Case Report

O2082: Spontaneous Chylothorax in an Infant with Critical Pertussis

O2094: A Sticky Situation: Bone Cement Embolization Leading to Cardiac Arrest in a Pediatric Patient

O2208: Pneumocephalus, a rare presentation of complicated sinusitis.

O2209: Trauma, or is it?

O2214: Rare Variation of Bladder Exstrophy: A Case Report

O2219: Renal abscess masquerading as tumor in a child with undiagnosed chronic granulomatous disease

O2220: Posterior Urethral Valves with a Multilocular Cystic Nephroma: a case report

O3240: The Impact of Changing Reproductive Policy on Perinatal Decision-Making: A Case Study

O4351: A trauma-informed care approach to managing a severe case of lead poisoning: a case report illustrating an interdisciplinary team approach

P1.001: Not Just a UTI: Complications of a Morganella morganii Urinary Tract Infection

P1.003: Challenging Mortality: Successful VA-ECMO in Pediatric Acute Liver Failure with Profound Vasoplegia

P1.005: Cerebrovascular Vasospasms, Cerebral Sinus Venous Thrombosis, and Rapid Empyema Reaccumulation in a Child with a Co-Infection of Fusobacterium nucleatum and Prevotella loescheii

P1.006: Case Study: Rapid Diagnosis and Management of CHANTER Syndrome in adolescent male, a multidisciplinary approach with 1yr follow up

P1.007: "A Preterm Neonate with ABCC8 Mutation-Induced Congenital Hyperinsulinemia Responsive to Diazoxide Following Oral Glucose Infusion Treatment: A case report"

P1.008: Severe Clinical Manifestations of Chikungunya and Dengue-Chikungunya Coinfection in Pediatric Patients Hospitalized in the Intensive Care Unit in Cali, Colombia

P1.009: Colonic Conundrum: An Unusual Presentation of Inflammatory Myofibroblastic Tumor in the Ascending Colon

P1.015: Management of Pediatric Sickle Cell Disease and Multi-Organ Dysfunction With ECMO: A Single- Center Experience

P1.016: Beyond Platelets: A Case of Severe ITP Complicated by Intracranial Hemorrhage and Autoimmune Red Flags

P1.017: Rethinking Pediatric Sepsis: How the Phoenix Score Transforms Pediatric Care

P1.018: A Complex Case of Confusion and Multiorgan Dysfunction: An Uncommon Presentation of a Common Disease

P1.020: MIS-C in the Post-Pandemic Era: A Patient with Obesity, Shock, Lactic Acidosis and Severe Insulin Resistance

P1.021: Transfusion-Associated Circulatory Overload in a Pediatric Patient with Severe Anemia due to Chronic Malnutrition

P1.022: A rare case of Reye’s Syndrome in a patent with congenital heart disease

P1.024: Fever, Fatigue, and Focal Neurologic Findings after Foreign Travel

P1.025: Atypical Presentation of T-Cell Lymphoblastic Lymphoma in a 2-Year-Old: Mediastinal Mass with Pleural and Pericardial Effusions

P1.026: Medium-Chain Acyl-Coenzyme A Dehydrogenase Deficiency Manifesting in a Neonate Following Cardiac Arrest

P1.027: Possible contribution of Mycoplasma pneumoniae infection to a brain abscess caused by Fusobacterium necrophorum

P1.028: Hypotension, Non-Steroidal Anti-Inflammatory Drugs, and Acute Kidney Injury: A Pediatric Case Report

P1.030: A rare case of Syndrome of inappropriate antidiuretic hormone( SIADH) in a 9-month-old male developed after ventriculoatrialsunt revision

P1.045: Repair of Complex Acquired Tracheoesophageal Fistula guided by 3D Printing

P1.053: One Kidney, Two Problems: An Underrecognized and Curable Cause of Chronic Pelvic Pain in Adolescent Females

P1.078: Successful Delayed Closure of a Mushroom-Shaped Giant Omphalocele: A Technical Case Report

P1.087: Papillary Thyroid Cancer Arising in a Thyroglossal Duct Cyst in Children

P2.021: A Breath of Fresh Air: A Systematic Approach to Pediatric Pulmonary Hypertension

P2.022: A loop in time – Atypical syncope harkens Aborted VF arrest in Andersen Tawil syndrome

P2.030: A Novel ELN Mutation Mimicking Williams Syndrome Cardiovascular Phenotype

