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ReelDx Education Published Diagnoses April 2016 Diagnosis DDx Title URL Abdominal distension Bowel obstruction, Ascites, Liver failure, Congestive hear failure, Malnutrition, Neoplasm (malignancy), Hepatitis Functional abdominal pain, Appendicitis, Urinary tract infection, Inflammatory bowel disease, Neoplasm, Colitis, Constipation, Pancreatitis, Pregnancy, Hepatitis, Myocardial infarction (atypical), Constipation, Appendicitis, Neoplasm recurrence, Gastroenteritis, SBO, UTI, DKA, Urolithiasis, Nonaccidental trauma , 60-year-old with distended abdomen: GoPro case https://meded.reeldx.com/cases/516 43-year-old with right-side abdominal pain: Google Glass case https://meded.reeldx.com/cases/370 9-year-old with abdominal pain https://meded.reeldx.com/cases/305 Abdominal pain Abdominal pain Abdominal pain Abdominal pain Abdominal pain, Hypotension Abdominal Pain, Peritoneal pain Abdominal pain, Shortness of breath, Facial edema, Alcoholism Abdominal mass Appendicitis, Ovarian cyst, Ovarian torsion, Ectopic pregnancy, Kidney stone, Pyelonephritis, Urinary tract infection , Pneumonia, Myocardial infarction, Aortic aneurysm, Pulmonary embolus, Pneumothorax, Small bowel obstruction (e.g., volvulus), Pyelonephritis, Colitis , Malignancy, Pancreatitis, GI bleed (upper vs. lower), GI tumor with bleed, Aortic aneurysm, Pancreatitis, Dehydration, Cirrhosis with GI bleed (coagulopathy), Arrhythmia, Appendicitis , Mesenteric adenitis, Irritable bowel syndrome, Gastroenteritis, Small bowel obstruction, Trauma Arrhythmia, Allergic reaction/urticaria/angioede ma, COPD/asthma/emphysema, Hepatitis (secondary to ETOH), Pancreatitis, Neoplastic disease, Withdrawal in the chronic alcohol abuser, Effects of acute or chronic hypertension, Electrolyte disorder secondary to poor 49-year-old female with RLQ pain https://meded.reeldx.com/cases/258 86-year-old with left-side abdominal pain: GoPro case https://meded.reeldx.com/cases/600 72-year-old with colon cancer presents with abdominal pain and hypotension https://meded.reeldx.com/cases/634 23-year-old with RLQ abdominal pain: GoPro case https://meded.reeldx.com/cases/568 58-year-old with facial swelling, abdominal guarding, shortness of breath https://meded.reeldx.com/cases/608 Abdominal pain, Surgical site pain Abrasion, Human Bite Abscess Abscess (MRSA) Absence seizure Acanthosis nigricans Acanthosis nigricans, Obesity Accessory Navicular nutrition (eg, low albumin levels), Atypical myocardial infarction, Metabolic disorder (electrolyte abnormality), Hernia recurrence, Small bowel obstruction, Constipation, Gastroenteritis, Postsurgical infection (MRSA abscess vs. other) Contusion, Abrasion, Laceration Abscess (MRSA), Cellulitis, Necrotizing fasciitis Abscess (MRSA), Cellulitis, Insect bite, Necrotizing fasciitis Seizure , ADHD, Conversion disorder (diagnosis of exclusion) Acanthosis nigricans, Addison’s disease, Pellagra Acanthosis nigricans, Addison’s disease, Pellagra, Hypertension, Type 2 diabetes, Flatfoot, Tarsal coalition, Tibialis posterior tendonitis, Plantar fasciitis Accessory nipple Acute gastroenteritis Dehydration, 53-year-old with abdominal pain, swelling at surgical site https://meded.reeldx.com/cases/633 48-year-old with human https://meded.reeldx.com/cases/226 bite to right arm 2-yearhttps://meded.reeldx.com/cases/340 old with very t ender mass on scalp 18-year-old with chest https://meded.reeldx.com/cases/314 wall lesion and pain 7-year-old with episodes of spacing out and eyes fluttering 13-year-old with hyperpigmented rash https://meded.reeldx.com/cases/403 19-year-old obese male with darkened, creased skin patch