by Lenore Jarvis (EM) and Lisa Herrmann (HM), Children’s National Take Home Points: · ALTE is a description, not a diagnosis · Routine screening tests are low yield – use HPI/PE to assess risk and tailor tests o Wide range of practice for workup in the ED – frequently guided by history, physical exam and […]
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 #41: 14 y.o. with hemorrhagic conjunctivitis
By Lenore Jarvis, Children’s Nationalwith Jamil Madati, Children’s National The Case: 14 yo male hx of hepatitis (thought resolved by family) who recently moved from El Salvador presenting as a referral from the PCP for hyperbilirubinemia, fever, hemorrhagic conjunctivitis, hand desquamation, and sore throat. Five days PTA, he had fevers 102-104F and a sore throat. Fever lasted 2 […]
The emergency department approach to syncope: evidence-based guidelines and prediction rules
Kessler, C., Tristano, J. M., & De Lorenzo, R. (2010). Emergency medicine clinics of North America. Abstract Conclusions: This article reviews the current status of syncope from the emergency department perspective, focusing on the current evidence behind the various clinical decision rules derived during the past decade.
Pemfellows.blogspot.com – Under Renovation
Hot Seat Readers, The Hot Seat will be going on a summer vacation for renovation and upgrading. We will be back with more cases, a different layout and URL, and other PEM learning tools. Here’s what we’ve done over the last few years: Pageviews: Over 13,000 40 Hot Seat Cases 26 Different attendings on […]
Current approach to pediatric syncope
Johnsrude, C. L. (2000). Pediatric cardiology. Abstract Conclusions: This review emphasizes neurally mediated syncope, but other etiologies are reviewed to complete the spectrum encountered by pediatric cardiologists. Some clues are provided to distinguish the more common and benign forms of syncope from those due to significant underlying heart disease.