A 3 year old, previously healthy, caucasian female presents…

 A 3 year old, previously healthy, caucasian female presents to the ED and incidentally is found to have a blood pressure of 164/93 mm Hg. Upon further investigation of her history, the parents state that she has been increasingly irritable recently. On physical exam, she has 8 cafe au lait lesions measuring more than 3 cm x 2 cm. Of the following, which is the most likely etiology of her hypertension?

A 5-year-old female is very excited following a ride on the…

A 5-year-old female is very excited following a ride on the big Ferris Wheel. In the midst of her excitement, she suddenly loses consciousness and falls abruptly to the ground. Paramedics on the scene document pulseless ventricular tachycardia. The family history reveals a maternal uncle who died suddenly at 16 years of age. Following the PALS algorithm, what medication would the paramedics give during resuscitation?    

You are the provider for an intubated patient in the pediatr…

You are the provider for an intubated patient in the pediatric intensive care unit. You have obtained a bedside anterior/posterior chest radiograph to confirm endotracheal tube placement. Based on your knowledge of proper instrumentation placement in pediatrics, which of the following statements is true:

A 4-year old presents to the ED with 1 day history of right…

A 4-year old presents to the ED with 1 day history of right leg pain and fever. He is also showing signs of difficulty breathing. He was found to have right tibia osteomyelitis, subperiosteal abscess and myositis. His chest xray also shows RLL consolidation. He was started on Vancomycin and Clindamycin. His blood culture was positive for MRSA as was his woundculture. Repeat blood culture, on hospital day 3, continued to grow MRSA. What else could you add given persistent blood cultures?