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!)

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 […]

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 […]

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 […]

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. Began as round swelling which enlarged over first 2 weeks and then evolved to flattened mass w/o significant progression in size over last 2 weeks. Pt […]