A 13-year-old boy presents to the emergency department with…
A 13-year-old boy presents to the emergency department with a fever and increased urination for several days. He states that he has had a cough and runny nose during this time as well as a severe headache. He endorses urinating up to 20 times per day and states that he fainted and hit his head today. He says he otherwise feels weak and has not been eating or taking his medications as a result. The patient cannot recall his past medical history nor his medications. His temperature is 101°F (38.3°C), blood pressure is 93/67 mmHg, pulse is 166/min, respirations are 33/min, and oxygen saturation is 100% on room air. Physical exam is notable for a fatigued appearing boy with dry mucous membranes and irritability. Initial laboratory studies are ordered as seen below.Hemoglobin: 12 g/dLHematocrit: 36%Leukocyte count: 19,900/mm^3 with normal differentialPlatelet count: 199,000/mm^3Serum:Na+: 139 mEq/LCl-: 101 mEq/LK+: 2.5 mEq/LHCO3-: 6.0 mEq/LBUN: 23 mg/dLGlucose: 499 mg/dLCreatinine: 1.2 mg/dLCa++: 10.2 mg/dL What is the treatment? (SELECT ALL THAT APPLY)
Read DetailsA 62-year-old man presents to the emergency department with…
A 62-year-old man presents to the emergency department with chest pain and shortness of breath that he experienced while barbecuing. The pain is over his chest and in his left arm. The patient has a medical history of obesity, type 2 diabetes mellitus, and hypertension. His current medications include insulin, metformin, lisinopril, and hydrochlorothiazide. His temperature is 99.5°F (37.5°C), pulse is 112/min, blood pressure is 100/70 mmHg, respirations are 18/min, and oxygen saturation is 95% on room air. The patient is appropriately managed and is admitted to the step-down unit. 2 weeks later, he complains of chest pain and fever. A repeat ECG is performed and is seen below showing diffuse ST elevation in all leads. Which of the following is the most appropriate next step in management for this patient’s underlying condition?
Read DetailsA developmental psychologist observes an 8-month-old infant,…
A developmental psychologist observes an 8-month-old infant, Maya. When Maya drops a toy over the edge of her high chair, she looks down at the floor expecting to see it. How would Jean Piaget categorize this cognitive milestone?
Read DetailsFive-year-old Mateo sees his sister hide a toy in a basket….
Five-year-old Mateo sees his sister hide a toy in a basket. While his sister is out of the room, their mother moves the toy to a closet. When asked where his sister will look for the toy upon returning, Mateo says, “In the basket”. Mateo’s answer demonstrates that he has:
Read DetailsA 12-year-old boy presents to the pediatrician with a 3-day…
A 12-year-old boy presents to the pediatrician with a 3-day history of worsening cough and purulent sputum. The patient is febrile and hypoxic on room air which corrects with 2L oxygen via nasal cannula. He has been hospitalized many times in the past for similar chief complaints. Physical exam reveals decreased breath sounds in the right lung base. The child demonstrates an increased work of breathing. A chest radiograph is performed as seen below. Defective transport of ________ across cell membrane is the cause of his medical condition.
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