Jaclyn Kline MD, Children’s National Health System Desiree Seeyave MD, Children’s National Health System The Case This is a case of an 11 year old with epilepsy who presented in respiratory distress with “bloody emesis.” The challenge of this case involves simultaneous management of respiratory distress while trying to differentiate hemoptysis and hematemesis. Here’s How You […]
Author: Lenore Jarvis MD MEd
Hot Seat #63 Denouement: 18 yo M with HbSS and Altered Mental Status
Astrid Sarvis MD, Children’s National Health System The Case 18 yo M HbSS, Protein S deficiency, Asthma and Chronic Headaches presenting with 2 days of worsening bilateral ankle pain who became confused, was randomly repeating phrases, and intermittently not oriented to place and idea. The patient was also found to have a total bili of […]
Hot Seat #62: 4 mos M p/w abscess requiring I&D
by Lenore Jarvis, Children’s National with Jennifer Chapman, Children’s National The Case 4mo FT previously healthy M presenting as a referral from PMD due to concerns for axillary abscess with need for I&D. The patient was admitted one week ago to the hospital for axillary cellulitis/phlegmon and placed on IV clindamycin during hospital stay. Has […]
Hot Seat #61 Denouement: 3yo M p/w fatigue and “brown” urine
Jason Woods MD, Children’s National Health System with Kathy Brown MD, Children’s National Health System The Case 3 yo previously healthy male presenting with fatigue, brown urine, and anemia. The challenge of this case was to determine the etiology while providing timely/safe interventions. Here’s How You Answered Our Questions Make sure to get a type and screen (at […]
Hot Seat #59 Denouement: 4yo AMS, weakness, and abnormal eye movements
by Jamie Martin, Children’s National The Case 4 year old previously healthy female presents via EMS with altered mental status, weakness, and abnormal eye movements for a few hours. One of the challenges of this case was determining what could be the cause of AMS, nystagmus, and ataxia/abnormal gait. Here’s How You Answered Our Questions Other […]