P2.032: Unmasking of Manifest Preexcitation Following Successful Ablation of a Concealed Accessory Pathway: A Clinical Paradox

P2.036: In-Utero Surveillance of Main Pulmonary Artery to Left Atrium Fistula with Urgent Postnatal Intervention

P2.037: Libman-Sacks Endocarditis in An Adolescent with Acute Promyelocytic Leukemia: A Case Report

P2.064: Chlamydia Pneumoniae in a Case of Treatment-Resistant Asthma

P2.065: Hereditary Folate Malabsorption: an uncommon cause of anemia in infants

P2.096: Sleeping Scars, Sudden Storm: Recurrent Dilated Cardiomyopathy in an Adolescent Requiring Intensive Care

P2.100: Guidance from a Gallop: Pulmonary Artery Thrombus in an Infant with Septic Shock

P2.103: Rebound Effect: The Under-Recognized Risk of Methotrexate Redistribution

P2.106: The Flip Side of Sanfilippo Syndrome: A Case of Atypical Timing and Presentation

P2.108: A Case of Air Leak Syndrome and Diffuse Alveolar Hemorrhage in an Adolescent Male with Granulomatosis with Polyangiitis

P2.110: Case Report: Management of Hemiconvulsion Hemiplegic Epilepsy Syndrome Utilizing Ketamine and Ketogenic Diet

P2.112: Medullary abscess in an immunocompetent pediatric patient: A tough nut to crack

P2.113: Intracardiac Air Embolism Associated with Necrotizing Enterocolitis in a Premature Infant: A Case Report

P2.119: Cardiogenic shock in a pediatric patient with hemoglobin SC disease

P2.206: "Bezoar, Be Gone: A 12-Year-Old's Meckel's Detour Through the Intestines"

P2.207: A Hidden Past: An Unexpected Anemia in an Adopted Adolescent

P2.208: Acting on a Mother’s Intuition: Diagnosing A Hidden Cardiac Risk in a Young Athlete

P2.209: From Arthritis to Enigma: Unraveling a 15-Month-Old’s Hidden Hyaline Fibromatosis Syndrome, A Case Report and Review of the Literature

P2.210: Guillain-Barré Syndrome: A Rare Initial Manifestation of Systemic Lupus Erythematosus in a 15-Year-Old Female

P2.211: Early Recognition and Management of Pediatric Opioid Use-Associated Neurotoxicity with Cerebellar Edema (POUNCE) Syndrome: A Case Report

P2.212: Emergency Department Point-of-Care Ultrasound (POCUS) Utilization in the Diagnosis of an Intrabdominal Pseudocyst for a Pediatric Patient with a Ventriculoperitoneal Shunt

P2.213: Full As a Flask: A Case Report of Pediatric Prostatic Embryonal Rhabdomyosarcoma

P2.214: Gaucher Disease Type 2: A Case of Diagnostic Intrigue

P2.215: Diagnostic Dilemmas: A Case of MRI Negative, GFAP Positive Autoimmune Encephalitis

P2.216: A comparison of SMA type 1 outcomes in two brothers treated with disease-modifying and gene therapies

P2.217: Expanding the 3p Duplication Phenotype: A Case of Central Hypoventilation and Immune Dysfunction in a Neonate

P2.218: From Toothache to Tumor: Facial Swelling as the First Sign of Alveolar Rhabdomyosarcoma

P2.219: Getting Stuck in the Canal: A Case Report of Abdominal Dystocia

P2.220: From Fever to Diagnosis: A Case of Fever of Unknown Origin and Cervical Lymphadenopathy

P2.221: Bilateral Axillary Masses in an Infant: An Incomplete Diagnosis

P2.222: Beyond the Usual Suspects: Listeria Monocytogenes Bacteremia in an Immunocompetent Toddler

P2.223: An Unusual Case of a Lump on the Head

P2.224: A Masquerading Presentation of ALCL in a Young Child

P2.225: Fibrodysplasia Ossificans Progressiva: childhood onset from missense mutation (c.974G>C, p.G325A) in ACVR1

P2.226: An Unusual Presentation: Gait Instability & Cortisol Deficiency

P2.227: A Novel Case of Chronic Adolescent Intussusception Involving the Epiploic Appendix

P2.228: Autism and Achalasia: A Case Study Highlighting Diagnostic Challenges in Pediatric Gastrointestinal Disorders

