Case by Chidimma Acholonu, CNH PEM Fellow 17 yo M with eczema presents to the emergency department with his mother for evaluation due to yellowing eyes over the past 3 days. Patient’s mother first noticed it. Denies any itching and no yellow to the skin, palms or feet. One month ago, he was evaluated for […]
Hot Seat #247 Denouement
This week’s case highlights a patient presenting with button battery in the stomach. Given the risk of button battery corrosion when ingested, we discussed the NASPGHAN guidelines on proper management of these cases depending on the location of the battery, battery size, symptoms and age of the child. We also discussed how recommendations may change […]
Post #247: But on the topic of batteries…
Case by Kammeron Brissett, CNH PEM Fellow 6 -year-old female with a history of autism and ADHD who presents for concern of foreign body ingestion. Parents report that she swallowed a button battery from a laser pointer at about 30 minutes prior to arrival. They endorse that she frequently puts non-food objects into her mouth, […]
Hot Seat #246 Denouement
This week’s case highlights a patient presenting with ocular foreign body. Given the difficulty obtaining a comprehensive eye exam in this patient secondary to agitation there was discussion about providing versed for anxiolysis. However ultimately consensus among the group was that we would work in collaboration with Ophthalmology to provide sedation that would aide in […]
Hot Seat #246: Stuck in the Eye: What Now?
Case by David Branson MD, CNH PEM Fellow A 4 year old previously healthy F presents with concern for ‘eye foreign body.’ The patient reports that a classmate kicked mulch and ‘a splinter flew into her eye.’ A school nurse taped gauze over the eye prior to coming to the ED. Patient does not answer questions secondary […]