Case Archives
Jan 10 (Based on a case presented in September 2009)
PRESENTING FELLOW
Glenda N. Bendiak,
Pediatric Respiratory Medicine PGY5
Hospital for Sick Children
University of Toronto
CASE PRESENTATION
A 12 year old girl was referred to the Hospital for Sick Children for lung transplant assessment. She had been diagnosed with cystic fibrosis at ten weeks of age following a history of failure to thrive, and severe left lower lobe pneumonia requiring admission to the Intensive Care Unit.
Jan 08
PRESENTING FELLOW
Tareq Al-Abdoulsalam,
Montreal Children's Hospital
CASE PRESENTATION
Today I will present a patient that we have seen in our emergency department (ED) two months ago. The ED consult said "Shortness of breath with right pleural effusion, please assess!".
Dec 07
PRESENTING FELLOW
Mustafa Osman,
Clinical Fellow, Pediatric Respiratory Medicine
University of Toronto
CASE PRESENTATION
A 2 and 1/2 year old boy with lysinuric protein intolerance presented with recurrent respiratory distress. He was born at term with no perinatal issues but did start to fail to thrive soon after weaning.
Nov 07
PRESENTING FELLOW
Mustafa Osman,
Clinical Fellow, Pediatric Respiratory Medicine
University of Toronto
CASE PRESENTATION
A 2 and 1/2 year old boy with lysinuric protein intolerance presented with recurrent respiratory distress. He was born at term with no perinatal issues but did start to fail to thrive soon after weaning.
Sept 07
PRESENTATION FELLOW
David Zeilinski
respiratory resident, Montreal Children's hospital
CASE PRESENTATION
A 9½ year old previously healthy girl was admitted to hospital following 2 weeks of fevers and multiple symptoms. She subsequently developed respiratory failure on day 8 of her admission.
There will be a brief overview of her history prior to day 8 with focus on the subsequent progression.
May 07
PRESENTING FELLOW
Anwar Sallam
Clinical Fellow, Pediatric Respiratory
Medicine, University of Toronto
CASE PRESENTATION
L.F. is an 8-y-old boy with Dyskeratosis Congenita, diagnosed in 2000. He had a bone marrow transplant from an unrelated donor in 2001 and a history of upper gastrointestinal bleeding April 2005 of unknown etiology. Despite his BMT he suffers from pancytopenia.
April 2007
PRESENTING FELLOW
Harutai Kamalaporn, MD.
Clinical Fellow, Pediatric Respiratory Medicine,
The Hospital for Sick Children
University of Toronto
CASE PRESENTATION
An 8 year old boy was seen in the Emergency Room with a 5 day history of fever and coughing up blood. At least twice a day he had coughed up "jelly" like clots and his stools were dark. He tired more easily, felt dizzy and also reported his heart was beating harder.
A 9 year old girl presented with a history of hemoptysis 3 times in 2 weeks. She coughed up almost 2 cups of fresh blood through her mouth and nose while sitting in the classroom. She had a repeated episode of bloody coughing again the next day. She was brought to the emergency department in a local hospital and a Chest x- ray was done. "Blood work" and urinalysis examination were unremarkable. A 3rd episode of bleeding then occurred 2 weeks later. Her mother called the emergency medical service and she was brought to the local hospital. Her vital signs were stable without any supplemental oxygen requirement. She was then transferred to the Hospital for Sick Children after initial investigations.
March 2007
PRESENTING FELLOW
Mustafa Osman
Clinical Fellow, Pediatric Respiratory Medicine
University of Toronto
CASE PRESENTATION
An 8 year old boy was seen in the Emergency Room with a 5 day history of fever and coughing up blood. At least twice a day he had coughed up "jelly" like clots and his stools were dark. He tired more easily, felt dizzy and also reported his heart was beating harder.
Over the last 6 months he had on a few separate occasions brought up blood tinged sputum whilst unwell with upper respiratory tract infections.
