…complained of significant superior lateral knee pain and swelling, as well as difficulty moving his leg due to pain. On exam, he had notable swelling and tenderness of the left knee, particularly along the superior aspect of the patella. After controlling his pain with intravenous medications, he was able to flex at the hip but was unable to extend his lower leg at the knee or to perform a straight leg raise….
Read More“Appendicitis is the most common surgical condition in pediatric emergency department (ED) patients. Prompt diagnosis can reduce morbidity, including appendiceal perforation. The goal of this study was to measure racial/ethnic differences in rates of 1) appendiceal perforation, 2) delayed diagnosis of appendicitis, and 3) diagnostic imaging during prior visit(s).”
Read More…The mother changed his diaper again around noontime and noted another large maroon stool. His mother brought him to the pediatrician’s office. Upon showing a picture of the stools to the pediatrician, the patient was instructed to present to the emergency department….
Read More…The differential diagnosis included acute coronary syndrome, CHF exacerbation, pneumonia, and cardiac amyloidosis.
EKG showed sinus tachycardia with low voltage. Laboratory evaluation was unremarkable, with a negative troponin and high normal BNP. Chest radiograph showed bilateral infiltrates concerning for mild pulmonary congestion.
POCUS was obtained….
Read MoreAcademic Springboard: The Chief Resident Position Correlates with Career Path in Emergency Medicine Jaime Jordan Md, MAEd, Laura R. Hopson MD, Samuel O. Clarke MD, MAS, Adam Frisch MD, Anne K. Chipman MD, MS, Mark Curato DO, Adam Janicki MD, MS, Ignacio Calles MD, Jonathan Ilgen MD, MCR, Michael Gottlieb MD
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