by Erin Augustine, Children’s National with Emily Willner, Children’s National The Case This case deals with a 3 mo F with recent travel to Honduras who presents with fever and diarrhea. The challenge of this case is how to address a febrile infant >60 days old with recent travel, recent immunizations, and a high fever. Here’s How You […]
Author: Lenore Jarvis MD MEd
Hot Seat #49 Denouement: 8 y/o respiratory distress and wheezing
by Fareed Saleh, Children’s National with Karen O’Connell, Children’s National The Case 8 y/o F bounce-back to the ED for respiratory distress, wheezing and facial swelling after being discharged 1 day prior with a diagnosis of LUL pneumonia and asthma exacerbation. The challenge of this case is how to manage the increasing worsening distress while determining […]
Emergency department diagnosis and treatment of anaphylaxis: a practice parameter
Campbell, R. L., Li, J. T., Nicklas, R. A., Sadosty, A. T., Khan, D., Lang, D., … & Wallace, D. (2014). Ann Allergy Asthma Immunol. Abstract Conclusions: This article offers a classification of recommendations and evidence using a recommendation rating scale.
Hot Seat #47 Denouement: 2 week old F w/ tachypnea and retractions
by Kaynan Doctor, Children’s National with Desiree Seevaye, Children’s National The Case 2 week old female presenting with her mother for tachypnea and retractions. This case offered a great discussion on work-up needed and disposition required (NICU vs floor vs home). Here’s How You Answered Our Questions #1: Other <3 yrs: review CXR w/ rads, ribs […]
Hot Seat #46 Denouement: 15 yo F w/ combativeness and AMS
by Fareed Saleh, Children’s National with Maybelle Kou, Inova Children’s Hospital The Case 15 yo F p/w combativeness and altered mental status after playing field hockey outside on a hot day where she consumed copious amounts of water and Gatorade. This case offers a great review of how to approach a patient with AMS and how to […]