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Pediatric Management and Diagnostic Dilemma Tool
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Dilemmas: The Art of Medicine

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EM/HM Conference: Febrile Infant Take Home Points

by Jason Woods (EM) and Abbey Nerlinger (HM), Children’s National Febrile Infant take home points: – There is large ED inter-hospital variation in care among febrile neonates/infants with minimal effect on hospital revisits and readmissions according to recent study in pediatrics – Philadephia, Rochester, Boston criteria are more or less applicable depending on age of […]

Hot Seat #47: 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. Mom reports that for the past 4 days she has been increasingly more congested and has been grunting when sleeping. In the last 2 days there has been intermittent choking with […]

Hot Seat #46 Denouement: 15 yo F w/ combativeness and AMS

by Fareed Saleh, Children’s National with Maybelle Kou, Inova Children’s Hospital The Case 15 yo F p/w combativeness and altered mental status after playing field hockey outside on a hot day where she consumed copious amounts of water and Gatorade. This case offers a great review of how to approach a patient with AMS and how to […]

AOTW: Ebola!!!

Ebola and Quarantine Ebola Virus Outcomes in Sierra Leone In case you aren’t sick of reading/talking about Ebola yet, thought these 2 articles published recently in NEJM were interesting. One is an editorial discussing NJ and NY’s recent decision to impose a mandatory quarantine on health care workers who have returned from caring for patients […]

AOTW: Feedback for Medical Students

Feedback on Oral Presentations During Pediatric Clerkships This article caught my interest because of our ongoing safety and communication initiatives, and our ongoing educational improvements.  The article and the study itself are fine in terms of intent, scope, design, analysis, at least for a feedback/survey-oriented study.  The results: not earth shattering.  If you want to […]