By Dr. Erin Thomas, INOVA Children’s HPI: A 15-year-old previously healthy girl presents with intermittent right facial numbness, difficulty speaking and left arm weakness for the past 3 days. Episodes last about 10 seconds. Also complaining of persistent headache for the past 5 days, with associated nausea and photophobia. On evening of presentation vomited x3, […]

By Dr. Christina Rojas, Children’s National Medical Center You start an overnight shift and got sign out on a 3 y/o female with sickle cell anemia (HbSS) who presented with fever, puffy eyes, and bilateral extremity pain. Fever developed this morning, Tmax 38.5. Puffy eyes started yesterday. Extremity pain is bilateral in all four extremities […]

By Dr. Timothy Carr, Children’s National Medical Center You receive a call about a 2 ½-month-old girl presenting to an outside hospital for 2 days of fever, cough, nasal congestion. Tmax at home 39.5 C. Patient has been feeding, voiding, stooling normally. No respiratory support needed. Patient with no medical problems. No regular scheduled medications. […]

23mo presents with increased WOB in the setting of 1 day of fever (tmax 101.5) and URI symptoms. Mom noticed some mild swelling of the right side of his neck. No vomiting or diarrhea. Normal PO intake. Normal UOP.  Mother reports snoring and chronic nasal congestion at baseline. PMHx: Wheezing in setting of previous illness, […]

By Brandon Kappy, MD, Children’s National Hospital You receive an EMS notification about a 5-year-old M being brought in following a near-drowning event that occurred in the last 30 minutes. Per EMS report, patient climbed over a fence and jumped in a pool, despite not knowing how to swim. His mother does not know how […]