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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:

A 12-month-old non-ambulating toddler presents to the ED with a spiral fracture of their left tibia/fibula and a bruise on their right cheek. After completion of the primary assessment, appropriate interventions and stabilization, the next diagnostic evaluation should include:

Appropriate treatment for pelvic inflammatory disease (PID) in an adolescent includes:   

A 15 year old female presents with a 3 day history of sore throat, trismus, and dysphagia. She presents to the  ED today with unilateral neck swelling. A CBC reveals a white blood cell count of 24,000.  Which of the following is the most likely diagnosis?

A 10 year old female underwent a laparoscopic appendectomy for perforated appendicitis with extensive peritonitis. He is currently postoperative day # 2, drinking clear liquids, and taking oxycodone and acetaminophen as needed for pain control. On morning rounds, it is noted that her abdomen is distended and seems more uncomfortable than past exams. The bedside nurse reports that he had one emesis this AM.  What is the most likely finding based on history and physical examination?

You are a PNP in a busy tertiary PICU caring for an 8 year old admitted for dehydration secondary to feeding intolerance. History includes birth at 24 weeks gestation, cerebral palsy, profound developmental delay and GT dependence. The GI service was consulted and recommended strict NPO for 7-10 days. To provide adequate caloric and nutritional intake, you decide your patient requires total parenteral nutrition (TPN), and subsequently undergoes PICC line placement. The following statements are true regarding this clinical scenario except:

An 11 month old female is brought to the emergency department with an acute onset of intermittent, colicky abdominal pain, vomiting, lethargy, and “currant jelly” stools. Which of the following is the most likely diagnosis?