Coming Tuesday, October 22nd
Coming Wednesday, October 23
Coming Thursday, October 24

The 2019 PEMPix presentation will be held on Saturday, October 26th at the AAP NCE in New Orleans, Louisiana. Coming soon on

Check out for PEMPix Classic cases!

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 Sporotrichosis 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

2018 PEMPix Winners

Audience Award

Judge’s Award

Available Now!

Available Now

Available Now

2018 PEMPix References

Bamgbade OA. Management of tension gastrothorax. Resuscitation 2006;70:293–4. doi:10.1016/j.resuscitation.2006.02.015 Næss PCAA, Wiborg J, Kjellevold K, et al. Tension gastrothorax: acute life threatening manifestation of late onset congenital diaphragmatic hernia (CDH) in children. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2015;23. doi:10.1186/s13049-015-0129-8
Dhole S.D., Kher A.S., Ghildiyal R.G., Tambse M.P. Chronic Liver Diseases in Children: Clinical Profile and Histology. J. Clin. Diagn. Res. 2015;9:SC04–SC07. Hernández-Rodríguez J., Alba M.A., Prieto-González S., Cid M.C. Diagnosis and classification of polyarteritis nodosa. J Autoimmun. 2014;49:84–89. Kawakami T. A review of pediatric vasculitis with a focus on juvenile polyarteritis nodosa. American Journal of Clinical Dermatology. 2012;13(6):389–398.  Kumar R, Kerlin BA. Thrombosis of the Abdominal Veins in Childhood. Frontiers in Pediatrics. 2017;5:188. Novak GV, Hayashi K, Sampa K, Okumura Y, Ferreira GRV, Silva CA. Chronic polyarthritis as the first manifestation of childhood systemic polyarteritis nodosa. Einstein. 2017;15(1):96-99.
Kliegman R, Morelli JG. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, PA: Elsevier Saunders; 2011. Mancini AJ, Krowchuk DP, eds. Pediatric Dermatology: a Quick Reference Guide. 2nd ed. American Academy of Pediatrics; 2012 
Rajabrata Sarkar, Arnold G.Coran, Robert E.Cilley, S.Martin Lindenauer, James C.Stanley. Arterial aneurysms in children: Clinicopathologic classification. Journal of Vascular Surgery. Volume 13, Issue 1, January 1991, Pages 47-57 Jeffrey L Zitsman. Pseudoaneurysm after penetrating trauma in children and adolescents. The Journal of Surgery. October 1998Volume 33, Issue 10, Pages 1574–1577.
de Jong AL1, Moola F, Kramer D, Forte V. Foreign bodies of the hard palate. Int J Pediatr Otorhinolaryngol. 1998 Feb;43(1):27-31.
Kornreich, Liora, Vered Shkalim-Zemer, Yoel Levinsky, Wafa Abdallah, Esther Ganelin-Cohen, and Rachel Straussberg. “Acute Cerebellitis in Children: A Many-Faceted Disease.” Journal of Child Neurology 31, no. 8 (July 2016): 991–97. Lancella, Laura, Susanna Esposito, Maria Luisa Galli, Elena Bozzola, Valeria Labalestra, Elena Boccuzzi, Andrzej Krzysztofiak, et al. “Acute Cerebellitis in Children: An Eleven Year Retrospective Multicentric Study in Italy.” Italian Journal of Pediatrics 43, no. 1 (December 2017).
Ilkit M, Durdu M, Karakas M. Majocci’s granuloma: a symptom complex caused by fungal pathogens. Medical Mycology. 2012. 50: 449-457. 
Sreetharan SS, Prepageran N, Satwant S. Unusual migratory foreign body in the neck. Singapore Med J. 2004 Oct;45(10):487-8. Chung SM, Kim HS, Park EH. Migrating pharyngeal foreign bodies: a series of four cases of saw-toothed fish bones. Eur Arch Otorhinolaryngol. 2008 Sep;265(9):1125-9. Torres-Guerrero et al. Leishmaniasis: a review. F1000 Research. 2017, 6: 750.
Kramer et al. Management of Ingested Foreign Bodies in Children: A Clinical Report of the NASPGHAN Endoscopy Committee. Journal of Pediatric Gastroenterology and Nutrition: April 2015 – Volume 60 – Issue 4 – p 562–574

2017 PEMPix Winners

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

2017 PEMPix Online Cases

2017 PEMPix Presentation – Video Version

This is the abbreviated, online version of the PEMPix presentation from the 2017 AAP National Conference and Exhibition in Chicago, IL. Instead of having 30 seconds to answer each question you can test yourself and pause the video on each question. Enjoy!