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Tag Heme

Question: Nosebleed

(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing an 8-year-old boy for prolonged nosebleed last night and this morning. Last night it happened on the right nares, and this morning… Continue Reading →

Question: Menorrhagia

(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 13 year old girl for menorrhagia. This is her second menses ever, and she has been having to change her pad… Continue Reading →

Question: heme

(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 16 month old toddler who is a very picky eater. He mostly eats 32 oz of whole milk per day, and… Continue Reading →

Too much milk?

Iron deficiency anemia can be seen in toddlers that have switched to cow’s milk (typically at age 1 yr) from formula. If the child’s diet is nearly exclusively cow’s milk, a severe anemia can slowly develop due to iron deficiency… Continue Reading →

Question: Jaundice

(Click the link to comment and to vote – voting not working through email, sorry!) You are evaluating a term neonate for hyperbilirubinemia. The baby was sent home at 36 hours of life with a bilirubin measurement of 7.0, and… Continue Reading →

Question: Fever + rash

(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 3 year old girl who was discharged from the hospital a week ago. At that time, she presented with fever, intermittent… Continue Reading →

Question: Medical

(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 2 year old who is slowly improving from a bout of acute gastroenteritis manifested by fever, vomiting, diarrhea, and abdominal pain… Continue Reading →

Question: Heme

(Click the link to comment and to vote – voting not working through email, sorry!) Pediatric patients with sickle cell anemia have a higher susceptibility to becoming infected with which organism?

Question: Anemia

(Click the link to comment and to vote – voting not working through email, sorry!) An 18 month old toddler is brought in for decreased energy and “not acting right.” On exam, the child is noted to be pale, mildly… Continue Reading →

Question: Heme

(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 12 year old girl with PMH of sickle cell disease complicated only by 2 lifetime hospitalizations for vasoocclusive pain crisis. She… Continue Reading →

Question: Jaundice

(Click the link to comment and to vote – voting not working through email, sorry!) A full term infant with no birth complications and no known risk factors for hyperbilirubinemia complications, discharged early at 36 hours of life, presents to… Continue Reading →

Question: Rash

(Click the link to comment and to vote – voting not working through email, sorry!) A 19 year old otherwise well-appearing man presents with 2 days of headache, anorexia, tactile fever (but afebrile in the ED), and 1 day of… Continue Reading →

Question: Dental

(Click the link to comment and to vote – voting not working through email, sorry!) A 19 year old man presents 4 hours after leaving his dentist office from wisdom tooth extraction. He has been having bleeding from the socket… Continue Reading →

Question: Rash

(Click the link to comment and to vote – voting not working through email, sorry!) A 6yo girl presents with palpable purpura of both legs for 2 days. She has not had any fever and is well appearing. Her labs,… Continue Reading →

Question: Heme

(Click the link to comment and to vote – voting not working through email, sorry!)

Question: Menorrhagia

(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 13 year old girl with heavy prolonged menses x 10 days who appears pale to her parents. She had menarche at… Continue Reading →

Question: Ex-premie

(Click the link to comment and to vote – voting not working through email, sorry!) A 6 week old ex-30 4/7 weeks twin A male infant was seen at an outside clinic because his parents felt that his heart was… Continue Reading →

Hyperbili work-up @6wks

You are seeing a 6 week old ex-full term infant who is breastfeeding exclusively, having 6 wet diapers per day, 4 or more soft seedy stools per day, growing well, and no fever. Baby has been jaundiced since 1st week… Continue Reading →

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