February 2007
PRESENTING FELLOW
Sami Alhaider MD
Fellow Pediatric Respiratory Medicine
Alberta Children's Hospital
University of Calgary
CASE PRESENTATION
A 5 year old boy presented to the emergency room complaining of increasing shortness of breath in association with abdominal distention for 4 days. He has trisomy 21 (Down syndrome), and was recently diagnosed to have acute lymphoplastic leukemia (ALL). He was on the induction phase of chemotherapy for the preceding three weeks. He was also "labeled" to have viral induced wheezing episodes with intermittent use of inhaled bronchodilator and corticosteroid.
December 2006
PRESENTING FELLOW
Marielena DiBartolo
PGY5, Pediatric Respiratory Medicine
University of Calgary
THE CASE
A 13 year-old boy presented to the Emergency room complaining of sore throat, hoarse voice and shortness of breath. He was well until 6 weeks prior to presentation when he developed upper respiratory-like symptoms with sore throat and fever, while on vacation in Mexico. Over the course of the next 6 weeks, he began to complain of a sensation of "throat tightness" and worsening shortness of breath. The shortness of breath initially occurred with exertion, but by the time of presentation, was also present at rest, and associated with 2-pillow orthopnea as well as stridor. Other symptoms during this time included mild fatigue and 5-lbs. of weight loss.
December 2003
PRESENTING FELLOW
Dr. Joanna E. MacLean, Respiratory Medicine Fellow
Hospital for Sick Children, Toronto, Ontario
THE CASE
This is a previously well 13 year old male who immigrated from Zimbabwe in Jan 2001. He presented with a 1 month history of runny nose & nasal congestion. Two weeks prior to presenting, he developed a cough, which was productive but no haemoptysis. One week prior to presentation he began to vomit with onset of shortness of breath one day prior to presentation. He had an unspecified weight loss, but no fever nor night sweats.
October 2003
PRESENTING FELLOW
Dr. Al-shamrani Abdullah, Respiratory Fellow
Alberta Children's Hospital, University of Calgary
THE CASE
A 15 year-old girl with AML (acute myeloid leukemia).
September 2003
PRESENTING FELLOW
Dr. Steve Ponde
Respiratory Fellow, Hospital for Sick Children
Toronto, Ontario, Canada
THE CASE
Exacerbations in a girl with cystic fibrosis.
April 2003
PRESENTING FELLOW
Dr. April Price
Respiratory Fellow, Hospital For Sick Children
Toronto, Ontario, Canada
THE CASE
Case of a newborn infant with tachypnea and hypoxia.
March 2003
PRESENTING FELLOW
Dr. Anne O'Donnell
Respiratory Fellow, Alberta Children's Hospital
Calgary, Alberta, Canada
THE CASE
A twelve year old boy presented to a regional hospital with acute pneumonia and a twelve month history of progressive dyspnea.
February 2003
PRESENTING FELLOW
Dr. Muireann Ni Chroinin
Montreal Children's Hospital Montreal, Quebec, Canada
THE CASE
An abnormal radiograph in a 10-year-old boy with a 9-week history of malaise, fever and weight loss.
January 2003
PRESENTING FELLOW
Dr. Abdullah Al Shamrani
Respiratory resident, Alberta Children's Hospital
University of Calgary, Alberta
THE CASE
A 13 month old girl with a history of recurrent chest infections.
November 2002
PRESENTING FELLOW
Dr.Hussein Al Kindy MD
Respiratory Fellow, Montreal Children's Hospital
McGill University Health Center
THE CASE
A newborn with respiratory distress and low lung volume
October 2002
PRESENTING FELLOW
Tom Kovesi, MD FRCPC
Pediatric Respirologist, Associate Professor of Pediatrics
Children's Hospital of Eastern Ontario
University of Ottawa
THE CASE
Pseudomonas Lung Disease and An Elevated Sweat Chloride Not Due to Cystic Fibrosis
September 2002
PRESENTING FELLOW
Dr. Mary E. Noseworthy MD FRCPC
Pediatric Respiratory Fellow
The Hospital For Sick Children Toronto, Ontario
CASE PRESENTATION
Case of a 20 month old boy with asthma who presented to a peripheral hospital with respiratory distress, an oxygen requirement (new), and cysts on his very first chest xray.
