Case by Hannah Kotler MD, CNH PEM Fellow You are carrying the transport phone when you receive a call for a destination decision: 15-year-old M ingested “half a bottle” of household bleach in a suicide attempt. Currently, he is c/o stomach and throat pain. His vital signs are as follows: HR 80, BP 118/78, SpO2 […]

Case by Erin Thomas MD, INOVA PEM Fellow 13-year-old transgender male with history of asthma, MDD, GAD, PTSD, h/o SI who presents with a seizure-like episode at school. He had 1 minute of witnessed convulsive seizure activity. Per mom, he was his normal self this morning. All medications were kept under lock and key at […]

Case by Jessica Hippolyte MD, CNMC PEM Fellow 8 y.o. F with seasonal and food allergies presents with 3 days of intermittent facial swelling, hives, and abdominal pain after peanut exposure. She has known food allergies to wheat, peanuts, and shellfish. 3 days ago, patient developed tongue and lip swelling and abdominal pain 1 hour […]

Case by Jasmine Thomas MD, CNMC PEM Fellow A previously healthy 4-year-old female presents with 7 days of fever. The patient was seen at an urgent care a few days prior where a rapid strep test was positive, and she was started on a 7-day course of amoxicillin. Since then, she has developed new loose […]

Case by Kala Frye-Bourque MD, CNMC PEM Fellow A 6-month-old female with a history of rash presents to ED with a worsening leg rash. The patient was seen by her pediatrician two days ago for a rash and “white stuff” behind her knees. Was told it was most likely a fungal infection, so the family […]