A 16 year old is admitted to the pediatric burn unit with se…

A 16 year old is admitted to the pediatric burn unit with severe blistering, bright red, warm rash on her torso, back, arms, and both legs that developed overnight. It is now spreading to her face and she is unable to open her eyes. Her mother reports that she is currently menstruating and has been taking Ibuprofen 400mg q6h for the last 24 hours Which diagnosis is the most likely? 

A 15 year old male presents to the ED with altered mental st…

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 follow…

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 im…

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?