An otherwise healthy 16 year-old-male presents to the Emergency Department (ED) with a rash on his chest that began one month prior to presentation. The patient reports that his dad noticed the rash today, prompting him to present to the ED. The patient denies any systemic symptoms including fevers, nausea, malaise, or abdominal pain. He states the rash is painless and does not itch. He has no memory of a tick bite but does spend time outdoors…
Read MoreA 7 year-old girl presents after falling off a jungle gym. She has a visible deformity of the left humerus and wrist. She won’t let the nurse get close enough for a blow-dart, let alone an IV, and your attending slaps the IO kit out of your hands as you desperately try to boost your procedure numbers. She needs pain relief. Now what?
Read MoreA 14 month-old female with no significant PMH who presented to the Emergency Department with vomiting. Per mom, patient was well yesterday, but today has been refusing food, crying and vomiting. Patient has had no known sick contacts and her vaccinations are up to date. A review of systems was performed and was otherwise negative…
Read MoreA 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…
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