Council on Medical Student Education in Pediatrics

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COMSEP Clinical Cases

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.
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  2. A four-month-old baby presents to the Emergency Department with a fever of 104°F and petechiae. How would you evaluate and manage this patient?
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  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?
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  4. A previously healthy fourteen-month-old presents to the Emergency Department following a 2-3 minutes of generalized, symmetric tonic-clonic movements. There is no prior history of seizures. Discuss your approach for the following scenarios:
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  5. The child was sleepy initially but is now awake, alert and easily consoled by her parents. Her temperature is 104°F. Her examination is normal
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  6. The child remains somnolent and appears to have nuchal rigidity
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  7. A four-year-old boy present 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?
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  8. The mother of an eighteen-month-old calls to say her child has pulled splattered hot tea across his face and chest. How would you counsel her?
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  9. 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?
  10. 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?
  11. What is the differential diagnosis of lethargy in a 9 month old?
  12. A mother rushes a two-month-old girl to the Emergency Department after finding her cyanotic in her crib. Her examination is now normal and she is acting appropriately. How would you evaluate this infant and counsel her mother?

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