A 14-year-old male presents with right thigh redness and pain. It’s a busy afternoon and you think to yourself, “This will be a quick and easy disposition. The patient probably has cellulitis.” He reports one week of worsening erythema and pain to his right anterior groin. Last evening, he was able to drain a small amount of white to green-tinged material from a small “pimple” that had formed along the medial aspect of his thigh…
Read MoreA 7 year-old previously healthy male presents to the pediatric emergency department following a bicycle accident. The child was struck by an oncoming sedan traveling at approximately 20 miles per hour, causing him to fall off the bike onto his right side. There was no head strike or loss of consciousness. On arrival, the child is phonating, has intact peripheral pulses, and a Glascow Coma Scale of 15. He is noted to be dyspneic, with absent breath sounds on the right. You prepare to place a chest tube with supervision from your attending. This is your first time placing a chest tube. His mother requests to stay in the room for the procedure…
Read MoreA 48 year-old female with idiopathic intracranial hypertension (IIH), with recent shunt removal, presented with increasing right eye vision loss over the last week, headache, and left-sided weakness. Her outpatient neuro-ophthalmologist referred her to the emergency department from clinic for a question of intracranial abscess, optic neuritis, or worsening IIH. She needed an MRI as soon as possible to rule-out these dangerous pathologies. A quick chart review showed that she has needed multiple central lines placed in the past, due to difficult IV access. The nurse was unable to place a peripheral IV…
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