My patient needs a tetanus shot — what kind do I give??
70yoM with headache and R temporal artery tenderness.
38yoF with hypothyroidism prevents with drowsiness, palpitations and tremors. Pt with fever to 38C, Hr to 120.
Board review: fractures/dislocations and associated nerve injuries: Acetabular fracture – sciatic nerve Anterior shoulder dislocation – axillary and musculocutaneous nerve Humerus – radial nerve Elbow dislocation – ulnar or median nerve Ole…
A 4 year old boy presents with the above findings. What is it and how do you treat it?
Concerned about cervical cord injury in your trauma or MVA pt?
For Friday’s missed pearl:
A 4-year-old boy comes to the ED with a severe sore throat and history of “refusing to eat”. He has severe pharyngitis on exam an you are concerned that he may have a retro pharyngeal abscess. What technique should be use…
Tip of the hat to Raj Patel for inspiring this clinical question. 26F h/o lupus is brought into resus for positive sepsis screen at triage. Patient c/o pleuritic CP, SOB, headache, n/v starting today. Vitals are 101.3 140 74/55 2…
An 18 year old female presents to the peds ED after an episode of witnessed syncope. Pt was hiking when had sudden LOC, no preceding symptoms. She now feels well and denies CP and palpitations. No prior episodes. No OCP use or other PE ris…
Thank you to Papa Hernandez for this fascinating case. 37F 10 weeks pregnant (by LMP), asthma presents with 1-2 weeks of SOB. Extertional, +orthopnea, + bilateral LE edema. Has yet to initiate prenatal care. Her vitals at triage: 97…
A 32F who is 14 weeks pregnant presents with intermittent shortness of breath x 1 day. She has no h/o DVT/PE. Vitals 98.9 100 105/70 18 99% on RA. Clear lungs, no calf asymmetry on exam. You are concerned about PE. How should you procee…
Thank you to Dr. Chris “This Ain’t No Simulation” Strother. 3 kids, 3 head injuries. A) 2-month old boy, fell out of baby carriage onto top of head 30 minutes ago. No LOC, seizure, vomiting. Acting normally p…
3yo male h/o RAD presents with a nasal foreign body. After a few conservative efforts to remove the FB, it is apparent the child will not be able to cooperate with further attempts. A line is placed and 1mg/kg ketamine is given IV. While…
Shout out to Ben Slovis for providing this case. 22F s/p thyroidectomy here with 1 day back pain and generalized weakness. Patient’s thyroidectomy was complicated by inadvertent parathyroidectomy, and never followed-up to mana…
