Author Archives: Andy

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

Fever in unvaccinated children

An 11 month old male is brought into the ED by his mother with fever as high as 104.5° Fahrenheit (40.3 C) and vomiting for the last 12 hours.  He has made fewer-than-usual wet diapers today and has vomited after … Continue reading

Posted in Infectious Disease, Medical, Pediatrics | Tagged , , | Leave a comment

Necrotizing Soft Tissue Infections

A 44 year old female presented to a community emergency department complaining of an abscess on her lateral right thigh that had been increasing in size for the last 2 days.  She reported having been kicked in that leg a … Continue reading

Posted in Infectious Disease, Medications, Orthopedics | Leave a comment