Author: Lenore Jarvis MD MEd

Prior to medical school, Lenore taught first grade for Teach for America in Las Vegas. Lenore's interests include international health, medical education, ultrasound, and child advocacy. In her free time, she enjoys running, biking, yoga, and traveling.

Hot Seat #50 Denouement: 3 mos F w/ fever and recent travel

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 […]

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 […]