Archive for November 2020

Topic: Cerebral Palsy Scenario: 12-year-old male presents with fever, loud breathing and cough PMH: Premature birth at 28 weeks gestation weighed 680g due to PRM; NICU for 4 mouths; on mechanical vent 7 days then on/off NCPAP then Vapotherm for respiratory distress. Received Surfactant, steroids, vaccines and antibiotics at appropriate times.  NICU diagnoses included: Grade II…

Topic: Pediatric Sepsis H&P: Otherwise healthy 3-year-old female presents with fever, nausea, vomiting, tachycardia, and sleepiness for two days.  Mom reports child began with nausea and vomiting two days ago, decreased interest in eating and drinking, and yesterday began running fever of 101 with chills.  Mom reports child refusing anything by mouth and only wants…