A 6 yr old male presents to the urgent care with complaints…
A 6 yr old male presents to the urgent care with complaints of: fever of 101f (oral), chills, headache and a rash for 2 days. On exam you find swollen lymph nodes and an erythematous rash with central clearing. What is the MOST appropriate first line treatment?
Read DetailsA 3 month old female has had a fever of 102.4f for the past…
A 3 month old female has had a fever of 102.4f for the past 3 days without any additional symptoms. On physical exam she is very lethargic, irritable when stimulated but is oxygenated and well perfused. IN addition to obtaining blood cultures and a CBC, the MOST appropriate management would be:
Read DetailsA 5 yr old female with PMH of mild asthma was admitted to th…
A 5 yr old female with PMH of mild asthma was admitted to the PICU for pneumonia and started on broad spectrum antibiotics. On review of the patient’s laboratory data you find that her respiratory viral panel is now positive for influenza. What is the next BEST treatment strategy?
Read DetailsYou are managing a 23 year old male who had an aortic valve…
You are managing a 23 year old male who had an aortic valve replacement 3 days ago. His pain has been well controlled with Morphine 2mg IV Q4 hours. You are transitioning his Morphine to oral. What is the correct oral dose equivalent for this patient?
Read DetailsA 17 yr old male with history of Juvenile Idiopathic Arthrit…
A 17 yr old male with history of Juvenile Idiopathic Arthritis, currently maintained on infliximab as his maintenance therapy, presents with a 3- week history of cough (non-productive), shortness of breath. The patient denies fevers but endorses night sweats. He lives on farm property in Southeastern Ohio, where he tends for goats, pigs, chickens, cows, and horses. He underwent a CT scan and BAL with (634 WBC, 23 RBC) and organisms seen on GMS stain. What is the most likely cause of his symptoms?
Read DetailsYou are managing, Flynn Rider, a 19 yo male on your service….
You are managing, Flynn Rider, a 19 yo male on your service. He has had fevers and night sweats for the past week. On exam you note enlarged cervical lymph nodes. He has a history of mononucleosis (EBV). What finding on exam would be MOST concerning?
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