HM2018 Abstract Number: 370

MORNING HEADACHES IN CHILDREN: WHAT LURKS BENEATH THE SURFACE?

Case Presentation: An 11 year old boy was admitted to the hospital due to 4 days of headache and vomiting. He described the pain as constant, sharp, occipital/frontal in location, and worse in the morning [...]

By | 2018-03-22T12:34:08-04:00 March 19th, 2018|Clinical Vignettes, Finalist Posters, Pediatric, Uncategorized|Comments Off on MORNING HEADACHES IN CHILDREN: WHAT LURKS BENEATH THE SURFACE?

HM2018 Abstract Number: 413

Great Toes as the Diagnostic Secret for Fibrodysplasia Ossificans Progressiva

Case Presentation: A 12-year-old female presented to the ER with a 1-week history of painful swelling of her right upper back not alleviated by NSAIDs or warm packs. She denied a history of recent trauma [...]

By | 2018-03-19T15:44:15-04:00 March 19th, 2018|Clinical Vignettes, Pediatric, Uncategorized|Comments Off on Great Toes as the Diagnostic Secret for Fibrodysplasia Ossificans Progressiva

HM2018 Abstract Number: 416

Recollections of the Past: Recurrent Anti-NMDAr Encephalitis

Case Presentation: 17 year-old-male with a history of anti-NMDAr encephalitis three years prior presented with two days of confusion, agitation and insomnia. Associated symptoms included anorexia, blunted affect, slow movements and, though awake, refusal to [...]

By | 2018-03-19T15:44:22-04:00 March 19th, 2018|Clinical Vignettes, Pediatric, Uncategorized|Comments Off on Recollections of the Past: Recurrent Anti-NMDAr Encephalitis

HM2018 Abstract Number: 401

Eye See You Noticed: Being a Pupil of the Physical Exam

Case Presentation: A healthy 11-year old female presented with 5 days of fever, headache, and progressive symptoms that included blurry vision, photophobia, lightheadedness, nausea, and intermittent vomiting. Family history was positive for migraine headaches. On [...]

By | 2018-03-19T15:44:36-04:00 March 19th, 2018|Clinical Vignettes, Pediatric, Uncategorized|Comments Off on Eye See You Noticed: Being a Pupil of the Physical Exam

HM2018 Abstract Number: 420

MILK INDUCED HEART FAILURE

Case Presentation: A 23 month old female with minimal primary care visits presented to the ED after a syncopal episode. She was found to be tachycardic, tachypneic, and hypoxic. Physical exam revealed an irritable, pale [...]

By | 2018-03-19T15:44:43-04:00 March 19th, 2018|Clinical Vignettes, Pediatric, Uncategorized|Comments Off on MILK INDUCED HEART FAILURE

HM2018 Abstract Number: 418

Thinking Lupus? Check the Lipase.

Case Presentation: A 10-year-old Hispanic female with 7 years of episodic cervical lymphadenopathy and fever, presented with typical episode, new abdominal pain and emesis. Review of systems was positive for weight loss, night sweats, and [...]

By | 2018-03-19T13:24:09-04:00 March 19th, 2018|Clinical Vignettes, Hospital Medicine 2018, Pediatric|Comments Off on Thinking Lupus? Check the Lipase.

HM2018 Abstract Number: 419

NEONATAL CUSHING SYNDROME: AN ATYPICAL PRESENTATION OF MCCUNE ALBRIGHT SYNDROME

Case Presentation: H.C. was admitted to the hospital at 7 weeks of age for failure to thrive. Patient is an ex 37 6/7 weeker, BW was 1.84 kg (0.02%, Z=-3.57), and was induced due to [...]

