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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
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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
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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 fever, pediatrics, vaccines
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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
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