Category Archives: Medical

Steroids in Pediatric Asthma

Asthma exacerbation is a common complaint seen in the emergency department. The cornerstone of treatment consists of short acting beta agonists (albuterol), respiratory anticholinergics (ipratropium bromide), and steroids. Lets talk about steroid treatment in children with mild to moderate asthma … Continue reading

Posted in Medications, Pediatrics, Pulmonology | Leave a comment

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