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Tag Environmental

Environmental Risks

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 →

Question: Lightning

(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 15-year-old male who was sitting in his backyard when he says he was struck by lightning. He had no loss of… Continue Reading →

Question: Environmental

(Click the link to comment and to vote – voting not working through email, sorry!) You are working locum tenens in Breckenridge, Colorado, and see a 2 year old boy with irritability, vomiting, and poor appetite. He has no fever… Continue Reading →

Question: Lice

(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing an 18 month old girl with chief complaint of itchy scalp and rash at the nape of her neck just below her… Continue Reading →

Question: Environmental

(Click the link to comment and to vote – voting not working through email, sorry!) A 10 year boy was out hiking with his family, several feet ahead of everyone else. He heard a rattle, felt a sharp pain in… Continue Reading →

Question: Spider Bite

(Click the link to comment and to vote – voting not working through email, sorry!) An 8 year old boy caught a spider, placed it in a jar, and was showing it to his friend when he was bit on… Continue Reading →

Question: red toes

(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 14 year old boy who hiked in the snow yesterday with inadequate warm clothes and footwear. He has developed swollen violaceous… Continue Reading →

Dog bites – Antibiotics?

(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 →

Question: Tox

(Click the link to comment and to vote – voting not working through email, sorry!) Regarding common Christmas holiday plants:

Question: Heat Stroke

(Click the link to comment and to vote – voting not working through email, sorry!) A toddler is accidentally left in the car during summer. Luckily, a bystander sees her and calls 911. The car is broken into, and the… Continue Reading →

Question: hypothermia

(Click the link to comment and to vote – voting not working through email, sorry!) A 3 year old child sustains a cold water submersion injury. He is brought in with a core temperature of 30 degrees C, in ventricular… Continue Reading →

Question: Transport

(Click the link to comment and to vote – voting not working through email, sorry!) A 17 year old boy was scuba diving with his father. Soon after coming to surface, he began to experience symptoms of decompression illness, including… Continue Reading →

Question: Environmental

(Click the link to comment and to vote – voting not working through email, sorry!) Which of the following patients that sustained electrical injury requires further observation in the ED or admission (should not be discharged home now)? A) A… Continue Reading →

Question: Food illness

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 →

Question: Environmental

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

Question: Rash

A 10yo girl comes home from a family vacation to Florida in June, where she swam in the ocean. She has an itchy rash in the area covered by her bathing suit that started soon after swimming in the ocean… Continue Reading →

Question: Tox

A 16yo boy just returned from a vacation to the U.S. Virgin Islands. On the flight, he developed abdominal pain, nausea, vomiting, which he initially attributed to airsickness. He came straight from the airport to the ED, and now he… Continue Reading →

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