An otherwise healthy 6 year-old female presented with lower abdominal pain and non-bloody, non-bilious emesis since 11:00 PM the previous night. Several hours prior to the onset of her symptoms, she was playfully thrown into a pond where she was swimming. She subsequently had take-out brown rice and vegetables with her family. Nobody else developed symptoms. Her pain was worse with ambulation and bumps in the road. She has had no diarrhea, constipation, fevers, urinary symptoms, or other acute complaints. She had similar but less severe episodes of these symptoms in the past. The patient’s father had a history of a “blood disorder” requiring abdominal surgery…
Read More
Malpractice is a topic that is often avoided in medical training. We arguably spend more time learning to perform once-in-a-lifetime/never-in-a-lifetime procedures than we learn about something that is very likely to occur in our career. According to the American Medical Associations’ Physician Practice Information survey in 2007-2008, 75% of emergency physicians over the age of 55 years old reported having ever been sued. Additionally, 30.9% of emergency medicine respondents reported being sued at least two times, with 109 claims per 100 physicians who responded…
Read More
A 5 year-old healthy male presented to the emergency department with his father with a chief complaint of fever, diarrhea, and vomiting. Fever was his first symptom. It started one week prior to presentation and was persistent over the course of the week. His highest temperature was 103.7 °F. Fevers occurred daily despite treatment with antipyretics. After his fever developed, he started having 4-5 daily episodes of watery diarrhea. Dad noted blood in the diarrhea only once. He complained of generalized abdominal pain when having bowel movements…
Read More