so you think you could be an MD?
 

always see people posting various ailments, illnesses, and diseases they think they might have. here are a few clinical case scenarios for you medical detectives out there.

1 - A 4-year-old boy presents with a five-day history of fever and rash. He has received acetaminophen and amoxicillin without improvement. He is very irritable with a temperature of 103.6� F, bilateral non-purulent conjunctivitis, enlarged cervical nodes, puffy hands, and a maculopapular rash. How would you evaluate and manage this patient?

2 - An eight-year-old female presents with abdominal pain, pruritic lesions on the buttocks and lower extremities, and joint swelling. What is your differential diagnosis? How would you evaluate this patient?

3 - A six-year-old boy presents with pallor and irritability following a week of abdominal pain and blood tinged diarrheal stools. What would you be most concerned about? How would you evaluate and manage this patient?

Re: so you think you could be an MD?
 

they all have AIDS

Re: so you think you could be an MD?
 

Amputate. All three of them.

Re: so you think you could be an MD?
 

What is this, USMLE Step 3?

That reminds me, I gotta start studying for that. Damn ophthalmology, I forgot all my internal medicine stuff over the last 3 years.

Re: so you think you could be an MD?
 

1. It's too late for him now. Euthanasia.

2. This girl has been abused and needs to be moved into foster care.

3. This boy is abusing performance enhancing drugs, most likely anabolic steroids. This is important, because he is probably quick with the punching, and very strong of course. So, security must be called to restrain him. Then, get him into counselling so he can return after his suspension.

Re: so you think you could be an MD?
 

7- theyre vignettes for a 3rd yr peds rotations

others- great responses so far, keep em comin

Re: so you think you could be an MD?
 

For each patient:


Are they stable or unstable? What are their vitals?

What are their past medical histories? What medications are they on?

What is the history of present illness? (i.e. describe the events, signs, and symptoms that have led to the patient's presentation today ...)

We'll also need complete 'Review of Systems' from head to toe.

Are there any illnesses that run in the family?


Adam

Re: so you think you could be an MD?
 

1.) Have his mother blow me.

2.) Anal with her mom.

3.) Anal with his mom.

Re: so you think you could be an MD?
 

Adam- there is no add'l info to be offered. pts are stable, the main issues and pertinent +'s and -'s are in the 2-liner.

Beer$- not worried that any of these kids could be suffering from an STD passed on by mom? just be sure to dbl-bag it at least

Re: so you think you could be an MD?
 

DoubleDown,

You can't get STDs from anal.

Expertly yours,
Mason Hellmuth