2021 PEMPix

Submissions for the 2021 PEMPix competition will be open in May. Stay tuned for more details soon. And what will the hybrid program for the Section on Emergency Medicine session at the AAP National Conference and Exhibition actually be like? And what does that mean for PEMPix? Will it be online only or in person? I’ll let you know when I do. Nevertheless, get those excellent cases ready!

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