There are several online trackers that report one’s local geographic environmental risk for health-related hazards. Enter your zip code or check the map and find out your current status. Here are some to know about: Heat illness risk cdc.gov/heatrisk Pollen… Continue Reading →
(Click the link to comment and to vote – voting not working through email, sorry!) You are in a central Virginia ED seeing a 16-year-old boy with itchy hives, stomach cramps, vomiting, and mild angioedema of his lips. He is… Continue Reading →
(Click the link to comment and to vote – voting not working through email, sorry!) Clinic staff rush over a 6-year-old child for management in the ED. The child had received a new IV chemotherapeutic agent and 5 minutes later… Continue Reading →
(Click the link to comment and to vote – voting not working through email, sorry!)
(Click the link to comment and to vote – voting not working through email, sorry!) Parents bring in their 11 month old baby for a new-onset rash. The baby is unimmunized by parent choice. The baby had fever for the… Continue Reading →
(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 14 month old who has a two irregularly oval yellow-tan lesions on his right upper arm, just under 1cm each. They… Continue Reading →
(Click the link to comment and to vote – voting not working through email, sorry!)A You are seeing a 3-year-old boy with 2 days of fever to a maximum of 102.7 F, an urticarial rash (but no enanthem), and significant… Continue Reading →
(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 10 month old female with profuse projectile vomiting and one episode of diarrheal stool over the last 2 hours. She is… Continue Reading →
Managing parent expectations is half of pediatric emergency medicine. When parents bring in kids with worsened eczema (either as a chief complaint or a side complaint), they are often frustrated that they used the prescribed cream, things got better, but… Continue Reading →
(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 6 year old boy who sustained a bee sting. He presents with diffuse urticaria, wheezing and shortness of breath, and crampy… Continue Reading →
While up to 10% of patients may think they have an allergy to beta-lactam antibiotics, fewer than 1% have a true IgE-mediated hypersensitivity, with concomitant risk of anaphylaxis. However, even if a true allergy is confirmed, this does not mean… Continue Reading →
(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 12 year-old with 2 weeks of nasal congestion, rhinorrhea, sneezing, and sore throat, especially in the mornings. She has had no… Continue Reading →
Of course, we’re going to test everyone for COVID, but this handy chart from National Jewish helps differentiate the common symptoms and course of COVID-19 with those of colds, influenza, and allergies
(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 7 year old patient with his third lifetime episode of angioedema. He has swelling around both eyes and his right upper… Continue Reading →
(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a previously healthy 9-month old boy brought in for rash. The child had 3 days of fever. He was seen yesterday evening… Continue Reading →
(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 →
(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 →
(Click the link to comment and to vote – voting not working through email, sorry!) A 10-year old child is brought in for swelling that developed 2 hours ago around the mouth as well as a sensation of difficulty swallowing… Continue Reading →
(Click the link to comment and to vote – voting not working through email, sorry!) 8yo girl with history of asthma presents with increased work of breathing x 1 day. She is alert but anxious appearing, tachypneic, has retractions and… Continue Reading →
(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 →
A family obtained tuna from the local farmer’s market and prepared it for dinner. The children thought the fish tasted weird, peppery or metallic, but the parents did not, and told the children to stop complaining and eat dinner. Within… Continue Reading →
A 7yo patient with peanut allergy at a rice krispy treat at a birthday party and discovered afterwards that it was made with peanut butter. She presents with hives, mild swelling of her lower lip and periorbital, and some faint… Continue Reading →
© 2024 PEM Source — Powered by WordPress
Theme by Anders Noren — Up ↑
