Medulloblastoma and Hypothermia?

Mariam is a 10-year-old with intermediate risk medulloblastoma post end of treatment (complete surgical resection, chemotherapy and radiation) 6 months ago. She presented to Emergency Room with mild vomiting, hypothermia, left sided weakness and numbness with slurred speech. She has chronic anorexia and weight loss over the last 6 month. No headache. No other new onset symptoms. Vital signs: temperature 34, heart rate: 40, blood pressure 110/60, respiratory rate 20, SaO2 100% on room air. Glucose 79. TSH 9, Free T4: 1.5. What is your most likely diagnosis?

Infantile Hemangioma: Case Discussion

Today, at early morning, we admitted a case of infantile hemangioma to our pediatrics intensive care unit for respiratory and hemodynamic monitoring in the setting of possible ongoing airway obstruction. She's a 2 months old girl who was born with a small red lesion on her right cheek which progressed over the last few weeks. Now, she has multiple vascular lesions on both cheeks, right eyelids, forehead, nose bridge, and neck. She presented with acute onset, moderate-in-severity stridor.

Renal Fungal Abscesses

Adel is a 2-year-old boy with down syndrome, acute lymphoblastic leukemia and persistent fever despite broad spectrum antibacterial therapy. CT scan of the pelvis showed multiple peripherally enhanced cystic lesions  in the kidneys compatible with renal abscesses. The blood culture grew candida trpicalis. He is currently on antifungal treatment.

Renal Fungal Abscesses

Treatment of Group A Streptococcal Pharyngitis

Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update by the Infectious Diseases Society of America

Mechanisms of Actions of Chemotherapeutic Agents

Hoffman: Hematology: Basic Principles and Practice, 5th ed.

Scarlet Fever

Group A streptococcal pharyngitis with petechiae on the soft palate 

Today in ER, I saw a 3 year old girl with 2 days history of high grade fever, sore throat, runny nose, cough and intermittent abdominal pain. On physical exam, she has a rough sandpaper rash over face and trunk and erythemtous tonsils with small whitish exudates.We took a throat culture and discharge her on Augmentin 90mg/kg/day for 10 days as a treatment for scarlet fever, but what is scarlet fever?