Case Presentation: A healthy 3-year-old boy presented with 5 days of a scaly and crusting rash on the left side of his face that began as a few bumps on his left forehead (Image 1). He had no history of chickenpox, is up to date on immunizations including varicella, and has no family history of […]

Case Presentation: A 14-year-old boy with autism presented with a five-day history of high fever (40.5 degrees C), vomiting, shortness of breath, and a rash involving the palms-and-soles. He was evaluated at urgent care and was believed to have hand-foot-mouth disease. He was brought to the emergency department for ongoing symptoms, where he was noted […]

Background: Long-term central venous access devices (CVADs) are integral to cancer care provision. Despite the high prevalence of CVAD occlusion in children with cancer, strategies to prevent occlusive events are understudied. We aimed to test the safety and feasibility of conducting a randomized controlled trial (RCT) comparing heparinised saline, with normal saline (0.9% sodium chloride) […]

Background: Medication errors and adverse drug events are common in the pediatric population. Parents with limited English proficiency have increased risk of management errors and nearly a third of low-income families failed to pick up their child’s prescriptions after hospital discharge, with non-adherence rates as high as 40%. The objective of this study is to […]

Background: Pediatric abusive head trauma (AHT), frequently seen in Shaken Baby Syndrome (SBS), refers to brain injury resulting from a violent shaking of a child’s intracranial contents or skull, and these injuries are the most common cause of traumatic death in children under 2 years old. National studies indicate that SBS and AHT cause injuries […]

Background: Current guidelines recommend against routine neurodiagnostic testing for evaluation of simple febrile seizures. We aimed to assess variation in rates of neurodiagnostic testing and establish Achievable Benchmarks of Care (ABCs) for children evaluated for simple febrile seizures at children’s hospitals. Methods: We conducted a cross-sectional study of children 6 months to 5 years with […]

Background: Point-of-care ultrasound (POCUS) is a growing interest in pediatric hospital medicine, however few Pediatric Hospital Medicine (PHM) fellowships incorporate POCUS training formally into their curriculum. In addition to its ability to expedite care, POCUS can improve the ability of pediatric hospitalists to take care of patients in resource-limited settings or when specialists are not […]

Case Presentation: A previously healthy 7-month-old male infant was admitted after having a new onset 10-minute seizure. He was exclusively breastfed until 2 weeks prior to admission. His mother reported decreased oral intake since switching to formula and introducing solid foods. The infant had not been taking any vitamins.Physical exam: The patient was afebrile, alert, […]

Background: While the electronic health record (EHR) provides many benefits, its use can easily allow for incomplete documentation of relevant historical information. The EHR is designed to store documentation of a patient’s past medical history (PMH), surgical history (PSH), family history (FH), and active hospital problems in the History tab. When the information is in […]

Case Presentation: A 2 year old male with expressive language delay presented with worsening ability to bear weight. The child progressed from refusing to ambulate to refusing to stand over the course of 1.5 weeks. There was parental concern for leg pain which did not improve with ibuprofen. He had mildly decreased appetite the preceding […]