A 16-year-old male with autism was brought to the emergency department after his mom found him confused and cyanotic. Patient arrived with a GCS of 14, was difficult to arouse, and had central cyanosis. Pulse oximetry read 85% despite adequate respiratory effort and clear lung sounds. The patient’s oxygen saturation did not improve despite appropriate supplemental oxygen therapy…
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A 14-year-old female presented to the emergency department (ED) with persistent left upper quadrant (LUQ) pain. She was last seen in the ED one week prior for similar symptoms. Initially, she was diagnosed with a urinary tract infection (UTI), treated with IV ceftriaxone, and discharged home on a course of cefdinir. On re-presentation, she complained of persistent LUQ pain, fevers with a Tmax of 103 F, and one episode of emesis overnight. Physical examination revealed abdominal tenderness in the LUQ, without ipsilateral CVA tenderness…
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