“You Put That Where?!?!” Removal of pediatric foreign bodies

By Hoi See Tsao, MD, and Alicia Genisca, MD

CASE

A 2-year-old previously healthy boy presented to the emergency department with a foreign body in his right nostril.

The patient was staying at his father’s house and the father became concerned about a foreign body when the patient suddenly began complaining of right nostril pain and dark brown nasal discharge. The father did not know what foreign body may have been inserted. On the patient’s return to his mother’s house the next day, he was found to also have right nostril swelling. His mother brought him to the emergency department for evaluation. The mother denied the patient having fever, coughing, gagging, vomiting, diarrhea, or abdominal pain.

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The Case of the Gardener with Abdominal Pain

A 74 year-old Portuguese speaking man with history of hypertension, hyperlipidemia, depression, non-insulin-dependent diabetes, presented to the emergency department with one week of left flank pain. The pain was gradual in onset and cramping in quality. The pain was constant and worse since beginning last week, approaching 10/10 in severity. It was located over the left flank and radiated toward the left abdomen and groin. The patient stated his symptoms began while cooking dinner. He had been working in his home vineyard and vegetable garden all day…

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Intra-erythrocytic, Ring Formed Parasites: A Diagnosis of Malaria or Babesiosis?

A 19 year-old female with no significant past medical history presented with subjective fevers, generalized upper abdominal discomfort, and headache for the past month. She described her subjective fevers as intermittent, but had never taken her temperature with a thermometer. The patient also noted that she recently moved to the area from Guinea Bissau.

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