Blog

 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 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?    

What should you suspect in a patient with DKA who develops headaches and lethargy after fluid resuscitation?

For the patient in question # 120: Following treatment of ventricular tachycardia, an ECG was obtained on the scene. What did the ECG most likely show?

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:

What of the following values are needed to calculate a patient’s estimated GFR?

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?  

Clara is a 19 year old under evaluation for imminent suicide risk, which information given by her would be most significant?

You are assigned to do the H&P for a new patient that arrived from the ED. You are moving into your secondary assessment and remember to use SAMPLE. All of the following are true EXCEPT for:  

A 4 week old male is brought to the Emergency Department with a recent history of several projectile non-bilious non-bloody emesis during the last few days. You obtained some labwork and image studies. The lab results show the following: Na =139 mmol/L, K = 3.4 mmol/L, Cl = 94 mmol/L, CO2 = 34 mmol/L. The most likely diagnosis is: