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A 15 year old male presents to the ED with altered mental status. He just completed a long distance race with his cross country team and collapsed shortly after crossing the finish line. He has a RR of 40 breaths per minute, HR of 160 bpm, BP of 110/70, and oxygen saturations of 95%. On physical exam, he has dry skin and mucous membranes, significant flushing and is alert and oriented to name only. His finger glucose check is 88. What is the best initial management of this patient? 

A 4-month old male presents with significant bleeding following circumcision. The site has continued to ooze despite pressure dressings and multiple 4X4’s have been soaked in the last 2 hours. Initial bloodwork shows a normal H & H and platelets. PT is normal and PTT is elevated at 52. Coags were repeated with similar results and were drawn properly.  At this point, you are most concerned about:

A 6 y/o female with sickle cell disease is brought to the immediate care clinic after a cat bite to the dorsum of her left foot 2 hours earlier from a friend’s pet cat. She is not currently taking any antibiotics, and she has no known allergies. She received the recommended immunizations at 5 years of age. Her examination findings are normal except for a puncture wound on the dorsum of her left foot without drainage or surrounding erythema. The wound is cleansed. Which of the following is the most appropriate next step in management?

You are working with a 14 year old female who has just told you that she was raped by her uncle two weeks ago while at his home. What is the most appropriate response? 

Which of the following body fluid(s) is NOT potentially infectious for HIV?

Mediastinal shift with compression of major structures, impeded venous return, and hypotension is the underlying pathology of:

Which of the following is NOT suggestive of hemolytic anemia?

All of the following statements are true regarding systemic inflammatory response (SIRS) and sepsis EXCEPT:

A 3-month-old infant presents with right parietal scalp swelling following a fall out of his crib onto a hard floor earlier today. His neurologic status is intact and the remainder of the exam is unremarkable. CT head demonstrates an isolated right parietal, linear, non-displaced skull fracture with no underlying hemorrhage. Appropriate workup for this infant should include SELECT ALL THAT APPLY

A 5 y/o child is hit by a car while riding a scooter. Primary survey reveals a patent airway with breath sounds louder on the left than right. The chest wall is intact with abrasions on the right side. Respirations are labored at 32 and sats are in the upper 80’s on room air. 100% oxygen via non-rebreather is applied with sats up to 97%. BP 98/60, HR 110. The following CXR was taken:   The clinical presentation and CXR are most consistent with: