Clinical Pathway for Management of Sexually Transmitted Diseases in the Emergency Department
April 15, 2019


Posted by Andy Jagoda, MD in: Feature Update , add a comment

Sexually transmitted disease can cause severe outcomes for patients, their partners, and their unborn babies, and swift and accurate diagnosis and treatment is essential to reduce morbidity and minimize the potential public health risks. read more

Clinical Pathway for Management of Pediatric Patients With Community-Acquired Pneumonia
April 15, 2019


Posted by Andy Jagoda, MD in: Feature Update , add a comment

A significant challenge in the management of pediatric community-acquired pneumonia is identifying children who are more likely to have bacterial pneumonia and will benefit from antibiotic therapy while avoiding unnecessary testing and treatment in children who have viral pneumonia. read more

15-year-old girl presents with irregular periods — Brain Teaser. Do you know the answer?
February 26, 2019


Posted by Andy Jagoda, MD in: Brain Tease , 3 comments

Test your knowledge and see how much you know about treating and managing adolescent gynecologic emergencies.


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Clinical Pathway for Emergency Department Management of Abnormal Uterine Bleeding in Adolescent Patients
February 18, 2019


Posted by Andy Jagoda, MD in: Feature Update , 1 comment so far

In the emergency department, gynecologic complaints are common presentations for adolescent girls, who may present with abdominal pain, pelvic pain, vaginal discharge, and vaginal bleeding. The differential diagnosis for these presentations is broad, and further complicated by psychosocial factors, confidentiality concerns, and the need to recognize abuse and sexual assault. read more

Adolescent Gynecologic Emergencies. What do you do?
February 14, 2019


Posted by Andy Jagoda, MD in: What's Your Diagnosis , 1 comment so far

You are then called to the resuscitation room for a 17-year-old girl who was found unresponsive at home. On examination, she is ill-appearing, lethargic, has cool distal extremities, normal heart sounds, and clear lungs, and her abdomen is soft but tender in the left lower quadrant. Her vital signs are: blood pressure, 80/40 mm Hg; heart rate, 130 beats/min; respiratory rate, 25 breaths/min; and oxygen saturation, 95% on room air. What are the immediate first steps in managing this patient? What testing is needed for evaluation and management? What is the appropriate disposition? read more

A 12-year-old boy presents to the ED with a flulike illness — Brain Teaser. Do you know the answer?
December 26, 2018


Posted by Andy Jagoda, MD in: Brain Tease , 1 comment so far

Test your knowledge and see how much you know about treating and managing suspected bioterrorism in pediatric patients.


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Using chemoprophylaxis in a child aged 1 year — Brain Teaser. Do you know the answer?
December 24, 2018


Posted by Andy Jagoda, MD in: Brain Tease , add a comment

Test your knowledge and see how much you know about treating and managing influenza in the ED.


Did you get it right? Click here to find out! read more

10 Risk Management Pitfalls in the Management of Suspected Bioterrorism in the Pediatric Patient
December 19, 2018


Posted by Andy Jagoda, MD in: Feature Update , add a comment

10 Risk Management Pitfalls in the Management of Suspected Bioterrorism in the Pediatric Patient

1. “This isn’t New York City or Washington, DC; we don’t live in a target area. Bioterrorism preparedness is not a high priority for my practice.” Bioterrorism events often occur without warning—at any time, in any place. Many bioterrorism agents are highly contagious and can spread to remote areas of the country, due to travel of infected persons or wide dispersal of aerosolized agents. It is every emergency clinician’s obligation to become familiar with bioterrorism agents. read more

Treatment Pathway for Managing a Patient Who Presents to the ED With an Influenza-Like Illness
December 17, 2018


Posted by Andy Jagoda, MD in: Feature Update , add a comment

Patients presenting to the ED with “influenza-like illness” (cough, sore throat, fever) are typical in the fall and winter. How can you tell whether a patient might have influenza and infect others with a potentially dangerous strain?  Influenza can present with a wide range of nonspecific clinical signs and symptoms, making ED management challenging. read more

Are you prepared? — Bioterrorism Attacks Involving Pediatric Patients Conclusion
December 14, 2018


Posted by Andy Jagoda, MD in: What's Your Diagnosis , 1 comment so far

Case Recap:

Your next patient is a 2-year-old girl with a 3-day history of high fevers, body aches, fatigue, and a rash. Her vital signs are; temperature, 40.5°C (104.9°F); heart rate, 105 beats/min; and blood pressure, 100/60 mm Hg. The physical examination reveals pustular vesicles with central umbilication in the same stage of development on her face, torso, and extremities. The mother says the lesions started in the girl’s mouth 3 to 4 days ago. The patient’s past medical history is notable only for severe eczema. read more