Sick(lers)
Your 1 year old sickle cell patient has not had any complications from her disease yet. You tell her parent that this is the first complication that we can expect to occur.
What is dactylitis?
A 7 year old M went to the OR for appendicitis, for which he was intubated. Shortly after intubation, the patient develops a fever and significant rigidity. You grab this antidote, suspecting a particular diagnosis.
What is dantrolene?
A 7 month old female has fever, URI symptoms, and bilateral wheeze. Her mother asks you what the treatment is, and you tell her this.
What is supportive care?
A 2 month old M comes to your ED after parents say that picking the child up has made him cry significantly. Parents say he rolled off the couch yesterday, and since then has been crying. An XR reveals a posterior rib fracture. You immediately step out and place a phone call here.
What is child protective services/ACS?
A 3 year old comes in with a suspected foreign body 2 hours ago. You note the following findings on XR and tell the parents that the disposition of the child is this.
What is discharge with follow up XR?
A 9 year old sickle cell patient comes in with abdominal pain. You notice she is pale and you palpate a soft mass in the LUQ. You run to interrupt Dr. Ayeni jamming out to 2000's music to tell her you suspect this.
What is splenic sequestration?
A 17 year old F with depression presents with clonus, tremors, and diaphoresis. You are worried about these two particular complications.
What is QT prolongation and what is seizure?
A 5 year old M is admitted for fever and shortness of breath after having influenza last week. He is ill-appearing. Your CXR may show this abnormality.
What is an empyema or abscess?
A 2 year old female refuses to use her L arm all day. The mother says she has held it by her side and cries when that arm is manipulated. Because you're so astute, you attempt a reduction maneuver for a problem with this suspected pathology.
What is radial head subluxation?
A 4 year old F with sore throat and fever comes in. After doing your diagnostic work up, you prescribe amoxicillin to prevent this complication of the disease.
What is acute rheumatic fever?
A 15 year old male with HbSS comes in with shortness of breath, fever, and elevated heart rates. Your CXR shows a focal opacity in the RML. Because you're extremely smart, you know that this is your choice of antibiotic(s).
What is ceftriaxone and azithromycin?
What is atropine and pralidoxime?
A tall 17 year old male presents with sudden onset L shoulder pain and shortness of breath. His CXR confirms your suspected diagnosis. You ask him about his medical history, which may include this syndrome.
What is Marfan's syndrome?
A 6 year old falls off his bike and falls on his outstretched hand. He has pain near his wrist and at the proximal palms. An XR is negative for fractures but you know that you need to splint this for a suspected fracture in this bone.
What is scaphoid fracture?
Currently we are in the middle of a bomb cyclone. This is the name of another similar weather system described as a sudden violent gust of wind or localized storm, especially one bringing rain, now or sleet.
What is a Squall?
You see a 15 month old in your pediatric clinic and tell the parents that their child with sickle cell anemia will require this additional vaccine.
What is PCV 23?
A 3 year old M comes in with repeated hematemesis. Mother, who is pregnant, thinks he may have taken some of her prenatal vitamins 1 hour ago. Your medical student eagerly asks if you can use activated charcoal, and you tell him this.
What is no?
What is to have your radiant warmer ready at the appropriate settings (20/5 21%), temperature on, WDSS, start PPV at 30 seconds if apneic or HR < 100.
This type of fracture is pathognomonic for child abuse.
Metaphyseal Chip Fracture or Bucket Handle Fracture
This comedian has been known to date the likes of Ariana Grande, Kate Beckinsale, and Kaia Jordan Gerber. He was currently seen enjoying the company of Kim Kardashian.
A 7 year old M has fever and pain in her tibia. An MRI confirms your suspicion of osteomyelitis. This is the most common organism associated with osteomyelitis in this patient population.
What is salmonella?
Your 18 year old male patient presents with this EKG. You suspect this overdose.
What is TCA overdose?
A 10 year old M arrives to the ED with significant wheezing. You try duonebs, epinephrine, Mg, steroids, and terbutaline. You determine you must intubate this patient, and you opt to use this sedative medication in the process.
What is ketamine?
A 1 year old M shows up to your ER with greasy skin papules that did not respond to treatment for fungal infections or sebhorrheic dermatitis. He has been clutching his head frequently, prompting you to obtain an XR that makes you suspicious for this disease.
What is langerhan cell histiocytosis?
Jake Gyllenhaal is dead to us because he stole Tay Tay's this household item -- which would come in real handy today.
What is her scarf?