Sam Zhao, MD Children’s National Medical Center with Shilpa Patel, MD Children’s National Medical Center The Case 6-week-old ex-33-week girl presents with ear drainage x 2 weeks. Mom states that the drainage has gotten progressively worse and more foul-smelling. The ear drainage started one week prior to NICU discharge. She was assessed at an OSH […]
Author: Sam Zhao
Ultrasound evaluation of a teenage female with abdominal pain
Case: A 15 year old girl presents to the Emergency Department for evaluation of abdominal pain. It started in the morning as generalized pain that did not radiate. It was associated with two well-formed stools, the second of which was entirely red throughout, which the patient was worried could be bloody. She denies nausea, vomiting, […]
Hot Seat #87: 12do M with abnormal movements
Sam Zhao MD, Children’s National Medical Center with Alyssa Abo MD, Children’s National Medical Center The Case A 12do ex-FT boy born via NSVD presents with two episodes of vomiting and shaking today. Mom had been concerned that she wasn’t making enough breast milk, so she gave him Enfamil Newborn for the first time today. […]
Hot Seat #79: 7wo F with sickle cell disease and fever
Sam Zhao, Children’s National Medical Center with Alex Rucker, Children’s National Medical Center The Case A 7wk ex-FT girl with sickle cell disease diagnosed on newborn screen presents to the ED with a fever of 100.5 F taken at home. Mom has also noticed some cough and runny nose. She continues to eat well and […]
Hot Seat #67: 5wo F with vomiting
Sam Zhao MD, Children’s National Health System with Shilpa Patel MD, Children’s National Health System The Case A 5wk ex-FT girl with a PMH of poor weight gain is transferred to our ED for worsening vomiting over the past three days. Mom states that the vomiting is “forceful” and follows every feed. The patient was […]