Scott Herskovitz, Inova Children’s Hospital with Theresa Walls, Children’s National Medical Center The Case 13yo M presented with headache and influenza symptoms, then developed agitation after receiving treatment for a migraine. This case focused on two things: workup for the acutely encephalopathic patient, and strategies for managing acute agitation in the pediatric ED. Here’s How […]
Author: Evan Sherman
Hot Seat #76 Denouement: 3 yo with a swollen knee
Caleb Ward, Children’s National Medical Center with Asha Payne, Children’s National Medical Center The Case A 3yo M presented with fever and a swollen knee, with a story and lab results most consistent with Lyme arthritis. This case focused on risk aversion among providers, asking them how they would manage a patient for whom septic […]
Hot Seat #75: unvaccinated female w/ photophobia and ptosis
Evan Sherman, Children’s National Medical Center with Shilpa Patel, Children’s National Medical Center The Case 5yo otherwise healthy, unvaccinated female presents with progressive photophobia, ptosis, and redness of the right eye for 4 weeks. Her parents first noted symptoms 4 weeks ago, when the eye looked a little “cloudy, like she was wearing a colored […]
Hot Seat #73 Denouement: 2 yo p/w prolonged seizure
Lauren Kinneman DO, Inova Fairfax Medical Center With Eiman Abdulrahman MD, Children’s National Medical Center The Case 2 yo F presents with a complex febrile seizure. This case’s questions focused on the choice of a second-line anti-epileptic and the decision to perform an additional workup in the ED. Here’s How You Answered Our Questions The […]
Hot Seat # 71 Denouement: 17 yo F w/ subacute neurologic changes in setting of recent IVIG infusion
Jeremy Root MD, Children’s National Health System With Sabrina Guse MD, Children’s National Health System The Case 17 yo F with a complex medical history presents with a constellation of strange neurologic symptoms. While respondents agreed that the patient would eventually receive an extensive inpatient workup, the challenge of this case lay in determining how […]