Courtesy of Dr. Elikashvili. 20 month old female is BIBEMS after seizure at home just prior to presentation. Mother describes “10 minutes” of what sounds like generalized tonic-clonic movements. No h/o seizures. Child w…
23F h/o asthma is brought in from home s/p seizure. She is currently altered, but her grandparents (whom she lives with and witnessed the seizure) are at the bedside. They deny a history of seizures and report no preceding fever. An agile E…
Case courtesy of Joe Scofi. 65M history of CAD (on ASA/Plavix), HTN presents with 3 days of epigastric pain and “dark” stools. Denies history of GI bleed. He drinks and smokes. Says that he had a AAA repair in Russia thr…
19M brought into pediatric resus looking toxic, diaphoretic with shallow breathing. Temp 38.7, HR 126, BP 146/51, RR 20, 95% on RA. Two weeks ago he had a sore throat which was strep and monospot negative. He’s had a persistent so…
Thank you to Adam Vella for inspiring this clinical question. What’s the deal with NSAIDs in pregnancy? Ibuprofen and naproxen are category B drugs in the 1st and 2nd trimesters. Catergory D in the 3rd. (aspirin is category D t…
Courtesy of Jen Galjour. 28M presents obtunded. EMS reports open bottle of antifreeze next to patient on scene. Initial vitals are 98.0 130 90s/50s 37 96%. Super stat shows pH 6.8, HCO3 8, lactate 12. Patient is swiftly intubated. You i…
