CC: confusion, altered mental status HPI: 16yoF with no PMHx brought in by parents for altered mental status and concern for ingestion. Police were called when patient found asleep and difficult to arouse on the Metro at 11pm on Saturday night. Patient arousable and able to walk off the Metro but somnolent and confused with […]
Author: Amie Cahill
Hot Seat #131: 10yo F with Fever and Swollen Left Knee
Aimee Cahill, MD, Children’s National Medical Center CC: Pain and swelling of left knee after hitting it on a metal pole 1 week ago. New fever today. Tmax 39 orally. HPI: Previously healthy fully immunized 10yo AA F presenting from OSH with LLE pain and swelling worsening over past week with new fever today. Pain […]
Hot Seat Case #120: 3 week old male with apnea
Raj Sood, MD INOVA Children’s Hospital with Emily Willner, MD Children’s National Medical Center HPI: 22 day old male presents with parental report of apnea to a community ED. Parents describe an episode where he “stopped breathing” for approximately 90 seconds. He was sleeping face up in a bed with his mother lying next to […]
Hot Seat Case # 107 Denouement: 6 month old Male with recalcitrant rash
Amie Cahill MD, Children’s National Medical Center Case: 6mo previously healthy male born term UTD on immunizations presents with a 1 month history of persistent and worsening scalp and diaper rash recalcitrant to the following interventions: OTC hydrocortisone 1% cream, nystatin, ketoconazole cream on body, mineral oil on scalp. Patient had been seen by pediatrician […]
Hot Seat Case # 107: 6 month old M with recalcitrant rash
Amie Cahill, MD Children’s National Medical Center with Karie Button, MD Children’s National Medical Center 6 mo healthy male born term without complications, UTD on immunizations, presented to ED with worsening rash on scalp and diaper region for the last month. Parents tried nystatin and then OTC hydrocortisone without relief. The patient was seen multiple […]