Emergency Medicine
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23 Questions
Most recently added
added 14 months ago.
created by Peter MacPherson.
An infant male (Tyson) is brought to the emergency department. Tyson has been feeding poorly and he is irritable. According to his mother, these symptoms started shortly after he fell from his high chair (she blames herself for not watching Tyson closely enough). You notice retinal hemorrhages. T...
An infant male (Tyson) is brought to the emergency department. Tyson has been feeding poorly and he is irritable. According to his mother, these symptoms started shortly after he fell from his high chair (she blames herself for not watching Tyson closely enough). You notice retinal hemorrhages. T...
added 14 months ago.
created by Peter MacPherson.
You see a four-month-old boy after a fall. His grandmother tripped while holding him. He was dropped from standing height onto the carpet. Which historical feature would you find reassuring when evaluating a child for potential traumatic brain injury?
You see a four-month-old boy after a fall. His grandmother tripped while holding him. He was dropped from standing height onto the carpet. Which historical feature would you find reassuring when evaluating a child for potential traumatic brain injury?
added 14 months ago.
created by Peter MacPherson.
Julie, a sixteen-year-old girl is brought in to the emergency department from a rugby tournament. Julie lost consciousness after a collision with another player. The collision occurred approximately one hour ago. The incident was witnessed, and Julie regained consciousness within a minute. Wh...
Julie, a sixteen-year-old girl is brought in to the emergency department from a rugby tournament. Julie lost consciousness after a collision with another player. The collision occurred approximately one hour ago. The incident was witnessed, and Julie regained consciousness within a minute. Wh...
added 16 months ago.
created by Juliana.
Concerned parents arrive to the ER with their 2 year old son. They tell you the following story: "Mark was sitting on the floor playing with his toy and his sister took it away. He got really upset and started crying. Next thing we know he is lying there, all his limbs trembling with his eyes rol...
Concerned parents arrive to the ER with their 2 year old son. They tell you the following story: "Mark was sitting on the floor playing with his toy and his sister took it away. He got really upset and started crying. Next thing we know he is lying there, all his limbs trembling with his eyes rol...
added 16 months ago.
created by Juliana.
Tyler has been brought by ambulance to the Emergency Room in status epilepticus. He has been seizing for over an hour and is being transfered to PICU for intubation to protect his airway secondary to decreased level of consciousness. It is important to start treatment early and aggressively becau...
Tyler has been brought by ambulance to the Emergency Room in status epilepticus. He has been seizing for over an hour and is being transfered to PICU for intubation to protect his airway secondary to decreased level of consciousness. It is important to start treatment early and aggressively becau...
added 19 months ago.
created by Peter Gill.
2
acclamations.
A mother brings in her 3-year old daughter Paulette. Paulette has had a persistently elevated fever of 39C for the past 5 days. She has not had a cough, runny nose, sore throat or sore ears. She has not had any diarrhea, vomiting or abdominal pain. There are no sick contacts at home and no travel...
A mother brings in her 3-year old daughter Paulette. Paulette has had a persistently elevated fever of 39C for the past 5 days. She has not had a cough, runny nose, sore throat or sore ears. She has not had any diarrhea, vomiting or abdominal pain. There are no sick contacts at home and no travel...
20 Cases
7 week old with fever and cough
added 11 months ago. created by Peter Gill.
A 7-week-old female is brought in to the ER with fever, cough, and increasing respiratory distress over 3 days. The baby was born at term with a b...
added 11 months ago. created by Peter Gill.
A 7-week-old female is brought in to the ER with fever, cough, and increasing respiratory distress over 3 days. The baby was born at term with a b...
Difficulty breathing
added 11 months ago. created by Michael J Kapusta.
A father brings his 4 year old son Adam into the emergency department. Adam is noticeably distressed and has been having difficulty breathing for t...
added 11 months ago. created by Michael J Kapusta.
A father brings his 4 year old son Adam into the emergency department. Adam is noticeably distressed and has been having difficulty breathing for t...
14 yo with chronic cough
added 11 months ago. created by Peter Gill.
A 14 year old boy with a long history of chronic cough and recurrent pneumonias requiring frequent hospitalizations presents to your general pediat...
added 11 months ago. created by Peter Gill.
A 14 year old boy with a long history of chronic cough and recurrent pneumonias requiring frequent hospitalizations presents to your general pediat...
11 month old with foreign body aspiration
added 11 months ago. created by Peter Gill.
An 11 month old girl has a fever and cough for 6 days. Her clinical status suddently worsens with increased coughing after choking on a carrot. Sh...
added 11 months ago. created by Peter Gill.
An 11 month old girl has a fever and cough for 6 days. Her clinical status suddently worsens with increased coughing after choking on a carrot. Sh...
Sudden onset cough and respiratory distress
added 11 months ago. created by Peter Gill.
A 14 month old boy presents with the history of sudden onset of cough and respiratory distress. What are your top 3 differential diagnoses?
added 11 months ago. created by Peter Gill.
A 14 month old boy presents with the history of sudden onset of cough and respiratory distress. What are your top 3 differential diagnoses?
13 year old with fever, cough, SOB
added 11 months ago. created by Peter Gill.
A previously healthy 13 year old male presents to the ER with fever, cough and shortness of breath. Based on this brief history, what are the possi...
added 11 months ago. created by Peter Gill.
A previously healthy 13 year old male presents to the ER with fever, cough and shortness of breath. Based on this brief history, what are the possi...
Fever and cough in a 22 month old
added 11 months ago. created by Peter Gill.
