The case: 5yoF presenting with acute bilateral ankle arthritis and associated painful lower extremity edema in the setting of treatment for Group A Strep Here’s how you answered: Discussion: The discussion focused widely on the differential and whether this was an uncommon presentation of a common entity, or a common presentation of an uncommon diagnosis. […]
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 #141 Denouement: 15yoF with altered mental status.
The case: This was a 15 year-old female presenting initially with altered mental status, which resolved with time, who had parents who wanted a workup she was refusing. Discussion: This post raised a fair amount of discussion, both related to a patient presenting with resolving altered mental status, and the role of adolescent autonomy. In […]
Hot Seat #140 Denouement: 5yoF with a Laceration
The Case: 5 year-old otherwise healthy girl presenting with 1 cm facial laceration occurring 29 hours prior to visit. Here’s how you responded: Discussion: The case generated a good amount of discussion. As Dr. Lindgren mentioned in the post, very little evidence exists for this topic (Cochrane Review, Quinn et al). In this setting, Dr. […]
Hot Seat #139 Denouement: 6wk M with Failure to Thrive
The Case: A 6 week-old, ex-full term (and otherwise healthy), presents from the PCP’s office for concern of lethargy in the setting of an abnormal thyroid function studies on newborn screen. Here’s how you answered the questions: Discussion Thankfully, a pre-arrival not reflecting a patient’s current clinical status is a rare occurrence. Joking aside, and […]