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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.