By Alicia Rolin, MD HPI: 20YO female with no significant past medical history presenting with new daily headache x 1 month.  She has no history of headaches but reports new headaches since coming home from college for Winter break. She reports the pain is bitemporal and throbbing. She endorses occasional blurred vision, sensitivity to light, […]

This week’s case features a baby with altered mental status, transferred to us for further workup and management. Our discussion focused mostly on the broad differential here, including toxic ingestion, seizure, arrhythmia, reflux, anaphylaxis, FPIES, and others. It highlights the difficulty in disposition for patients who are back to baseline after an extensive workup that […]

By Walter Palmer, MD; Children’s National Medical Center HPI: 7 mo previously healthy girl presents to an outside hospital with altered mental status.  She was in her usual state of health in the morning with no recent illness.  She ate cheese for the first time around 11am, which was immediately followed by many episodes of […]

By Dr. Kala Frye Bourque, Children’s National Medical Center HPI: A healthy 18-month-old male presents with his mother and grandmother. About 30 minutes PTA patient was playing in mother’s bedroom while she was doing laundry. Mother heard gagging and looked down to find patient with metal hanger in his mouth. Mother pulled hanger from mouth […]

The patient is a 28 day old ex-FT female presenting with abnormal movement. When the patient was waking up from sleep this AM, parents noted a period of bilateral upper extremity stiffening and foaming at the mouth with associated R sided head deviation and eyes rolling back. The episode lasted < 1 min. Patient was […]