Case by Jasmine Thomas MD, CNMC PEM Fellow A 2-year-old male presents with his father after a fall that occurred while playing. The patient’s father was throwing him in the air when he slipped from his hands, falling face forward approximately 5 feet onto the concrete ground. No reported loss of consciousness or vomiting. He presented […]

Case by Ilana Lavina MD, CNMC PEM Fellow A previously healthy 17-year-old female is presenting with 3 months of abdominal pain, distension and anemia. She is being referred in by an outpatient GI at another institution. The patient reports that she had been in her usual state of health until 3 months ago when she […]

Case by Malek Mazzawi MD, CNMC PEM Fellow Patient is a 16-year-old female presenting with 2 days of RLQ pain, nausea and tactile fevers. Abdominal pain is burning, constant, and gets worse with meals/deep breaths. She endorses nausea but no emesis. No urinary symptoms. No abnormal vaginal discharge. Denies any cough, congestion, vomiting, or diarrhea. […]

13 yo M presenting with worsening left low back pain. Two weeks ago, he was lifting a heavy tire in football practice and felt like something “pulled” in his back. 5 days ago, he presented to the ED with continued back pain and new fever, cough, and blood-tinged post-tussive emesis. CXR and UA at that time were negative. Found […]

By George Nassar, MD PGY-4 Inova Fairfax Hospital 14 yo F h/o HbSS presenting with 1.5 weeks of chest pain associated with non-bloody, occasionally bilious emesis. Chest pain (CP) is intermittent and was improving with oxycodone 5mg until today. Discharged from inpatient hospitalization for pain crisis just before this pain came on. Described as sharp […]