea.  The challenge of this case is how to address a febrile infant >60 days old with recent travel, recent immunizations, and a high fever. Here’s How You […]

Dear all, Start by reading this: “Imagine a daily life in which your faculty of speech is taken away, then the editor-in-residence who orders your thoughts walks out … A dam-burst of ideas, memories, impulses and thoughts is cascading over you, unstoppably… Now your mind is a room where twenty radios, all tuned to different […]

Many of you may have already seen/heard the recent RCT in Pediatrics last month on post concussion management.  D. Thomas et al in Milwaukee recruited kids ages 11-22 presenting to the Peds ED within 24 hours of concussion and randomized them to “strict rest” vs “usual care” for 5 days (n = 88).  Usual care was defined […]

by Erin Augustine, Children’s National with Emily Willner, Children’s National The Case Term, healthy 3 mo F who presents with fever (Tmax 38.8 at home) for < 24 hours. No congestion, cough, vomiting, or rash. Loose, nonbloody stools x 4 during this time. Decreased oral intake with urine diapers x 1 in last 15 hours. […]