By Lenore Jarvis, Children’s National with Jamil Madadti, Children’s National The Case This is a case of a 14 yo M with hx of hepatitis who recently moved from El Salvador presenting as a referral from the PMD for hyperbilirubinemia, fever, hemorrhagic conjunctivitis, hand desquamation, and sore throat. The challenge in this case is how […]
AOTW: Undocumented Children
By Sabah Iqbal Given all the turmoil in the world this summer, I chose to use this AOTW to focus on undocumented children, a population that will be growing in our area. Over the weekend, I read this wonderful article in the Washington Post Magazine: it documents the harrowing and difficult journeys many small children […]
EM/HM Conference: ALTE in Infants Take Home Points
by Lenore Jarvis (EM) and Lisa Herrmann (HM), Children’s National Take Home Points: · ALTE is a description, not a diagnosis · Routine screening tests are low yield – use HPI/PE to assess risk and tailor tests o Wide range of practice for workup in the ED – frequently guided by history, physical exam and […]
AOTW: Hematoma Blocks
Title: Evaluating the Hematoma Block as an Adjunct to Procedural Sedation for Closed Reduction of Distal Forearm Fractures Methods: Randomized control trial of lidocaine vs normal saline injections for hematoma blocks in children that were going to be sedated for forearm fractures already. 90 total patients (50 received lido, 40 NS). Children were a […]
Hot Seat #41: 14 y.o. with hemorrhagic conjunctivitis
By Lenore Jarvis, Children’s Nationalwith Jamil Madati, Children’s National The Case: 14 yo male hx of hepatitis (thought resolved by family) who recently moved from El Salvador presenting as a referral from the PCP for hyperbilirubinemia, fever, hemorrhagic conjunctivitis, hand desquamation, and sore throat. Five days PTA, he had fevers 102-104F and a sore throat. Fever lasted 2 […]