January 2002
PRESENTING FELLOW
Manisha Witmans, Pediatric Pulmonary Fellow
University of Calgary
Alberta Children's Hospital, Canada
CASE PRESENTATION
"Ongoing oxygen requirements after a pneumonia."
December 2001
PRESENTING FELLOW
Piush Mandhane, BSc MD
Respiratory Medicine Fellow
Hospital for Sick Children, Toronto, Ontario, Canada
CASE PRESENTATION
A neonate with respiratory distress and right sided pleural effusion. The male patient (JB) presented with grunting and respiratory difficulty immediately after birth.
November 2001
PRESENTING FELLOW
Sa'ad Al-Otaibi, MD
Pediatric Pulmonary Fellow, Alberta Children's Hospital
Calgary, Alberta, Canada
CASE PRESENTATION
A 14-year-old girl was referred to the Asthma Clinic by her family doctor. She complained of shortness of breath and a chronic dry cough since infancy.
September 2001
PRESENTING FELLOW
Theo Moraes, MD, FRCPC
Chief Pulmonary Fellow, Hospital for Sick Children
Toronto, Ontario, Canada
PRESENTING FELLOW
"Just a case of asthma..." We received a referral in our chest clinic last year for a young boy with asthma. The referral note was short and read, "8 year old with asthma".
April 2001
PRESENTING FELLOW
Manisha B. Witmans
Pediatric Pulmonary Fellow, Alberta Children's Hospital
Calgary, Alberta, Canada
CASE PRESENTATION
A 22 month old Caucasian female from Alberta presented with a history of wheeze for 10 days in December 2000.
March 2001
PRESENTING FELLOW
Federico Fernandez Nievas
Pediatric Pulmonology Fellow, Children's Hospital Winnipeg, Canada
CASE PRESENTATION
The patient is a newly born male in a Community Hospital with a 23-year-old mother G1P0. There were no risk factors.
February 2001
PRESENTING FELLOW
Sharon Dell, Paediatric Respiratory Resident
Hospital for Sick Children, Toronto, Ontario
REASON FOR REFERRAL
A 2 year old Canadian girl of East Indian ethnicity presented with a three day history of fever, cough and nasal congestion. She was tachypneic and had a small oxygen requirement. A CXR showed a "ground glass" appearance on the right side and an overall interstitial pattern.
January 2001
PRESENTING FELLOW
Giuseppe Ficara, Pediatric Pulmonology Fellow,
Montreal Children's Hospital, McGill University Health Centre
REASON FOR REFERRAL
A 14 month old previously well male who presented to the emergency department with 6 days of cough, and two days of fever and irritability.
December 2000
PRESENTING FELLOW
Raphaël Chiron, Hôpital Sainte-Justine, Université de Montréal
REASON FOR REFERRAL
Subacute respiratory distress in a 17 year-old girl.
Pilot Case
PRESENTING FELLOW
Candice Bjornson, MD FRCP(C), University of Calgary
REASON FOR REFERRAL
5.5 cm paratracheal mass on CXR
CASE OF SS
PRESENTING FELLOW
Dr. Osama Majed
Respiratory Medicine Fellow
Albert Children's Hospital, University of Calgary
REASON FOR REFERRAL
XX is a 9 month old female who was well until 3 weeks prior to admission to the Alberta Children's Hospital (ACH). She was diagnosed to have right upper lobe pneumonia . She was treated with oral antibiotics for one week without improvement, and was admitted to her local hospital and treated with intravenous cefuroxime and oral clarithromicin for 2 weeks. There was no improvement in her condition and she was transferred to the ACH.