https://meded.reeldx.com/cases/121 13-year-old with L, mechanical foot pain https://meded.reeldx.com/cases/716 9-year-old with accessory nipple 15-month-old vomiting, https://meded.reeldx.com/cases/567 https://meded.reeldx.com/cases/257 https://meded.reeldx.com/cases/532 Acute glomerulonephritis, Hypertension Acute laryngitis (croup) Acute Otitis Media Acute parotitis, Parotitis Acute proctitis with rectal bleeding Gastroenteritis, Enteritis, Acute glomerulonephritis, Minimal change disease, Nephrotic syndrome, Hemolytic-uremic syndrome, Serum sickness Croup, Acute laryngitis, Strep pharyngitis, Foreign body ingestion, Bacterial tracheitis, Epiglottitis, Acute bronchiolitis Acute otitis media (AOM) with tympanostomy tube in situ, Acute otitis media with perforation, Otitis externa, Foreign body in ear canal, , Acute viral parotitis (e.g., mumps), Pre-septal cellulitis, Sinusitis, Salivary stone, Recurrent parotitis of childhood, Abscess, Appendicitis, Proctitis, UTI, Urinary retention, Diverticulitis, Diverticulosis, Inflammatory bowel disease Afferent pupillary defect (APD) Allergic reaction Alopecia Areata Local allergic reaction (insect bite vs. food allergy), Facial cellulitis, Preseptal cellulitis, Dental abscess, Facial trauma, Nephrotic syndrome Alopecia areata, Tinea diarrhea, poor intake 8-year-old with 4 days facial swelling https://meded.reeldx.com/cases/174 4-year-old with cough and stridor https://meded.reeldx.com/cases/485 2-year-old with ear discharge https://meded.reeldx.com/cases/211 3-year-old with L facial swelling https://meded.reeldx.com/cases/570 51-year-old with rectal bleeding and abdominal pain https://meded.reeldx.com/cases/322 50-year-old with multiple sclerosis and 3d pain, visual loss in left eye 7-year-old with periorbital swelling https://meded.reeldx.com/cases/653 4-year-old with https://meded.reeldx.com/cases/577 https://meded.reeldx.com/cases/208 Altered mental status Altered mental status Altered mental status Altered mental status, Atypical seizure Altered mental status, Bradycardia, Suspected ingestion capitis, Thyroid disorders Atypical MI, CVA/stroke, Hypoglycemia or hyperglycemia, Dehydration , Hypertensive crisis, Psychiatric emergency , Substance abuse including EtOH intoxication, Malingering (diagnosis of exclusion) Anxiety, Dehydration, Hypertension (HTN), Urinary tract infection (UTI), Transient ischemic attack (TIA) Hepatic encephalopathy, UTI, CVA, Myocardial infarction, Drug overdose, Hypertensive encephalopathy, Renal failure, Electrolyte abnormality, Seizure, CVA, Postictal state, Hypoglycemia, Organic brain syndrome, Dementia, Drug or alcohol use, Medication overdose (Ambien adverse effect) Organophosphate (OP) pesticide poisoning, Unknown ingestion, Aspiration pneumonia, Intracranial process such as neoplasm/mass, AVM, Encephalitis/meningitis, Metabolic disorder (e.g., progressive hair loss 64-year-old with intermittent confusion, altered mental status https://meded.reeldx.com/cases/661 71-year-old agitated patient: Paramedic student initial assessment https://meded.reeldx.com/cases/521 85-year-old with altered mental status: GoPro case https://meded.reeldx.com/cases/588 78-year-old with altered mental status & history of atypical seizure activity https://meded.reeldx.com/cases/619 14-year-old with altered mental status and bradycardia https://meded.reeldx.com/cases/445 Altered mental status, Concussion Altered mental status, Hyperglycemia Altered mental status, Potential ingestion Anal fissure Anemia, Hemiplegia Ankyloglossia hyponatremia), Severe malnutrition, Concussion, Closed head injury, Non-accidental trauma and/or neglect, Fracture of the skull or other