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Hot Seat #40: 3 yo with bloody stools

The Case by Sonny Tat, Children’s National with Shilpa Patel, Children’s National 3 year-old previously healthy girl presents to your ER with abdominal pain and bloody stools. The patient had abdominal pain starting yesterday. After a few hours, the patient had a bowel movement with dark red blood, which may have eased the pain. She […]

EM/HM Conference: Hypokalemia Take Home Points

by Lenore Jarvis (EM) and Lisa Herrmann (HM), Children’s National · The things to consider regarding safety of giving IV potassium relate primarily to the concentration and rate of the infusion o IV KCl can be given on an acute care floor and does not necessarily require a PICU or Cardiology consult. Telemetry required only […]

Cranial Ultrasound

by Kaynan Doctor Children’s National 2 month old previously healthy male presenting to the ED with altered mental status. For the past 2 days his mother has noticed “eye rolling” with reduced tracking as well as increased fatigue. On the day prior to arriving his mother noted that he slept for 23 hours. No recent […]

Ultrasound to facilitate shoulder reductions

by Sonny Tat, Children’s National Shoulder dislocations are a common dislocation that presents to an emergency room. Anterior dislocation is the most common type of dislocation (95%), followed by posterior and inferior dislocations. Anterior dislocations are the result of a direct blow to an externally rotated, outstretched arm that is adducted. Traditionally, plain radiographs were […]

Ultrasound: Scrotal edema and abdominal distension

by Priya Gopwani   A 3yo M presented with 2 weeks of worsening abdominal distention, scrotal and LE edema.  He has a history of frequent vomiting x 2 years.  He had been seen the week prior with mild abd pain and vomiting, and was found to have an albumin of about 2 with no proteinuria.  […]