A 22 month old boy presents with fever and cough for 3 days. Given the history, what are the possible differential diagnoses?
added 11 months ago. created by Peter Gill.
A 22 month old boy presents with fever and cough for 3 days. Given the history, what are the possible differential diagnoses?
8 year old with abdominal pain
added 12 months ago. created by Peter Gill.
An 8 year old boy presents to the ER with a 2 day history of abdominal pain and distention. He has a complicated medical history including Schwach...
added 12 months ago. created by Peter Gill.
An 8 year old boy presents to the ER with a 2 day history of abdominal pain and distention. He has a complicated medical history including Schwach...
18 month old with tender abdomen
added 12 months ago. created by Peter Gill.
18 month old boy presents with a 1 day of intermittent abdominal pain, vomiting, fever and a tender abdomen. He has a past history of duodenal atr...
added 12 months ago. created by Peter Gill.
18 month old boy presents with a 1 day of intermittent abdominal pain, vomiting, fever and a tender abdomen. He has a past history of duodenal atr...
4 month old with abdominal pain
added 12 months ago. created by Peter Gill.
A 4 month old girl presents with 2 day history of colicky abdominal pain, vomiting, abdominal distention, bloody stools, and increasing lethargy. ...
added 12 months ago. created by Peter Gill.
A 4 month old girl presents with 2 day history of colicky abdominal pain, vomiting, abdominal distention, bloody stools, and increasing lethargy. ...
Unwell Child
added 13 months ago. created by Chris Gerdung.
You are completing an elective at an urban pediatric ambulatory clinic. Your preceptor asks you to see Hanna, a 28 month old female. You introduc...
added 13 months ago. created by Chris Gerdung.
You are completing an elective at an urban pediatric ambulatory clinic. Your preceptor asks you to see Hanna, a 28 month old female. You introduc...
Fever and Sore Throat
added 13 months ago. created by Chris Gerdung.
You are completing your Pediatrics rotation and are working in the pediatric emergency department for the night. At 4:00 PM, your preceptor asks y...
added 13 months ago. created by Chris Gerdung.
You are completing your Pediatrics rotation and are working in the pediatric emergency department for the night. At 4:00 PM, your preceptor asks y...
Trouble Breathing
added 13 months ago. created by Chris Gerdung.
Craig is a 12 year old boy who presents to you at the Emergency with worsening stridor, light-headedness, urticaria, pruritis and a numb sensation ...
added 13 months ago. created by Chris Gerdung.
Craig is a 12 year old boy who presents to you at the Emergency with worsening stridor, light-headedness, urticaria, pruritis and a numb sensation ...
Fever, Cough and Stridor
added 13 months ago. created by Chris Gerdung.
You are completing an elective in the pediatric emergency department. Allison is a 4 year old girl who presents to you with a 5 day history of high...
added 13 months ago. created by Chris Gerdung.
You are completing an elective in the pediatric emergency department. Allison is a 4 year old girl who presents to you with a 5 day history of high...
Potassium conundrum
added 18 months ago. created by Maury Pinsk.
A 13 year old girl presents to the emergency room with weakness and fainting. Your assessment shows that she is mildly dehydrated, very thin with ...
added 18 months ago. created by Maury Pinsk.
A 13 year old girl presents to the emergency room with weakness and fainting. Your assessment shows that she is mildly dehydrated, very thin with ...
Acute Joint Pain
added 19 months ago. created by Peter Gill.
Kennedy, a previously well 6-year old boy is brought to your general pediatric clinic with left knee pain. Upon further history taking, you elicit ...
added 19 months ago. created by Peter Gill.
Kennedy, a previously well 6-year old boy is brought to your general pediatric clinic with left knee pain. Upon further history taking, you elicit ...
Dehydration and fluid managment
added 22 months ago. created by Lauren Kitney.
John is 3 year old 20 kg child who presents with a 2 day history of diarrhea. Which of the following would you consider when assessing his hydrati...
added 22 months ago. created by Lauren Kitney.
John is 3 year old 20 kg child who presents with a 2 day history of diarrhea. Which of the following would you consider when assessing his hydrati...
Painful arm
added 27 months ago. created by Peter Gill.
A mother brings her 4-year old daughter Sarah to the emergency department. She explains that at school the previous day, her daughter was reported ...
added 27 months ago. created by Peter Gill.
A mother brings her 4-year old daughter Sarah to the emergency department. She explains that at school the previous day, her daughter was reported ...
Sore throat
added 27 months ago. created by Peter Gill.
David, 13-year old male presents to the Emergency Room with his mother complaining of sore throat. He describes a sudden onset of sore throat 2 da...
added 27 months ago. created by Peter Gill.
David, 13-year old male presents to the Emergency Room with his mother complaining of sore throat. He describes a sudden onset of sore throat 2 da...
Pediatric intoxication
added 29 months ago. 1 acclamation. created by Maury Pinsk.
A 13 year old girl has a fight with her mom and in protest, drinks about 125 mL of windshield washer fluid. She is in the emergency room, is stable...
added 29 months ago. 1 acclamation. created by Maury Pinsk.
A 13 year old girl has a fight with her mom and in protest, drinks about 125 mL of windshield washer fluid. She is in the emergency room, is stable...
4
Links
The optimal initial management of children with suspected appendicitis
Created on September 22 by Peter Gill. 328 Hits.
Created on September 22 by Peter Gill. 328 Hits.
Management of the Paediatric Patient with Generalized Convulsive Epilepticus in the Emergency Department
Created on June 3 by Peter Gill. 419 Hits.
Created on June 3 by Peter Gill. 419 Hits.