2021 PEMPix

Submissions for the 2021 PEMPix Competition are now being accepted!

Use the form on this page to submit all of your materials. Cases can include photographs, radiographic images or even videos. Remember, this is a visual diagnosis competition and the centerpiece of each case should be a compelling picture or video. By far the easiest way to submit your case is to use the secure online form on this page. I promise that we are not collecting your information or sharing it with any third parties. At least one of the members of your submission team should be a member of the AAP’s Section on Emergency Medicine.

PEMPix may be an online event like in 2020, or in person at the AAP NCE – just like everything else we will keep you updated.

You must include the case, a 5-item multiple choice question for the diagnosis, and the AAP Release form signed by yourself in order for your submission to be accepted

The actual case may be submitted as a powerpoint presentation, a word document or other common file format. Please include high quality images or videos. You may elect to submit them separately as well. Please do not include any personal identifiers or HIPAA relevant information. Each case should include history, diagnosis and a brief discussion. Cases that have already been published in a journal are not eligible. Name your files in the following manner Lastname-Diagnosis-PEMPix2021.pptx

Each case must include five choices for the interactive multiple choice question formatted presentation. Please include the correct answer as one of the choices. The choices should be options in the differential diagnosis, not “what should you order as the next test” options.

The AAP Authorization to Use Photograph form which you can download right here. Please sign the form yourself. It does not need to be signed by the patient and family.

The submission deadline is Monday June 21st, 2021

Submit your case!

2020 PEMPix Cases




Audience Award

Palatal Foreign Body
Drew Taylor Louden
Seattle Children’s

Judges’ Award

Budd-Chiari Syndrome
Tucker Anderson, Mindy Longjohn, Linda Myers
LeBonheur Children’s Hospital


Audience Award

Speckled Lentiginous Nevus
Laura Sartori, MD Christopher Stark, MD
Monroe Carell Jr. Children’s Hospital at Vanderbilt

Judges’ Award

2,4 – Dinitrophenol Toxicity
Michael Chary, MD, PhD Yoneda Nao, MD Ameer Hassoun, MD
Department of Pediatric Emergency Medicine New York-Presbyterian Queens

Previous PEMPix Cases


Anomalous Left Coronary Artery from the Pulmonary Artery

Budd-Chiari Syndrome


Hemorrhagic Pericardial Cyst

Internal lilac pseudoaneurysm

Intestinal foreign body (rubber ducky)


Majocchi granuloma

Migrating pharyngeal foreign body

Norwegian Scabies

Palatal foreign body

Paraspinal mass

Tension Gastrothorax


2,4 – Dinitrophenol Toxicity

Bednar’s apthae

Benign Granular Cell Tumor

Incontinentia Pigmenti

Mesenteric Cyst

Morgagni Hernia


Pericardial Effusion


Speckled Lentiginous Nevus

Synovial Sarcoma

Temporal Artery Aneurysm

Thrombosed Arterial Aneurysm


Hirudinea (leech exposure)

Lichen Striatus

Pulmonary Metastases


Secondary Syphilis


Tick Paralysis

Toxic Epidermal Necrolysis

Vernal Conjunctivitis


Behçet Syndrome

Cervical Lung Herniation

Erythema Multiforme

Incarcerated inguinal hernia

Langerhans cell Histiocytosis

Lipschütz ulcer

Metabolic bone disease

Oral Lymphangioma

Papular purpuric gloves and socks syndrome

Phlyctenular Keratoconjunctivitis

Prolapsed ureterocele

Scabies with parapharyngeal abscess

Septicemia with Septic Emboli


Acrodermatitis Enteropathica



Disseminated Staphylococcal Disease

Eyeball Luxation

Garré’s Osteomyelitis


Lisfranc Fracture

Persistent Omphalomesenteric Duct

Subcutaneous Fat Necrosis

Vulvar Aphthosis

Wilm’s Tumor