P2.229: Case Report: Follicular Thyroid Carcinoma Due to a Pathogenic Variant c.164+1G>A in the PTEN Gene and Its Diverse Presentations Within a Family

P2.230: Desmoplastic Infantile Astrocytoma in a Newborn: A Case Report

P2.231: A Rare Case of Recurrent Spontaneous Hemothorax Due to Intrathoracic Osteochondroma in a Pediatric Patient

P2.232: An Unrelenting Asthma Exacerbation: A Tough Nut to Crack

P2.233: An Unusual Rash in a 2 y.o. Female with burns: A Case of HSV-1 Superinfection

P2.234: Acute Necrotizing Encephalitis of Childhood Secondary to Influenza A

P2.235: Fever of Unknown Origin: Disseminated Coccidioidomycosis in a 5-year-old female

P2.236: Generalized weakness, gait difficulty, and hyporeflexia in a 4-year-old male with negative CSF studies and unremarkable imaging

P2.237: Late Diagnosis of Metabolic Disorder in the Setting of Acute Illness

P2.238: Little Cough, Big Heart: An Abnormal Diagnosis for a Cough

P2.239: Luc’s abscess: a case of a rare complication of acute otitis media

P2.240: Mediastinal Cystic Lymphangioma mimicking Asthma in a child with chronic recurrent respiratory symptoms: A Case report

P2.241: More than a Birthmark: A Newborn’s Diagnosis of Neurocutaneous Melanosis

P2.242: Mycoplasma Induced Opsoclonus-Myoclonus Syndrome in a Pediatric Patient

P2.243: Neonatal Meningitis in a Full-term Neonate Due to Streptococcus mitis oralis: A Case Report

P2.244: Phenylketonuria in a Preterm Infant Complicated by Necrotizing Enterocolitis

P2.245: Stroke in the Setting of Acute Autoimmune Hemolytic Anemia as a Complication of Underlying, Undiagnosed Systemic Lupus Erythematosus and Antiphospholipid Syndrome in a Pediatric Patient

P2.246: Terror-toma: When the Ovary Strikes the Brain

P2.247: One-Two Punch: Successful Synergistic Use of Cefazolin and Ertapenem in Methicillin Susceptible Staphylococcus Aureus Endocarditis

P2.248: Unmasking Secondary Hypertension in a Teenager: The Genetic Clue to Non-Classical 11β-Hydroxylase Deficiency

P2.249: Unusual Presentation of Acute Typhlitis with Necrotizing Granulomatous Lymphadenitis in a Healthy Teenager

P2.250: Not Your Typical Toxo: A Catastrophic Case of Congenital Toxoplasmosis in a Hydropic Neonate

P2.251: Novel Case of Waterhouse-Friderichsen Syndrome in Neonate with Enterovirus Illness

P2.252: Post-Vaccination Complication: A Rare Case of Group A Streptococcus-Infected Hematoma, Bacteremia, Myositis, and Muscle Necrosis Following Intramuscular Injection in a Pediatric Patient

P2.253: Post-Viral Cauda Equina Syndrome in a Pediatric Patient: A Diagnostic Challenge with Guillain-Barré Syndrome Mimicry

P2.254: When Myasthenia Gravis and Miller Fisher Syndrome Collide: Diagnostic and Treatment Complexities

P2.255: Need for Integration Between Schools and Substance Use Treatment Programs

P2.256: Neonatal Diabetes Mellitus with Maternal Pembrolizumab Exposure: A Complex Interplay of Genetic and Autoimmune Factors

P2.257: Think Thiamine: Wernicke’s Encephalopathy in an Unexpected Pediatric Case

P2.258: Severe Congenital Neutropenia in a Neonate with an Autosomal Dominant CLPB (Caseinolytic Peptidase B) Deficiency Treated with Allogenic Bone Marrow Transplant.

P2.259: No Suspicion for NOCARH: A Cautionary Tale of Anchoring Bias

P2.260: Out of Diet, Out of Sight: Pediatric Neuro-Ophthalmologic Decline Unmasking Severe Vitamin A Deficiency in a Selective Eater

P2.261: Painful Cues: A Case of an Adolescent Sickle Cell Diagnosis

P2.262: Winning the battle - Successful Treatment of Hepatoblastoma in a Patient with Trisomy 18.

