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

Check out PEMBlog.com for PEMPix Classic cases!

The submission period has now ended for the 2019 edition of PEMPix, the AAP Section on Emergency Medicine’s visual diagnosis competition and presentation.

I received a great many cases this year and I thank you for all of them! In the very near future I will be communicating with those of you that submitted with updates on the next steps, the selection process, and whether or not any additional materials are needed.

Previous PEMPix Cases

2018

Anomalous Left Coronary Artery from the Pulmonary Artery
Budd-Chiari Syndrome
Cerebellitis
Hemorrhagic Pericardial Cyst
Internal lilac pseudoaneurysm
Intestinal foreign body (rubber ducky)
Leishmaniasis
Majocchi granuloma
Migrating pharyngeal foreign body
Norwegian Scabies
Palatal foreign body
Paraspinal mass
Tension Gastrothorax

2017

2,4 – Dinitrophenol Toxicity
Bednar’s apthae
Benign Granular Cell Tumor
Incontinentia Pigmenti
Mesenteric Cyst
Morgagni Hernia
Neuroblastoma
Pericardial Effusion
Retinoblastoma
Speckled Lentiginous Nevus
Synovial Sarcoma
Temporal Artery Aneurysm
Thrombosed Arterial Aneurysm

2016

Hirudinea (leech exposure)
Lichen Striatus
Pulmonary Metastases
Scrofula
Secondary Syphilis Sporotrichosis Tick Paralysis Toxic Epidermal Necrolysis
Vernal Conjunctivitis

2015

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

2014

Acrodermatitis Enteropathica
Ascariasis
Dermatomyositis
Disseminated Staphylococcal Disease
Eyeball Luxation
Garré’s Osteomyelitis
Leukoencephalopathy
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

Case 1: Tension gastrothorax

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

Case 2: Budd Chiari Syndrome

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.

Case 3: Norwegian Scabies

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 

Case 4: Internal iliac pseudoaneurysm

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.

Case 5: Palatal foreign body

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.

Case 6: Acute cerebellitits

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. https://doi.org/10.1177/0883073816634860. 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). https://doi.org/10.1186/s13052-017-0370-z.

Case 7: Majocchi granuloma

Ilkit M, Durdu M, Karakas M. Majocci’s granuloma: a symptom complex caused by fungal pathogens. Medical Mycology. 2012. 50: 449-457. 

Case 8: Migrating pharyngeal foreign body

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.

Case 9: Leishmaniasis

https://www.cdc.gov/parasites/leishmaniasis/diagnosis.html Torres-Guerrero et al. Leishmaniasis: a review. F1000 Research. 2017, 6: 750.

Case 10: Intestinal foreign body

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!