PEDIATRIC EMERGENCIES

1. A three-year-old child presents to the Emergency Department with acute onset of stridor and tachypnea. Discuss your approach to this patient, including important aspects of the history and physical exam, the differential diagnosis, and management principles.
2. A four-month-old baby presents to the Emergency Department with a fever of 104� F and petechiae. What is your differential diagnosis? How would you evaluate and manage this patient?
3. A three-year-old boy presents to the Emergency Department with worsening cough, wheezing and shortness of breath. He has difficulty talking in the Emergency Department. How would you manage this child?
4. A previously healthy fourteen-month-old presents to the Emergency Department following 2-3 minutes of generalized, symmetric tonic-clonic movements. Discuss your approach to the following scenarios:
   (a) The child was sleepy initially but is now awake, alert, and easily consoled by her parents. Her temperature is 104� F.
   (b) The child remains somnolent and appears to have nuchal rigidity?
5. A four-year-old boy presents with brief loss of consciousness and vomiting after falling off a six-foot high slide. How would you evaluate him and what are your concerns?
6. The mother of an 18-month-old calls to say her child has pulled splattered hot tea across his face and chest. How would you Council her?
7. A four-year-old girl is brought to the Emergency Department following the acute onset of cough, increased work of breathing, and tachypnea while at a friend’s birthday party. What is your differential diagnosis? How would you evaluate and manage this patient?
8. During a routine health care visit, a fifteen-year old girl with a history of depression confides to you that she would like to end her life. What should you do?
9. A nine-month old boy presents with lethargy. What historical and physical examination findings will help you determine if he has overwhelming sepsis, meningitis, congestive heart failure, or respiratory insufficiency?
10. A mother rushes a 4-month old girl to the emergency department following finding her cyanotic in her crib. Her examination is normal. How would you evaluate this infant and Council the mother?