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. […]

by Fareed Saleh, Children’s National with Karen O’Connell, Children’s National The Case 8 y/o F bounce-back to the ED for respiratory distress, wheezing and facial swelling after being discharged 1 day prior with a diagnosis of LUL pneumonia and asthma exacerbation.  The challenge of this case is how to manage the increasing worsening distress while determining […]