Posts in Global EM
Tales from LBJ Tropical Medical Center: A Child with Fever and Chest Pain
Tales from LBJ Tropical Medical Center: A Child with Fever and Chest Pain

16-year-old male presented to the LBJ Tropical Medical Center with a complaint of fever, chest pain, body achesmyalgias and sore throat for three days. The patient also endorses diffuse joint pain, particularly in his hands, knees, elbows and shoulder and reports pleuritic chest pain intermittently that has been worsening over past three days. Patient He denies any new rashes. Denies any , bleeding gums or easy bruising. Mother has been giving aspirin every four hours at home without any noticeable relief…

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Infectious Disease, Global EMMichael Wilktropical, medicine, acute rheumatic fever, rheumatic heart diseaseComment
Tales From Honduras – Ichthyosis, An Unusual Skin Finding

On examination, he has normal vital signs. He is in no distress, comfortable appearing, but acting shy and withdrawn (appropriate for age). His eyes and conjunctiva are normal, but the eyelids are ectropic. He has moist and otherwise normal oral mucosa. The left otic canal is filled with keratinitic debris and once cleared reveals a normal tympanic membrane. The right ear is normal. The remainder of his skin examination reveals diffuse, whole-body brown plaques which are anchored at the center and peeling at the edges…

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Pediatrics, Global EMJosh Kaineichthiyosis, pediatrics, dermatology, International medicineComment