PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. On Saturday, October 9, 2021 at the 2021 Virtual National Conference and Exhibition I presented the ten finalists as a single video presentation. This is one of those ten finalist cases.

This case was submitted by Jasmine Lemmons, MD a Pediatric Emergency Medicine Fellow from Baylor College of Medicine / Texas Children’s Hospital in Houston, Texas. She was assisted by Kim Little, MD and Alia Hamad, DO.