You are caring for a 6 year old who presented with fever and…
You are caring for a 6 year old who presented with fever and concerns for bacteremia. Initial blood cultures were drawn from 2 different peripheral sites. One set of cultures is growing coagulase-negative Staph. and the second has no growth at 48 hours. What is your interpretation of these findings?
Read DetailsYou are caring for a 1 year old in the PICU with a head inju…
You are caring for a 1 year old in the PICU with a head injury. The child acutely develops irritability with decreased sensorium and bradycardia. You intubate the child due to concern for respiratory failure. What is the MOST important urgent management of this child, in addition to intubation?
Read DetailsYou are caring for a school age child who is admitted to an…
You are caring for a school age child who is admitted to an inpatient unit with a diagnosis of new onset seizures. He has been noted to be having “staring” episodes in the class and his teacher reports it takes a few minutes for her to get his attention. In kindergarten, he was very active and had a difficult time sitting for most activities. He is still active and struggles with focus. He has a normal EEG. What is the likely diagnosis for this child, if these events are not considered seizures?
Read DetailsYou are evaluation an infant in the emergency department who…
You are evaluation an infant in the emergency department who presents with poor tone, constipation, weak cry and ptosis. You notice the child has poor respiratory effort on exam. The family reports on recent history of illness or fever. Which of the following should be considered first on your differential?
Read Details