By | 2018-03-19T13:23:13-04:00 March 19th, 2018|Clinical Vignettes, Hospital Medicine 2018, Pediatric|Comments Off on NEONATAL CUSHING SYNDROME: AN ATYPICAL PRESENTATION OF MCCUNE ALBRIGHT SYNDROME

HM2018 Abstract Number: 395

‘GANG’ING UP ON THE SKIN: AN 11-MONTH-OLD WITH ULCERATIVE SKIN LESIONS

Case Presentation: A previously healthy 11-month-old female was admitted to the hospital with new onset of skin lesions. One month prior to admission, her parents noticed “bumps on her bottom.” They initially thought the bumps [...]

By | 2018-03-19T13:17:55-04:00 March 19th, 2018|Clinical Vignettes, Hospital Medicine 2018, Pediatric|Comments Off on ‘GANG’ING UP ON THE SKIN: AN 11-MONTH-OLD WITH ULCERATIVE SKIN LESIONS

HM2018 Abstract Number: 396

PUFF LADDY: A FIVE-YEAR-OLD-BOY WITH FOREHEAD SWELLING

Case Presentation: A previously healthy five-year-old boy presented with forehead swelling in the setting of a recent sinus infection. His initial symptoms were fever and nasal congestion for which he was prescribed a 10-day course [...]

By | 2018-03-19T13:17:48-04:00 March 19th, 2018|Clinical Vignettes, Hospital Medicine 2018, Pediatric|Comments Off on PUFF LADDY: A FIVE-YEAR-OLD-BOY WITH FOREHEAD SWELLING

HM2018 Abstract Number: 398

WHICH ZEBRA IS IT? CHALLENGES IN CHOOSING THE DIAGNOSIS FROM THE HERD

Case Presentation: A 19-year-old female presented to a children’s hospital with a two week history of daily fever, diffuse abdominal tenderness, vomiting, diarrhea, and body aches, starting three weeks after her immigration from Kenya. Laboratory [...]

By | 2018-03-19T13:16:40-04:00 March 19th, 2018|Clinical Vignettes, Hospital Medicine 2018, Pediatric|Comments Off on WHICH ZEBRA IS IT? CHALLENGES IN CHOOSING THE DIAGNOSIS FROM THE HERD

HM2018 Abstract Number: 367

Sjogren’s Without the ‘K’

Case Presentation: A 14-year-old Hispanic female with history of recurrent pancreatitis, hypokalemia and disordered eating presents with diffuse weakness. She was admitted twice in recent months for pancreatitis requiring fluid and electrolyte repletion. She developed [...]

By | 2018-03-22T12:35:07-04:00 March 19th, 2018|Clinical Vignettes, Finalist Posters, Hospital Medicine 2018, Pediatric|Comments Off on Sjogren’s Without the ‘K’

HM2018 Abstract Number: 392

What to Expect When You’re Expecting….a Baby with Tetrasomy 18

Case Presentation: This is the case of a 39-year old, G3P1001 woman with fetal aneuploidy identified on prenatal screening. Her pregnancy was conceived via anonymous sperm donor, whom had been used for two previous healthy [...]

By | 2018-10-25T10:35:20-04:00 March 19th, 2018|Clinical Vignettes, Hospital Medicine 2018, Pediatric|Comments Off on What to Expect When You’re Expecting….a Baby with Tetrasomy 18

HM2018 Abstract Number: 421

Muscle Mystery: Why Won’t my Enzymes Drop

Case Presentation: An 8-year-old female with a 10-day history of intermittent myalgia and fatigue presented to the emergency department after waking with severe, diffuse myalgias. Initial laboratory work-up included CBC, CMP and CPK. Most significant [...]

By | 2018-03-19T13:12:36-04:00 March 19th, 2018|Clinical Vignettes, Hospital Medicine 2018, Pediatric|Comments Off on Muscle Mystery: Why Won’t my Enzymes Drop

HM2018 Abstract Number: 410

A CASE OF “BILATERAL CELLULITIS” OF THE LOWER EXTREMITIES

Case Presentation: A 17 year-old male teenager presented with two weeks of bilateral lower extremity edema, erythema, and warmth associated with fevers and joint pain at the foot and ankle. After a presumed bug bite [...]

