A 14 year old with rheumatoid arthritis presents to the ED w…
A 14 year old with rheumatoid arthritis presents to the ED with nausea, vomiting, fatigue and joint pain. She came to the ED today because she “passed out twice this morning.” On exam, she is appropriately hydrated though vital signs show tachycardia (HR 144) and hypotension (BP 82/60). Upon reviewing her history, she has been prescribed prednisone for 8 months for management of her RA. What is the most likely cause of her symptoms?
Read DetailsA 3 month old male with complex medical history presents to…
A 3 month old male with complex medical history presents to your clinic. He has Tetralogy of fallot, repaired choanal atresia, and combined sensorineural hearing loss. He is at the 5th% for height and 10% for weight. Physical exam shows a small infant with dysmorphic features including small cupped ears, micrognathia, a linear defect in the left iris, a 3/6 systolic ejection murmur and good capillary refill. What syndrome best accounts for this constellation of symptoms?
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