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

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Hot Seat #44 Denouement: 3 yo F s/p appendectomy with fever

by Mordechai Raskas, Children’s National with Dave Mathison, Children’s National The Case 3 year-old female, bounceback to the ED s/p appendectomy 3 days ago, now with fever, poor po intake, headache, and emesis. Also with concerns for an unreported significant fall. Here’s How You Answered Our Questions Overall, attendings seemed to be more concerned about […]

AOTW:Don’t blame the nurse

While this mini blurb is about the Ebola case in Dallas, it’s more a caution to the licensed provider (MD/NP/PA) to read the triage note on every patient that we see. Don’t Blame the Nurse (here’s the link!)

Hot Seat #44: 3 yo F s/p appendectomy with fever

by Mordechai Raskas, Children’s National with Dave Mathison, Children’s National The Case 3 year-old female, bounceback to the ED s/p appendectomy 3 days ago, now with fever, poor po intake, headache, and emesis. Tmax 104 F. 4 days prior had been seen in ED and found to have appendicitis by ultrasound. Appendix removed the following […]

AOTW: The Soaring Cost of a Simple Breath

The Soaring Cost of a Simple Breath The article this week comes from the New York Times excellent series on medical costs in the US.  This one deals with the cost of asthma medications, a common set of prescriptions that our patients should be taking but often can’t or aren’t. There are two things in […]

Hot Seat #43 Denouement: 15 yo with a neck mass

by Adam Kochman, Inova Children’s Hospital with Karen O’Connell, Children’s National The Case 15 y/o previously healthy male referred form PCP office with 4-5 weeks of right neck mass. The challenge of this case involves the diagnostic work-up for a neck mass. For a complete case presentation with audience and Hot Seat Attending comments, please […]