A hypothetical 7 month-old infant presents to the emergency department for mild respiratory distress. There is no recent illness or symptoms to explain the infant’s tachypnea and mild hypoxia. There is no visible bruising on exam. The parent states that the infant is starting to pull to stand but does not yet cruise. They have had several falls onto their tile kitchen floor. The CXR (below) is read by the radiologist left posterior rib fractures in ribs 4-8…
Read MoreThe patient is a 11 y.o. male with no past medical history who presents as trauma activation after MVC. Patient was the restrained front seat passenger in a head on collision. Denies LOC. Per EMS, patient was found in police cruiser on arrival, patient states he walked at scene. +Seatbelt sign. Vitals stable. Patient states his pain is worst in his neck, rates pain 6/10. Denies numbness/tingling…
Read MoreA 16 year-old male presented to the emergency department after intentional overdose of 200 mg of baclofen. The patient was found in his bedroom by family members approximately 10 hours after ingestion with reported twitching, vomiting, unresponsiveness, and possible seizure activity. On arrival to the emergency department, the patient was awake, alert, and oriented; tearful, but otherwise asymptomatic…
Read MoreA 7 year-old girl presents to a hospital in Lilongwe, Malawi with worsening tactile fevers, shortness of breath, and productive cough over the past week. Her mother reports subjective weight loss, but denies night sweats, hemoptysis, or a significant respiratory history…
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