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Dilemmas: The Art of Medicine

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Emergency department diagnosis and treatment of anaphylaxis: a practice parameter

Campbell, R. L., Li, J. T., Nicklas, R. A., Sadosty, A. T., Khan, D., Lang, D., … & Wallace, D. (2014). Ann Allergy Asthma Immunol. Abstract Conclusions: This article offers a classification of recommendations and evidence using a recommendation rating scale.  

Hot Seat #48 Denouement: 5 yo M abd pain transfer

by Rosemary Thomas-Mohtat, Children’s National with Moh Saidinejad, Children’s National The Case 5 yr old male transferred from OSH for abd pain found to be mostly left sided, worse on left flank/LLQ.  This case addresses the challenges of different imaging modalities for abdominal pain. Here’s How You Answered Our Questions   Denouement Infectious etiology was high […]

AOTW: Being a Great Teacher

 It’s Not Just What You Know The article is from this month’s Pediatrics about the non-cognitive factors that contribute to being a great clinical teacher. It’s not just about what you know. Great teachers encourage self-motivation in their learners by Being enthusiastic (they really love their job and it shows) Demonstrating leadership (they walk the […]

Hot Seat #48: 5 yo M abd pain transfer

by Rosemary Thomas-Mohtat, Children’s National with Moh Saidinejad, Children’s National The Case Sunday morning 3am: You receive signout on a 5 yr old male transferred from OSH for abd pain. He has had 48hrs of abd pain- awakening “shrieking” in the night 2 nights ago. Pain was described as periumbilical. Had 3 episodes of NBNB […]

AOTW: World AIDS Day

In the spirit of World AIDS day, the AOTW this week is a reminder to offer opt-out HIV screening to all adolescent patients 13 years old and up. A recent study published in JAMA found that initiation of ART “beyond 12 months of seroconversion diminishes the likelihood of restoring immunologic health in HIV-1-infected individuals.”  Therefore […]