What’s Your Diagnosis? Mechanical Ventilation of Pediatric Patients in the ED
June 22, 2020


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But before we begin, check to see if you got last month’s case on Seizures in Neonates: Diagnosis and Management in the Emergency Department right. read more

What’s Your Diagnosis? Mechanical Ventilation Management in the Emergency Department
June 22, 2020


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But before we begin, check to see if you got last month’s case on Acid-Base Disturbances: An Emergency Department Approach right.

Case Presentation: Ventilator Management of Adult Patients in the Emergency Department read more

What’s Your Diagnosis? Seizures in Neonates: Diagnosis and Management in the Emergency Department
May 29, 2020


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Case Presentation: Seizures in Neonates: Diagnosis and Management in the Emergency Department

An EMS team brings in a 5-day-old boy with a history of a rhythmic, left-arm-shaking episode at home. The parents tell you the pregnancy was normal and the birth was a full-term, normal spontaneous vaginal delivery. The baby had been doing well until yesterday, when he started eating less and not waking up for feeds. The baby has low tone with a tense anterior fontanelle, and his temperature is 35.8˚C (96.4˚F). What workup is warranted at this time? read more

What’s Your Diagnosis? Acid-Base Disturbances: An Emergency Department Approach
May 29, 2020


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But before we begin, check out if you got last month’s case, on Novel 2019 Coronavirus SARS-CoV-2 (COVID-19): An Updated Overview for Emergency Clinicians right. read more

What’s Your Diagnosis? Novel 2019 Coronavirus SARS-CoV-2 (COVID-19): An Updated Overview for Emergency Clinicians
April 28, 2020


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Case Presentation: An Evidence-Based Approach to Abnormal Vision

A 42-year-old man presents to your ED triage area with a high-grade fever (39.6°C [103.3°F]), cough, and fatigue for 1 week. He said that the week prior, he was at an emergency medicine conference in New York City, and took the subway with some people who were coughing excessively. The triage nurses immediately recognize the infectious risk, place a mask on the patient, place him in a negative pressure room, and inform you that the patient is ready to be seen. You wonder what to do with the other 10 individuals who were sitting near the patient while he was waiting to be triaged, and what you should do next… read more

What’s Your Diagnosis? Identification and Management of Marine Envenomations in Pediatric Patients
March 25, 2020


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Case Presentation: Identification and Management of Marine Envenomation in Pediatric Patients

A 4-year-old girl with the chief complaint of rash is brought to the ED. Her family is on a beach vacation to the Florida coast for the summer. After exiting the ocean today, she complained of a “stinging” feeling on her chest and abdomen. Later in the afternoon, while changing her clothes, her father noticed a rash and brought her to the ED. read more

What’s Your Diagnosis? An Evidence-Based Approach to Abnormal Vision
March 25, 2020


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Case Presentation: An Evidence-Based Approach to Abnormal Vision

A 40-year-old woman is brought in to the ED by her husband, complaining of blurred vision and dizziness. She said she had visited an urgent care clinic last week with a new diagnosis of migraine headache. Her examination is remarkable for right eyelid ptosis, limited movement of the right eye to left gaze, and a right dilated pupil compared to the left. read more

What’s Your Diagnosis? A 6-Month-Old Boy Who Presents With Poor Weight Gain
March 3, 2020


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Case Presentation: a 6-month-old boy who presents with poor weight gain

Your first patient is a previously healthy, vaccinated 6-month-old boy who presents with poor weight gain. The child has been seen by his primary care provider multiple times within the last several weeks, and the mother is very concerned because he has not shown any improvement. read more

What’s Your Diagnosis? Diagnosis and Management of Acute Gastroenteritis
February 24, 2020


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Case Presentation: Diagnosis and Management of Acute Gastroenteritis

You are working in the ED on a busy morning when you meet an otherwise healthy 42-year-old man reporting 2 days with 5 to 10 watery, nonbloody, unformed stools and persistent nausea, anorexia, and 1 to 2 episodes of nonbloody emesis each day. He is mildly tachycardic, but afebrile, and is normotensive. He is alert and conversant but appears mildly uncomfortable. He has dry mucous membranes and diffuse abdominal pain, with minimal tenderness on exam. He denies any recent hospitalizations, antibiotic use, foreign travel, or sick contacts. read more

What’s Your Diagnosis? A 1-year-old Boy With Rhinorrhea
January 3, 2020


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But before we begin, check out if you got last month’s case right, about a 4-year-old with fever, right leg pain, and difficulty walking. Click here to check out the answer! read more