What is a late complication of propionic acidemia?

You are caring for a young child undergoing intensive chemotherapy for AML. She has expected chemotherapy-related myelosuppression, her Hgb is 6.5 g/dL and she is symptomatic with her anemia. You decide to give her a transfusion of pRBCs. You choose to irradiate the blood before transfusing it knowing it helps prevent this transfusion complication:

You are caring for a patient presenting with concerns for bacteremia. The patients nurse informs you that she only got enough blood from their blood draw to send one test. Which of the following tests do you tell her to obtain as it is the most important?

Which of the following diagnostic tests can help to confirm a diagnosis of sickle cell disease?

If the child in the previous question were 6-years old what additional treatment would you consider using for their community acquired pneumonia?

Which is the most sensitive index of disease severity in patients with pneumonia?

Match the pathogens associated with health acquired infections (HAI) with the population they are most likely to impact.

You are seeing a 7 year old in the ER, his dad brought him with concerns of a diffuse, non-itchy, painless rash. He has never had a rash like this before and other than a recent cold that he has recovered from he has been feeling well without sick symptoms. His exam is only significant for multiple discrete, nonblanching pinpoint (1-2 mm) red-purple macules densely covering his face, chest and back, with a few seen on his arms and legs and several 3-4 cm areas of subcutaneous purplish discoloration on his shins and knees. His labs show: WBC 7.6 with normal differential, Hct 38, platelets 12,000, smear shows giant platelets (megakaryocytes) with otherwise normal cell morphology. PT 13.6 and PTT 37.5. What is the most likely diagnosis?

A 9 year old child was found awake and alert in a house fire after the fire was controlled. The most important indicator of smoke inhalation injury is:

Which of the following imaging results is most characteristic of the condition in the previous question?