A 4 year old boy is brought into the peds ED for 4 days of profuse vomiting. The mother reports that he has vomited 10-15 times per day, at first stomach contents but by now empty retching. No F/C, no diarrhea, no urinary symptoms. In fa…
You’re working in the resus room, and a code stroke is called in. She arrives, and rather than any weakness, numbness, or facial droop, you see an elderly, unkempt woman who looks like she’s made of stone. Her mouth is open an…
Elmhurst ER QTip: Once a study has been ordered, a multi-step process is initiated that may be difficult to interrupt. If, for example, a blood test is ordered but then deemed unnecessary, simply canceling the order in the physician order e…
Three disorders of hair are shown in the images below. Identify each, and describe the pathophysiology & management.
A 58 y/o M presents to the ED with altered mental status. He smells of alcohol, appears drunk, and has a longstanding history of alcohol abuse. You obtain a serum alcohol level of 100. Further laboratory work up shows a pH 7.28 with CO2 53,…
A healthy nurse in a suburban community hospital presents reporting she thinks she has a positive PPD from a skin test that had been placed 48 hours ago. She has no known specific TB exposures. What finding is indicative of a PPD test in th…
A middle aged woman with schizophrenia presents to your ED on a cold night in February after being found stranded on a mountain where she became separated from her group of hikers during a snowstorm 2 days ago. You realize that this patient…
What 2 classic radiographic findings are exemplified in these images? What clinical diagnoses are they individually pathognomonic for? What clinical presentations would you expect?
A 24 y/o M presents after running a marathon with diffuse myalgias and dark urine. He states he has been trying keeping up with hydration to the best of his ability, but it is an unseasonably warm November day. What is your le…
1. What is a not a common risk factor for PID (pelvic inflammatory disease)? (a) smoking (b) tampon use (c) multiple partners (d) young age (e) IUD 2. A 19 y/o G1 presents at 34 weeks gestation with BP 170/110, headache, and mild abdominal…
A 21 y/o M presents with chest pain and sudden syncope while walking to class earlier this morning. He had no other preceding symptoms. There was no seizure activity reported by witnesses. He denies any past medical or surgical history. He…
An infant is brought in with increased irritability x 2 days. The parents note that she hasn’t had any remarkable symptoms – no fever, cough, congestion, vomiting, diarrhea. She is tolerating feeds, but more fussy than usual. Your initial e…
1. A 14 month old child is brought into the ED for fevers, vomiting, diarrhea x 4 days. Stools are watery and nonbloody. The infant appears nontoxic and well hydrated. The patient attends day care. What is the most likely diagnosis? a) Camp…
A 14 y/o M presents to the ED complaining of severe intermittent low abdominal pain x 2 hours. His symptoms began after he awoke from sleep to urinate, and have been unremitting since. No history of trauma. He vomited once, 20 minutes prio…
Requested by Dr. Strayer as written by Dr. Porat – “As EMS was puling up someone came into the trauma bay and yelled “he just lost his pulse.” This gave me time to grab the thoracotomy tray and open it up. These extr…