P2.263: When It’s Not Streptococcus: A Missed Diagnosis in Recurrent Pediatric Fever and Pharyngitis

P2.264: When to Tap: Complex Febrile Seizure with Atypical Course as Early Presentation of HSV-1 Meningoencephalitis

P2.265: Unusual presentation of Gray Matter Heterotopia in a pediatric patient: A Case report

P3.004: Buprenorphine/Naloxone therapy for opioid withdrawal, medication-assisted treatment, and pain management in an adolescent patient

P3.005: Cannabinoid Hyperemesis Syndrome in Adolescents: The Role of Aprepitant as a New Treatment Option for Rapid Symptom Relief

P3.019: Low-Grade Serous Ovarian Carcinoma in an Adolescent: A Case Report

P3.060: IV Fluid Disruption: Pioneering Operational Triad Teams for Emergency Response

P3.079: Case of preterm infant with congenital tuberculosis diagnosed and successful treated in district hospital, Kigali, Rwanda.

P3.088: From Travel to Treatment: Pediatric Cutaneous Leishmaniasis

P3.098: Liver Ultrasound in Kwashiorkor

P3.107: Pregnancy Essentials: Folic Acid, Check-ups, and… Bug Spray? A Case of Congenital Dengue in the Ecuadorian Amazon

P3.109: Rural Dominican Republic Clinic Case Report: 14 Year-Old Male Patient with a Lateral Malleolar Ulcer and Chest Abscess Secondary to Spider Bite

P3.121: Check Your Bias: Providing Decisional Support for Incarcerated Surrogate Decision Makers

P3.170: It's All My Fault: Victim-Blaming and Cultural Stigma in the Case of a Latinx Adolescent Sexual Abuse Survivor

P3.204: A Case of Progressive Weakness in a 7-Year-Old Male: Unraveling the Cause of Severe Anemia and Neutropenia

P3.206: CheCKing for Clues: Recurrent Elevated CK Isn't Always Exertional Rhabdomyolysis

P3.208: Functional Neurological Disorder in an Adolescent - The Impact of Culture and Stress

P3.209: Kawasaki Disease in an Infant: Unmasking a Complex Diagnosis Amid Viral Symptoms

P3.210: Neuroborreliosis: Don’t turn a blind eye

P3.211: Neurological Presentations in Mycoplasma pneumoniae Infections: A Case Series from the Recent Outbreak at a Children's Hospital

P3.212: New Tricks for Old Drugs: Upadacitinib in Managing Chronic Recurrent Multifocal Osteomyelitis and Atopic Dermatitis

P3.213: Patching Up the Confusion: Rare Use of Rivastigmine Patch for Oxybutynin Overdose in a Pediatric Patient

P3.215: Slipping Through the Cracks: Recognizing Abuse and Implementing Safety Protocols for Vulnerable Adolescents

P3.216: The monster hunter:Unraveling a 5-year-old’s Hallucinations

P3.217: Through the Viral Looking Glass: EBV Meningitis and Alice in Wonderland Syndrome

P3.219: Uncommon Being Uncommon: A Case of Facial Aseptic Abscess Syndrome as the Presenting Symptom of Ulcerative Colitis

P3.220: Caudal Regression Syndrome Undiagnosed by Prenatal Ultrasound

P3.221: Sugar, Spice, and Baking Soda?

P3.242: A 3-yr old with a limp who "kneeds" a diagnosis.

P3.243: Case Report: Peculiar Pediatric Medial Clavicle Swelling

P3.244: Life Threatening Hip Pain

P3.249: Pursuit of a Full Night’s Sleep

P3.256: When Diagnosis is Deceptive: Thoracic Pathologic Fracture Mimicking Slipping Rib Syndrome

P3.267: Canary in the coal mine: Acanthosis nigricans as the early warning sign of severe insulin resistance in siblings with Rabson-Mendenhall Syndrome

P3.271: Extended-Spectrum Beta-Lactamase Escherichia coli-Infected Cephalohematoma in an Infant

P3.272: Extreme Tachypnea and Congenital Diaphragm Paresis: An Uncommon Diagnosis Requiring Navigation of Care in a Resource-Limited Military Treatment Facility

P3.273: From Shoulder Pain to Respiratory Failure: Severe Osteomyelitis Presenting as ARDS

P3.283: Delayed Diagnosis of GM1 Gangliosidosis: Lessons in Identifying Pediatric Red Flags for Lysosomal Storage Disorders

P4.034: When Back Pain is More Than it Seems: Rethinking Diagnosis and Embracing Genetic-guided Therapies for Spinal Arteriovenous malformations