By | 2018-03-19T13:12:21-04:00 March 19th, 2018|Clinical Vignettes, Hospital Medicine 2018, Pediatric|Comments Off on A CASE OF “BILATERAL CELLULITIS” OF THE LOWER EXTREMITIES

HM2018 Abstract Number: 407

ASTHMATIC WITH RESPIRATORY DISTRESS: ANALYZING BEYOND ASTHMA

Case Presentation: 16 year old male presented with respiratory distress for 4 days. Past medical history included obesity, obstructive sleep apnea, mild intermittent asthma (no history of asthma hospitalizations), and sickle cell trait. Patient developed [...]

By | 2018-03-19T13:11:39-04:00 March 19th, 2018|Clinical Vignettes, Hospital Medicine 2018, Pediatric|Comments Off on ASTHMATIC WITH RESPIRATORY DISTRESS: ANALYZING BEYOND ASTHMA

HM2018 Abstract Number: 393

‘IT HURTS DOWN THERE!’: A CASE OF ‘URTICARIA MULTIFORME’

Case Presentation: A previously healthy 5 year-old boy presented to the emergency room with a “red and swollen penis”. No history of trauma or inciting event. The day prior, he complained of suprapubic pain and [...]

By | 2018-03-19T13:09:01-04:00 March 19th, 2018|Clinical Vignettes, Hospital Medicine 2018, Pediatric|Comments Off on ‘IT HURTS DOWN THERE!’: A CASE OF ‘URTICARIA MULTIFORME’

HM2018 Abstract Number: 403

AN EASY MISS: SUBGLOTTIC HEMANGIOMA MASQUERADING AS ACUTE VIRAL BRONCHIOLITIS

Case Presentation: A 2-month-old male, born at 32 weeks, presented with nasal congestion, fever and respiratory distress requiring supplemental oxygen. Mother reported that he was hospitalized for bronchiolitis 2 weeks ago and was discharged home [...]

By | 2018-03-19T13:05:58-04:00 March 19th, 2018|Clinical Vignettes, Hospital Medicine 2018, Pediatric|Comments Off on AN EASY MISS: SUBGLOTTIC HEMANGIOMA MASQUERADING AS ACUTE VIRAL BRONCHIOLITIS

HM2018 Abstract Number: 402

A CURIOUS CASE OF CONSTIPATION

Case Presentation: 21 month old male presents to the hospital for constipation that failed outpatient therapy. Parents describe one hard difficult to pass bowel movement (BM) every other day, without pencil thin stools, blood or [...]

By | 2018-03-19T13:05:26-04:00 March 19th, 2018|Clinical Vignettes, Hospital Medicine 2018, Pediatric|Comments Off on A CURIOUS CASE OF CONSTIPATION

HM2018 Abstract Number: 397

DON’T LET A CLINICAL CONUNDRUM HIDE A MANDATORY DIAGNOSIS: NONACCIDENTAL TRAUMA IN MEDICALLY COMPLEX PATIENTS

Case Presentation: A 2-year-old girl with a past medical history of hypertension and anterior mediastinal mass of unclear etiology presents to the ED with acute bruising. 2 months prior, she was admitted to PICU for [...]

By | 2018-03-19T13:04:38-04:00 March 19th, 2018|Clinical Vignettes, Hospital Medicine 2018, Pediatric|Comments Off on DON’T LET A CLINICAL CONUNDRUM HIDE A MANDATORY DIAGNOSIS: NONACCIDENTAL TRAUMA IN MEDICALLY COMPLEX PATIENTS

HM2018 Abstract Number: 415

CAH, OR IS IT?

Case Presentation: Pt was a FT 2wk old boy. At his 1st clinic appointment, he was 9% below birthweight. Mom reported appropriate feeding volume but he was sleeping throughout the day and needed to be [...]

