A 16-year-old boy is referred to with a history of malaise a…

A 16-year-old boy is referred to with a history of malaise and fatigue. He has not been sleeping well and complains of cough and nighttime sweating. On examination, you note some enlarged nontender lymph nodes in the posterior cervical chain, as well as a large supraclavicular node. Review of his growth chart shows a 12% weight loss from his annual visit only a few months ago. A chest x-ray shows an anterior mediastinal mass and hilar adenopathy. Which of the following is the most likely diagnosis?

A 10-year-old with Sickle Cell anemia is admitted to your fl…

A 10-year-old with Sickle Cell anemia is admitted to your floor with fever, cough, tachypnea and diminished breath sounds over both lower lobes. His CXR shows infiltrates and consolidation in both lower lobes and his lab work shows leukocytosis and a decreased hemoglobin. Treatment for this patient includes:

You are called for a stab wound to the chest. The patient is…

You are called for a stab wound to the chest. The patient is a 19 yo M who has a radial pulse, but no obtainable blood pressure. He is anxious and gasping for air.  On auscultation he has absent breath sounds on one side and you observe distended neck veins, & tracheal deviation. His CXR is below.    What is the most appropriate first step in management of shock in this patient?