Nancy Gilchrist , MD Children’s National Medical Center Case: 3 yo female with new onset weakness 10 days after a URI which was complicated by an AOM and currently taking amoxicillin. Neurologic exam revealed normal reflexes but an abnormal gait and motor asymmetry. Here’s How You Answered Our Questions: Discussion: This case is a perfect […]
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 Case # 119 Denouement: 2 yo child with fever and rash
Sarah Isbey, MD Children’s National Medical Center Case: 2 yo child with signs and symptoms consistent with Kawasaki disease however is a difficult intravenous access. This patient clearly needs fluid resuscitation as the case is not so straightforward for distributive vs. cardiogenic shock. Here’s How You Answered Our Questions: Discussion: As Dr. Agrawal stated, “kawa-shocky” […]
Hot Seat Case # 118 Denouement: 80 day old infant febrile and fussy
Monica Prieto, MD Children’s National Medical Center Case: 80 day old fully vaccinated infant, ex 36-weeker, presented as a bounce-back for two days of fever and one day of fussiness. Workup the prior day revealed an unremarkable physical examination as well as a normal WBC count and UA. Blood and Urine cultures showed NGTD for the […]
Hot Seat Case # 117 Denouement: 7 yo female with facial swelling
Nadira Ramkellawan, MD INOVA Fairfax Children’s Hopital Case: 7 yo female with tactile fever and unilateral eye swelling diagnosed with sinusitis with possible subperiosteal involvement on imaging. ENT was consulted and advised outpatient management and follow up. The patient ultimately returned with acute onset new seizures found to have intracranial involvement and progression of disease. […]
Hot Seat Case # 116 Denouement: 12 yo female with an allergic reaction
Sarah Isbey MD, Children’s National Medical Center Case: 12 yo female with severe seasonal allergies who passed the observation time period in the allergist office after allergy shots but appeared to have an anaphylactic reaction at home. The crux of the dilemma in this case is how to handle cases revolving around AMA (against medical […]