Case by Nikki Animasaun MD, CNH Pediatric Emergency Medicine Fellow An 11-year-old female with history of recent sepsis in the setting of recent group A strep skin and soft tissue infection presents with altered mental status and possible seizure activity. Per grandma, yesterday, the patient developed a headache which continued until this morning. This morning […]
Author: Brandon Ho
Hot Seat #239: Eye Hurt
Richmond Castillo MD, Children’s National Health System A 5-year-old male with no past medical history presents with right eye pain. Per mom, who had not witnessed event, describes that patient was at school three days prior and was told by school nurse that he fell and hit his eye on the floor. Unclear if he […]
Hot Seat #237: Tummy Time
A 6-year-old male fully vaccinated with no chronic medical conditions presents with abdominal pain and emesis for the past 48 hours. Over the past year, the patient has had intermittent episodes of abdominal pain and emesis, typically self-resolving within a few hours. Two days ago, after eating, he developed intense abdominal pain and non-bloody but […]
Hot Seat #236: Short of Breath, What is the right test?
18-year-old female presents with cough for the past 2 weeks now complaining of shortness of breath for the past 2 days with tactile fevers. No vomiting but feeling nauseous. Normal urine and stool output. Up to date on immunizations. Cannot lie down flat because she has trouble breathing. Endorses dizziness and denies history of wheezing. […]
Hot Seat #235: H-O-T-T-O… Go home?
Case by Nicholas Dimenstein MD MPH, CNH PEM Fellow 20-month-old female presented with fever to 101.7. Had been discharged from the hospital 6 days ago during which she had required ICU care for distributive shock and respiratory failure. She had received IVIG, ASA, Anakinra, and Infliximab for presumed KD vs MIS-C. Was discharged home on […]