By | 2018-03-19T13:02:34-04:00 March 19th, 2018|Clinical Vignettes, Hospital Medicine 2018, Pediatric|Comments Off on CAH, OR IS IT?

HM2018 Abstract Number: 400

BACK PAIN AND RASH IN A 13 YEAR-OLD PATIENT: A CASE OF MORVAN SYNDROME

Case Presentation: A previously healthy 13-year-old male presented with a chief complaint of lower back pain and rash for the past 3 weeks. Associated symptoms included profuse sweating and 10/10 lower back pain radiating to [...]

By | 2018-03-19T12:59:06-04:00 March 19th, 2018|Clinical Vignettes, Hospital Medicine 2018, Pediatric|Comments Off on BACK PAIN AND RASH IN A 13 YEAR-OLD PATIENT: A CASE OF MORVAN SYNDROME

HM2018 Abstract Number: 404

A UNIQUE ETIOLOGY OF GASTROINTESTINAL DISTURBANCES IN A TODDLER

Case Presentation: An otherwise healthy 23-month-old girl presented to her pediatrician with several days of vomiting, abdominal pain, and decreased oral intake. She was found to have a Sodium of 128 mmol/L with mild transaminitis. [...]

By | 2018-03-19T12:57:50-04:00 March 19th, 2018|Clinical Vignettes, Hospital Medicine 2018, Pediatric|Comments Off on A UNIQUE ETIOLOGY OF GASTROINTESTINAL DISTURBANCES IN A TODDLER

HM2018 Abstract Number: 391

Should Fentanyl in a Newborn’s Urine Always Lead to a Visit by Social Services?

Case Presentation: This is the case of an ex-41 2/7 week baby girl, born to a 28 year old G4P0 now 1 mother via cesarean section for arrest of descent. Early in pregnancy, the mother [...]

By | 2018-03-19T12:57:30-04:00 March 19th, 2018|Clinical Vignettes, Hospital Medicine 2018, Pediatric|Comments Off on Should Fentanyl in a Newborn’s Urine Always Lead to a Visit by Social Services?

HM2018 Abstract Number: 405

ISOTRETINOIN INDUCED GRANULOMATOSIS WITH POLYANGITIS

Case Presentation: A 14 y.o. male with acne presented to dermatology for follow up. Having failed multiple acne treatments he was started on isotretinoin. Approximately 6 weeks later he developed fatigue, non-purulent conjunctivitis, retrosternal chest [...]

By | 2018-03-19T12:55:50-04:00 March 19th, 2018|Clinical Vignettes, Hospital Medicine 2018, Pediatric|Comments Off on ISOTRETINOIN INDUCED GRANULOMATOSIS WITH POLYANGITIS

HM2018 Abstract Number: 399

Brainstorming the Case

Case Presentation: 12-year-old girl presented with altered mental status, hypothermia, and bradycardia following one week of abdominal pain, progressive fatigue and flattened affect. Family denied ingestion, fever, cardiorespiratory symptoms, headaches or unusual exposures. Exam significant [...]

By | 2018-03-19T12:54:32-04:00 March 19th, 2018|Clinical Vignettes, Hospital Medicine 2018, Pediatric|Comments Off on Brainstorming the Case

HM2018 Abstract Number: 368

NOT THE USUAL DIAPER DERMATITIS: ECTHYMA GANGRENOSUM IN A PREVIOUSLY HEALTHY 8 MONTH OLD CHILD

Case Presentation: A previously healthy 8 month old female presented to the emergency department (ED) with diarrhea and an unusual diaper rash. Her symptoms began 6 days prior to presentation with fever and congestion. She [...]

By | 2018-03-22T15:53:30-04:00 March 19th, 2018|Clinical Vignettes, Finalist Posters, Hospital Medicine 2018, Pediatric|Comments Off on NOT THE USUAL DIAPER DERMATITIS: ECTHYMA GANGRENOSUM IN A PREVIOUSLY HEALTHY 8 MONTH OLD CHILD