(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 →
(Click the link to comment and to vote – voting not working through email, sorry!) A 16 year old female involved in a motor vehicle accident is brought into your trauma bay; she is obviously gravid and states that she… Continue Reading →
You’ve probably heard… AAP Subcommittee on Febrile Infants came out with new guidelines. The algorithms have been posted on PEMsource algorithms page, and the fever table updated to reflect them. Also, the CDC came out with new guidelines regarding STI… Continue Reading →
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To remember the difference in antibiotic regimens for chlamydia cervicitis / urethritis vs pelvic inflammatory disease, rap this in your head: Ceph 10 x 50 for GC is nifty; give Zith 1 gram for the chlam, but doxy 14 days… Continue Reading →
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(Click the link to comment and to vote – voting not working through email, sorry!) Note: conundrums are not meant to have a “right” answer – they are to see how most people are practicing. Would love your comments also… Continue Reading →
Patient won’t or can’t urinate for point-of-care pregnancy test, and quantitative hCG will take too long? Put a couple drops of whole blood on the POC cassette. Read more on ALiEM here, and below
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(Click the link to comment and to vote – voting not working through email, sorry!) A 17 year old G1P0 girl at 38 weeks gestation presents in active labor, crowning. OB has been called but is responding from home and… Continue Reading →
(Click the link to comment and to vote – voting not working through email, sorry!) A 19yo woman who is 33 weeks pregnant presents with contractions every 2 minutes and thinks her water broke. She has no prenatal care records… Continue Reading →
(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 →
(Click the link to comment and to vote – voting not working through email, sorry!) A 13 year old girl presents with sudden onset sharp RLQ pain radiating toward her groin, along with nausea and vomiting once, non-bloody, non-bilious.
A 16yo girl presents to the ED with symptoms and rash consistent with varicella (chickenpox). She was never vaccinated, as a personal family choice. She also recently gave birth. (Click the link to comment and to vote – voting not… Continue Reading →
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