Case: 10 wk old ex-36wk boy (though otherwise healthy: no major prior surgeries and no other medical problems) presents to the ED with fever. He received his 2 month vaccines 4 days prior and has been having daily fevers since this time (Tm-102). He was seen in the ED 2 days ago where he had […]
Author: Brian Lee
Brian is currently a Pediatric Emergency Medicine fellow at Children's National. Prior to starting his fellowship, he completed his Internal Medicine/Pediatrics residency at Brown University and then worked both as a pediatric hospitalist and a pediatrician in a community emergency department. He is very interested in medical education.
Hot Seat #146 Denouement
Case review: 3yoM, otherwise healthy, who presented with a large facial laceration ultimately found to have a glabellar fracture. Here’s how you answered: Discussion: The case led to a lively discussion about several points in the management. In terms of initial evaluation, the room was pretty split on whether to get maxillofacial CT alone or […]
Hot Seat #145: Denouement
Case Summary: 14yoM, otherwise healthy, presents with persistent hematuria despite empiric UTI treatment, ultimately found to have a bladder mass. Here’s how you answered: Denouement: Following discovery of mass on ultrasound, he was seen by urology, with plan of urgent cystoscopy to determine etiology of the mass. Biopsies were taken, and are currently pending. Discussion: […]
Hot Seat #144: Denouement
Recap: 10yo boys both presenting with acute onset of abdominal pain, anorexia (+/- vomiting), found to have lower quadrant abdominal pain on exam and equivocal ultrasounds (and clinical courses). Here’s how you answered: Question 1 AB Question 1 CD Question 2 AB Question 2 CD Question 3 AB Question 3 CD Denouement: AB: had not […]
Hot Seat #143 Denouement: 12 year-old girl with nausea
The Case: 12yoF, otherwise healthy, presenting with acute inability to eat in the setting of chronic abdominal pain, nausea, and weight loss, found to be severely hyponatremic. Here’s how you answered: Differential Diagnosis in both groups included: Anorexia, Addison’s Disease, SMA syndrome, Acute gastritis, or Secondary SIADH Discussion: This is an interesting case that reiterates […]