‘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+00:00 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

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+00:00 March 19th, 2018|Clinical Vignettes, Hospital Medicine 2018, Pediatric|Comments Off on AN EASY MISS: SUBGLOTTIC HEMANGIOMA MASQUERADING AS ACUTE VIRAL BRONCHIOLITIS

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+00:00 March 19th, 2018|Clinical Vignettes, Hospital Medicine 2018, Pediatric|Comments Off on ASTHMATIC WITH RESPIRATORY DISTRESS: ANALYZING BEYOND ASTHMA

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+00:00 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

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+00:00 March 19th, 2018|Clinical Vignettes, Hospital Medicine 2018, Pediatric|Comments Off on Brainstorming the Case

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+00:00 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

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+00:00 March 19th, 2018|Clinical Vignettes, Pediatric, Uncategorized|Comments Off on Eye See You Noticed: Being a Pupil of the Physical Exam