Pediatric Radiology Quiz #1

  A 10 year old female presents to the emergency department with complaints of left-sided hip pain over the past 2 weeks. The pain had been intermittent initially, but has gotten much worse over the past 2 days. Neither the child, nor her parents, can recall any trauma or recent …

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Marathon Monday

  A 32 yr old male limps into the emergency department with complaints of general malaise with severe myalgias and arthralgias. He had run the Boston marathon two days ago and began feeling sick yesterday with headache, myalgias, nausea and vomiting. His vitals signs are normal, but he appears clinically …

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Spice

Whether it’s labeled K2, Yucatan Fire, Skunk, fake or synthetic weed, “Spice”refers to a wide variety of herbal mixtures that produce psychoactive experiences similar to marijuana (cannabis).  These products were sold in gas stations, head shops and on the internet and were marketed as a “safe, legal, natural alternative” to marijuana. These products do …

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Altered Mental Status

  A 27 year old male is brought to the emergency department by paramedics after a bystander called 911 because he was staggering down the street with slurred incomprehensible speech. Upon arrival in the ED, the patient appears to have an altered mental status. The patient’s pupils (shown) are equal …

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Foreign Body

    A 2 year-old child is brought to the ED after opening a drawer containing coins and batteries.         [mlw_quizmaster quiz=3]      

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Apneic Oxygenation

    Preoxygenation has been used routinely prior to rapid sequence intubation (RSI) with the goal of maintaining hemoglobin saturation during airway management. However, patient’s who are still hypoxemic ≤ 90%, have multilobar pneumonia or other causes for increased metabolic demands, can quickly desaturate during endotracheal intubation despite adequate preoxygenation. …

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Eye Trauma: Quiz

      A 22 year old female present with severe pain, photosensitivity and decreased vision to the right eye. She claims she was struck in the eye by a projectile while on the back of a motorcycle.         1. What does this image show? 2. What …

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The Intubation Checklist

    To maintain safe working conditions and to prevent human errors, individuals who work under very stressful situations such as the military and the airline industry currently use “checklists” to ensure proper implementation of procedures and protocols as well as to prevent errors of omission.       Please …

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Dyspnea and Fever: ECG Quiz

    42 year old female with IVDA Hx, presents to the ED with dyspnea on exertion and fever. She denies chest pain, pressure or tightness. What is your interpretation of her ECG?                                   …

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