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. Per mother, pt was playing field hockey outside on freshly mowed field for 3+ hours this AM. Given that it was a hot day she consumed copious amounts of water and Gatorade. She […]

by Jason Woods, Children’s National with Pavan Zaveri, Children’s National The Case 4 year-old no PMHx p/w edema and a red rash involving bilateral eyelids as well as abdominal pain/distention and fatigue. Challenges of this case include what labs/imaging to obtain and who to consult in the setting of multi-organ involvement. Here’s How You Answered […]

by Jason Woods, Children’s National with Pavan Zaveri, Children’s National The Case 4 year-old no PMH p/w with concern for “allergic reaction”. She awoke this morning with swelling and a red rash involving bilateral eyelids. +pruritis. Denies stridor, wheezing, emesis. Has no know allergic history and no new exposures. Her mother called her PCP this […]

This comes from a NY Times article  Mistakes in Treating Childhood Fractures published late last week that references an abstract presented at the AAP Conference.  This abstract seems to be getting a good bit of press (second only to keynote speaker Hilary Clinton getting heckled by someone with a bullphone), so this may be brought […]

Dear All, The gPEM team was supposed to go to Jamaica in a month for a conference, but this was unfortunately just canceled because of an outbreak keeping the hospital busy there. This outbreak appears to be secondary to a virus, Chikungunya.  So, from Enterovirus to Ebola… here’s an other one to potentially expect in […]