Monthly Archives: November 2013

Clinical evaluation of meningitis

An 18 year old female college freshman presents to the Emergency Department with fever for 8 hours, headache and diffuse myalgias.  Her maximium temperature has been 102.8° F (39.3 C) and she has vomited five times.  She is mildly tachycardic, … Continue reading

Posted in Infectious Disease, Medical, Vital Signs | Leave a comment

Methotrexate Toxicity

A 43 year old woman with a history of depression, anxiety and severe chronic pain resulting from rheumatoid arthritis was found down in her house, surrounded by empty pill bottles with a suicide note present.  Time of ingestion was unknown … Continue reading

Posted in Hematology, Medical, Medications, toxicology | Leave a comment