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Abdomen / Pelvis

•8 year old girl •Increasing abdominal pain since weeks, now admitted for severe abdominal pain •History of recurrent vomiting since birth

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Abdomen / Pelvis

3-year-old male with epilepsy and recent inpatient admission for breakthrough seizures in the setting of RSV infection, now presenting to the ED with lethargy.

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Chest / Cardiac

A 20-year-old previously well male presenting to the ED with hemoptysis and shortness of breath progressively worsening over 1 week, fatigue, 25-30 pound weight loss over a 2 month period, and left lower extremity discomfort. On admission, the patient has leukocytosis and mild anemia

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Fetal

A 23-year-old healthy primigravida female presented at 19 weeks gestation for a fetal anatomy scan. A review of her prenatal records was unremarkable with no family history of congenital malformations, birth defects, or chromosomal abnormalities. Abnormal findings on fetal anatomy ultrasound warrant...

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Neuro / Head & Neck

4-month-old male infant with clinical concern for increased intracranial pressure.

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Neuro / Head & Neck

A 21-month-old female with Dandy–Walker phenotype and global developmental delay presented with decreased oral intake, intermittent fevers, and reduced activity. Prior neonatal MRI showed congenital brain abnormalities without mass lesions.

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MSK

18-year-old girl presents with left shoulder pain after a fall at wrestling practice and reports feeling a “popping” sensation followed by pain.

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Just for Fun (Excluded from Leaderboard)

Cute baby photos!

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Mixed Bag

16-year-old boy with chronic right hip and knee pain, which began after a helmet impact during football and persists despite physical therapy

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Lines, Tubes and Drains

Premature infant (born 29 weeks EGA) born emergently due to uterine rupture. UAC placement attempted. Now with hypovolemic shock and suspected DIC (disseminated intravascular coagulopathy).

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Syndromes

A six-month-old boy was referred for evaluation due to congenital flexion contractures of both knees. Clinical examination revealed bilateral fixed knee flexion, absent patellar palpation and vertical splitted nail (onychoschizia) of both thumbnails.