Alicia Rolin MD, Children’s National Health Systemwith Haroon Shaukat MD, Children’s National Health System Patient is a 6-year-old male with autism spectrum disorder who presents with nausea and vomiting. Parents report that for the past 2-3 days he has been feeling unwell. Report tactile fevers and rigors. Has had multiple episodes of NBNB emesis. Decreased […]
Author: Haroon Shaukat MD
I was born and raised in Silver Spring, Maryland, but with very little knowledge of all things DC. “Crabs and football, that’s what Maryland does”, unfortunately I could only partake in one of those. I grew up with a crab allergy so blue crabs are a make believe creature to me, much like the lochness monster. I decided to take the leap of faith and attend medical school abroad but family and home could not keep me away for too long. Residency took me to New Jersey where I began to cultivate my love for medical education and low tolerance for poor pain control. Did I mention I also learned that I outgrew my crab allergy in NJ! Alas, to the DMV I return! Hopefully to contribute to medical education and quality improvement while feasting on a Maryland blue crab or two.
Hot Seat #193: 6 yo female with SOB
Masouma Mohamed, PGY4, INOVA Children’s Hospital Fellowship HPI: A 6-year-old female presents with difficulty breathing accompanied by her grandfather. For the past 3 days, she was not feeling well and was noted to be breathing quickly. No fever, vomiting, or diarrhea. She was seen by her PMD this week and started on Augmentin and cyproheptadine […]
Hot Seat #174: 4 year old with febrile seizure
Rachel Hatcliffe, MD, Children’s National Medical Center HPI: 4.5 year old female with history of prior febrile seizure presents to the emergency room after a 5-10 minute seizure in the setting of one day of fever. Earlier this morning she had one episode of NBNB emesis and was found to have fever to 39.3C. Her […]
Pediatric Elbow
Supracondylar Introduction: One of the most common pediatric fractures seen, mechanism tends to be fall on an outstretched hand extension type most common (95-98%) flexion type less common (<5%) When reviewing x-rays of the elbows, consider ossification/appearance and age of fusion (two independent events) C-R-I-T-O-E mnemonic to remember age of ossification Ossification center Years at […]
Pediatric Humerus
Introduction: Proximal: Relatively common physeal and metaphyseal fracture seen in children with a peak age of 15 years. Salter-Harris 1 is most frequent in <5 yo Salter-Harris 2 is most frequent in >12 yo Metaphyseal Fractures tend to be in 5-12 yo Shaft: mostly traumatic but occasionally from non-accidental trauma. Up to 5% with radial […]