Astrid Sarvis MD, Children’s National Medical Center The Case A 10do M presents with scalp swelling and a sparse history, raising concern for non-accidental trauma. Here’s How You Answered Our Questions: The “other” answers were a plain film of the skull as the imaging study of choice, and obtaining birth records/calling the birth hospital as […]
Author: Evan Sherman
Hot Seat #82 Denouement: 20do M with umbilical concern
Lauren Kinneman DO, Inova Fairfax Medical Center The Case A 20do M is referred from his PCP with an abnormal umbilical stump. Here’s How You Answered Our Questions: Discussion: The discussion boiled down to the amount of uncertainty individual providers were willing to tolerate when seeing an infant in the ED. While most providers seemed to […]
Hot Seat #81 Denouement: 15 mo M with URI symptoms and leukocytosis
Jaclyn Kline, Children’s National Medical Center The Case 15mo M F is referred from his PCP after he was found to have leukocytosis in the setting of URI sx. He had focal findings on lung exam, and a subsequent chest x-ray was abnormal. Here’s How You Answered Our Questions: Discussion: Nearly everyone agreed that a […]
Hot Seat #80 Denouement: 18yo F with acute vision loss
Jeremy Root, Children’s National Medical Center The Case 18yo F presents with acute R sided vision loss. This case challenged readers to determine the urgency of working up this relatively rare pediatric complaint. Here’s How You Answered Our Questions Denouement: The patient was discharged home after neurology consult. Her symptoms slightly improved and she followed […]
Hot Seat #78 Denouement: 5yo F with fever and AMS
Jamie Martin, Children’s National Medical Center with Desiree Seeyave, Children’s National Medical Center The Case 5yo F presented with fever and AMS, and was ultimately found to have meningitis. This case turned into a discussion on risk tolerance in the face of a “mild” case of meningitis. Here’s How You Answered Our Questions As we […]