Author: Mary Beth Howard

Nicole Barbera, MD, INOVA Fairfax Children’s Hospital  Case: 11 yo F presenting with GTC, subsequently found to be hyponatremic and altered during ED course. Here’s how you answered the questions Discussion The work up for seizures can include many things or very little. This case drives home the point of checking electrolytes in a first […]

Nicole Barbera, MD, INOVA Fairfax Children’s Hospital with Sarah Combs, Children’s National Medical Center HPI: 11 yo previously healthy, fully vaccinated, premenarchal female presents with “shaking” episode in the context of 2 days of fever, sore throat and headache.  Patient reported to be flu and rapid strep negative the day prior in PCP office.  She vomited […]

Rachael Batabyal, MD, Children’s National Medical Center Case: 8 yo male presenting with auditory hallucinations with normal labs notable for a urinalysis with sterile pyuria. Head imaging was unremarkable. Here’s how you answered the questions: Discussion: The discussion for this case focused on 2 features: Positive UA without urinary symptoms: While this is part of […]

Chisom Agbim, MD, Children’s National Medical Center Case: 11 mo female brought in by grandmother after a 30 minute episode of unresponsiveness at home. No known ingestions to trauma, however in a house with multiple medications and under the care of her grandmother while her parents were out of town. She had a normal exam, […]

Mary Beth Howard, MD Children’s National Medical Centerwith Katie Donnelly, MD Children’s National Medical Center HPI: 16-day old ex full term male presented with poor feeding and increased lethargy. He presented to the ED 2 days prior for frequent spit ups, had a normal exam, tolerated feeds in ED so was discharged home. Parents followed […]