This week’s case highlights the importance of repeat evaluations in trauma patients that present POV. A complete primary, secondary and tertiary exam may still be necessary in order to not miss potential injuries. This case also highlights the necessity of observation in pediatric trauma patients because clues such as abdominal pain and vomiting may be […]
Hot Seat #249: I Think I Need A Boost
Case by Jessica Williams, CNH PEM Fellow 15 yo presenting ~ 1 hour after low-speed MVC (10-15 mph). Improperly restrained passenger in back passenger side (belted but not in booster seat, pt is 20 kg). The car was hit on the back driver’s side and airbags were deployed. No LOC but had a few episodes […]
Hot Seat #248 Denouement
This week’s case highlights a patient presenting with scleral icterus. The total bilirubin was elevated and imaging revealed lung nodules of unknown etiology. We discussed the differential work-up for hyperbilirubinemia in a teenager and the challenges of admission vs. discharge without a clear diagnosis. Ultimately, we came to the consensus that the patient should be […]
Post #248: Gee…EYE can see there is an issue here
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 […]