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 […]
AOTW: Bread and Butter!
Sooo as I was thinking of a highly intellectual article to provide this week…I came across this in the AAP news… Warnings have little impact on use of OTC cold medicines It made me think… FDA put out an public health advisory in 2008 against the use of OTC CCM in children < 2 years, […]
Ultrasound: groin swelling evaluation
by Rosemary Thomas-Mohtat, Children’s National At 2am, Tuesday morning: Patient is 2 month old male ex 31 week preemie, who presented with fussiness and vomiting. Baby has been crying inconsolably for the last 1hour. Mom noted a persistent swelling in the right groin for the last hour. This swelling used to be able to be […]
AOTW: Lumbar Punctures
By Jamil Madati Sorry for the delay in getting this out. Was busy searching for an article that would nicely summarize how the Affordable Care Act impacts us in the ED… lucky for you guys I couldn’t find one! Instead, to dove tail into the awesome ED-HM conference this week I decided to include the […]
Hot Seat #47 Denouement: 2 week old F w/ tachypnea and retractions
by Kaynan Doctor, Children’s National with Desiree Seevaye, Children’s National The Case 2 week old female presenting with her mother for tachypnea and retractions. This case offered a great discussion on work-up needed and disposition required (NICU vs floor vs home). Here’s How You Answered Our Questions #1: Other <3 yrs: review CXR w/ rads, ribs […]