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Hot Seat #57: 15 mo old with abd pain for 10 days

by Katie Donnelly, Children’s National with Jamil Madati, Children’s National The Case 15 month old female presenting with abdominal pain for 10 days. Patient initially started off with NBNB vomiting and diarrhea, these symptoms resolved in the past 3 days. She had 2 days of fever during this illness but has not been febrile in the past […]

Hot Seat #56 Denouement: 14 yo w/ severe abd pain, recent URI

by Lenore Jarvis, Children’s National with Shilpa Patel, Children’s National The Case The challenge of this case involves the appropriate lab work-up, diagnostic imaging and treatment of a 14 year old prev healthy male presenting with severe LUQ pain, fever, tachycardia and splenomegaly. Here’s How You Answered Our Questions Providers wanted a CXR to rule out […]

Hot Seat #56: 14 yo w/ severe abd pain, recent URI

by Lenore Jarvis, Children’s National with Shilpa Patel, Children’s National The Case 14 year old prev healthy male presenting with severe LUQ pain in the setting of a recent URI. Patient and mom report he had chills/fevers that started “last week”, then got better. Last week, the patient also had URI symptoms including cough, mild shortness […]

Hot Seat #55 Denouement: 8 wo bounceback w/ fussiness

by Evan Sherman, Children’s National with Pavan Zaveri, Children’s National The Case The case is of an 8wo otherwise healthy M presenting to the ED as a bounceback with URI sx, vomiting, and “fussiness” for the past few days. The challenge of this case was what to do with a found Hgb of 7.1. Reminder CBC showed: […]

Hot Seat #55: 8 wo bounceback w/ fussiness

by Evan Sherman, Children’s National with Pavan Zaveri, Children’s National The Case 8wo otherwise healthy M presents to the ED with URI sx, vomiting, and “fussiness” for the past few days. He was brought to the ED 3 days ago by his grandmother for similar sx (although he wasn’t vomiting at the time). During that visit, […]