A 14 year old male presents with a very sore throat and fever. The symptoms have been present for 4 days. His PMD saw him 2 days ago and performed a rapid strep test, and it was negative. Since then he has gotten worse and it is hard for him to open his mouth fully. Per his mother it sounds [...]
A 14 year old girl with a history of hypertension secondary to chronic nephritis presents with tongue swelling. Her physical exam is unremarkable aside from a swollen tongue and lips. Her phonation is abnormal due to the swollen tongue. She denies any history if allergic reactions to medications in the past. She has no vomiting, wheezing, cough, difficulty breathing or [...]
A young man comes to the ED with severe pain in his nose - specifically the left nostril. He states that he was punched in the face yesterday while "minding his own business." The initial swelling over his nose has improved, and he states that the initial nose bleed stopped. The pain in his nose was so severe that it [...]
A 14 month old male stuck a fork in an outlet. It made a big spark and he cried. The wall looks a little toasted, but the boy appears to be doing fine. Mom "just wanted him checked out." Is he OK? Yes - If he looks good in the ED then he'll look good later for the most part. [...]
Welcome to a new recurring feature on the PEM Blog. I'll be highlighting some straightforward clinical cases and reviewing diagnosis and treatment. [divider scroll_text=""] The mother of 3 year old girl is concerned because she saw blood in her underpants. The patient complains of no pain. Examination shows the following This is what the mom saw What [...]
