This week’s case focuses on the approach to a patient with vertigo. We polled the group regarding their initial laboratory workup in a stable patient with vertigo and found a range of responses. Many opted for a minimal workup including no testing or just a covid test. Fewer chose to send some basic laboratory evaluation […]
Author: Walter Palmer
I grew up in Massachusetts and lived there through medical school. My favorite hobbies are pretty classic New England: traveling, skiing, taking summer trips to the beach, and watching the Patriots win Super Bowls. After med school I moved to Chicago for pediatrics residency and received my master's in public policy. I loved my time there but I'm excited to be back on the East Coast as a fellow here at Children's National! Professionally, I am interested in how public policy influences accidental injuries and toxic exposures in children and the development of clinical guidelines. Outside of work, you can find me buzzing around on an electric scooter exploring DC's monuments, parks, and restaurants.
Hot Seat #176: 15-year-old with syncope
Tim Carr, MD, Children’s National Medical Center HPI A 15-year-old boy with history of epidural hematoma presented following a syncopal episode. Patient states he was cooking breakfast about 1 hour prior to arrival, inhaled in some smoke from the bacon, felt a wave of nausea, felt faint and passed out. The episode was witnessed and […]
Hot Seat #175: 16-year-old with vertigo
Malek Mazzawi, MD, Children’s National Medical Center HPI 16-year-old male with anxiety presents with 1 day of dizziness and a sensation of the room spinning. It began when he laid down in bed the night prior and now he has difficulty ambulating due to unsteadiness. Dizziness is constant with mild headache, no ear pain. Some […]
Hot Seat #174: Denouement
The case: A 4 year old with febrile seizures with persistent fevers and managing parental expectations around the workup. Here’s how you answered the questions: The interpretation of an equivocal urinalysis is a common dilemma in pediatric emergency medicine. In this case, a well appearing child presents with a fever without a focus, complicated by […]