(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 13-month old toddler who presents with 1 day of lethargy and 2 episodes of vomiting. There is no fever or diarrhea…. Continue Reading →
(Click the link to comment and to vote – voting not working through email, sorry!) A 3 week old female infant presents with a palpable inguinal mass of 2 hours duration. The dad states he noticed it while changing her… Continue Reading →
(Click the link to comment and to vote – voting not working through email, sorry!) Note: controversies 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!) You are seeing a 3 year old ex-premature infant who has a ventriculoperitoneal shunt in place. The patient presents with fever to 38.3, cough, and… Continue Reading →
(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 4 week old infant with non-bilious forceful vomiting x 3 days.
(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 5 day old infant born term without complications brought to the ED because the parent noted a streak of bright red… Continue Reading →
(Click the link to comment and to vote – voting not working through email, sorry!) Note: controversies 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!) You are seeing a 10 year old boy with abdominal pain. He was seen last night with a few hours of periumbilical abdominal pain. Work-up… Continue Reading →
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Photos before & after release from Wikimedia Commons Hair tourniquets (and sometimes thread tourniquets) can occur on toes (most common), fingers, and more rarely the penis, clitoris, or uvula. Peak occurrence is at age 2-6 months, corresponding with maternal… Continue Reading →
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(Click the link to comment and to vote – voting not working through email, sorry!) An 11 year old girl was sitting with lap belt only in the back seat of a minivan involved in a motor vehicle accident where… 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.
(Click the link to comment and to vote – voting not working through email, sorry!) A 17 year old boy comes is brought in to the ED at 2am for severe retrosternal chest pain that awoke him from sleep. He… Continue Reading →
A 12yo boy with ALL, recent induction chemotherapy 2 weeks ago, presents to the ED with fever, RLQ abdominal pain, 2 episodes of watery diarrhea with streaks of blood, nausea but no vomiting. Denies ill contacts. On exam, temperature 38.4,… Continue Reading →
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