paeds244
A 14-year-old boy suffers a blow to the right side of his head with a hammer. On arrival at the emergency department, he is pronounced dead. Post-mortem findings will show which of the following features?
Category: Emergency Medicine
paeds245
A 15-month-old infant is brought to the clinic by his parents following a minor fall. He was initially unable to bear weight on his legs but after ibuprofen he can walk and run with a minor limp. X-ray of the leg shows no abnormality. However, ten days later a repeat x-ray is done due to persistent limp and it reveals a spiral fracture. How do you explain this?
paeds246
A 17-year-old boy presents to the emergency after being involved in a fight outside a club and being beaten with a baseball bat. Under observation his GCS deteriorates, and he becomes comatose. Which of the following parameters are most likely to be present during this condition?
paeds247
A 16-year-old boy is brought to the ER by his friends. He fell off his quad bike while riding it at a high speed. He complains of neck pain and paraesthesia in his limbs. On examination, there are multiple bleeding contusions on the body. There is a handlebar bruise on his chest. And oxygen saturations are low, but heart rate is normal. Which of the following is the most likely causing his shock?
paeds248
A 1-year old girl with a history of febrile convulsions presents to the community clinic with constipation. During the examination, she goes into a seizure. The physician carries her to the treatment room and administers oxygen. After 5 minutes, the fits continue, and there is lack of buccal midazolam. Which of the following would be the best strategy in this case?
paeds241
A 15-year-old boy was admitted to the hospital with suspected appendicitis. On examination, the maximum tenderness was at the McBurney’s point. What is the surface landmark of McBurney’s point?
paeds242
A 20-year-old female was brought to the emergency department. Her presentation was highly suggestive of meningitis. Direct ophthalmoscopy revealed no signs of papilledema. Thus, she was planned for a lumbar puncture. What is the structure first encountered while inserting the needle?
paeds243
A 7-year-old boy is brought to the ED, with coughing and wheezing. Chest examination reveals reduced breath sounds on one side. Radiological examination shows occlusion of the airway by an aspirated foreign body. The foreign body is most likely lodged in which of the following locations?