Question of the Month – July 2026

{“questions”:{“nhgdc”:{“id”:”nhgdc”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”A 17-year-old female with hemoglobin SS sickle cell disease is admitted for her sixth vaso-occlusive pain episode in 4 months. Her outpatient regimen includes oxycodone ER 40 mg twice daily and oxycodone IR 15 mg every 4 hours as needed. During this admission, IV hydromorphone has been titrated to 2 mg every 2 hours, but […]

Question of the Month – June 2026

{“questions”:{“9bujk”:{“id”:”9bujk”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”A 6-year-old boy undergoes an open reduction and internal fixation (ORIF) of the distal radius and ulna. An ultrasound-guided supraclavicular brachial plexus block is placed with 8 mL of 0.25% bupivacaine before incision; intraoperative analgesia consists of fentanyl 1 mcg\/kg and intravenous (IV) acetaminophen 15 mg\/kg. He is discharged home two hours later after an […]

Question of the Month – May 2026

{“questions”:{“fyd15”:{“id”:”fyd15″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”An 8-month-old male with a history of sacral dimple presents for right sided orchiopexy for undescended testicle. On exam, the dimple measures 7mm and the base could not be visualized. A lumbar ultrasound demonstrated decreased spinal cord mobility and thickened filum. A lumbar MRI had been ordered but not completed. The parents request minimal narcotic […]

Question of the Month – April 2026

{“questions”:{“w2f0c”:{“id”:”w2f0c”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”A 13-year-old patient who is supported by home hospice is admitted for severe abdominal pain. Her parents state that continuing to treat their child\u2019s biliary colic with medication is only \u201cputting a band-aid on the problem\u201d and have requested surgical intervention. The child has a history of extreme prematurity, severe neurologic impairment, seizure disorder, TPN […]

Question of the Month – March 2026

{“questions”:{“a35zk”:{“id”:”a35zk”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”A 10-year-old female presents to the emergency department with a deep laceration of the\r\nanterior surface of her forearm. The injury occurred when she attempted to recreate a \”crafting\” stunt she saw in an online video game, resulting in the shattering of a glass container. Physical exam\r\nreveals an inability to flex the third and fourth digits. […]