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Hot Seat #51 Denouement: 5yo M p/w bilateral LE pain and fever

by Anne Whitehead, Inova Children’s Hospital with Joelle Simpson, Children’s National The Case This is a case of a 5 yo previously healthy African American boy presenting with bilateral lower extremity pain, abdominal pain and fever. The challenge is determining an appropriate work up in a case with a broad differential diagnosis. Here’s How You Answered […]

EM/HM Conference: UTI Take Home Points

by Katie Donnelly (EM) and Jamie Librizzi (HM), Children’s National UTI take home points: Definitions: – UTI= detection of significant bacteria in the urine with associated signs/symptoms – Cystitis= inflammation of the bladder (may or may not include upper urinary tract infection – Pyelonephritis= diffuse pyogenic infection of pelvis and parenchyma of kidney – UTI with systemic signs including […]

Hot Seat #51: 5yo M p/w bilateral LE pain and fever

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 […]

Hot Seat #50 Denouement: 3 mos F w/ fever and recent travel

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 […]

AOTW: Why I Jump

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 […]