bones, Hematoma, Seizure DKA, CVA, Cardiac event (MI, arrhythmia) , Chemical exposure, EtOH or other drug use, Psychogenic (diagnosis of exclusion) Foreign body esophagus, Poisoning, Closed head injury, Non-accidental trauma, Anal fissure, Juvenile polyp, Sexual abuse, Food allergy/milk allergy, Food coloring , Infectious enteritis, Meckel’s diverticulum, Intussusception, Anemia (multiple causes, including sickle cell anemia), HIV, Hemiplegia, Stroke, Polyomyelitis (polio), Congenital heart disease (can cause stroke), Meningitis/encephalitis (can cause stroke), Moyamoya disease, Arteriovenous malformation Ankyloglossia, Bifid tongue, Macroglossia, Lingual thyroid, Oral ranula, 2-year-old fell out of window https://meded.reeldx.com/cases/649 52-year-old diabetic found unconscious at work: GoPro case https://meded.reeldx.com/cases/613 7-month-old with altered mental status: GoPro case https://meded.reeldx.com/cases/501 3-month-old with streaky blood from stool https://meded.reeldx.com/cases/249 3-year-old with R hemiplegia, anemia https://meded.reeldx.com/cases/446 2-month-old undergoing frenotomy https://meded.reeldx.com/cases/163 Ankyloglossia Ankyloglossia Ankyloglossia Anxiety Anxiety, Palpitations Aphthous ulcers (canker sores), Aphthous stomatitis Appendicitis Lymphatic malformations Ankyloglossia, Latch issues with breast feeding, Bifid tongue, Macroglossia, Lingual thyroid, Oral ranula, Lymphatic malformations Ankyloglossia, Bifid tongue, Macroglossia, Lingual thyroid, Oral ranula, Lymphatic malformations Ankyloglossia, Bifid tongue, Macroglossia, Lingual thyroid, Oral ranula, Lymphatic malformations Anxiety, Asthma, Pneumothorax, Upper respiratory tract infection, Lower respiratory tract infection Anxiety, Acute coronary syndrome, Arrhythmia, Hyperthyroid, PE, Aortic dissection, Dehydration or blood loss, , Aphthous ulcers (canker sore), Herpetic ulcers, Inflammatory bowel disease (IBD), HIV, SLE - Lupus syndrome, Syphilis, Zoster disease Appendicitis, Small bowel obstruction, Ileus, Constipation, UTI, Kidney stones, Gastroenteritis, Torsion, Hernia, Pancreatitis 6-day-old with pain during breast feeding https://meded.reeldx.com/cases/240 1-month-old with anterior lengthwise cleft on tongue https://meded.reeldx.com/cases/155 7-day-old undergoing frenotomy for ankyloglossia https://meded.reeldx.com/cases/241 14-year-old with sighing respirations https://meded.reeldx.com/cases/41 65-year-old with chest pain https://meded.reeldx.com/cases/295 5-year-old with lesions on gum line https://meded.reeldx.com/cases/609 8-year-old with fever, abdominal pain and vomiting https://meded.reeldx.com/cases/315 Appendicitis Asthma exacerbation Asthma exacerbation Asthma exacerbation Asthma, Bronchospasm Asthma, Chest pain of uncertain etiology, Koolen-de Vries syndrome, Autism Asthma, Pneumonia, Moderate respiratory distress Asthma, Respiratory distress Ataxia, Multiple sclerosis, Diplopia, Intention tremor Atopic dermatitis Atopic dermatitis Atopic dermatitis Appendicitis, Bowel obstruction, Pyelonephritis, Constipation, Gastroenteritis, Lower lobe pneumonia Asthma exacerbation, Pneumonia, Foreign body (less likely due to age), Bronchiolitis, Pneumonitis Asthma exacerbation, Pneumonia, Bronchiolitis, Pneumonitis, Foreign body aspiration Asthma exacerbation, Pneumonia, Foreign body, Pneumonia, Bronchospasm, Status asthmaticus, Bronchitis, Myocardial infarction, Chest contusion, Psychogenic pain, Arrhythmia, GERD, Asthma exacerbation, Pneumonia, Asthma, Foreign body, Bronchiolitis, Asthma exacerbation, Pneumonia , Foreign body 7-year-old with abdominal pain https://meded.reeldx.com/cases/581 12-year-old with asthma attack: GoPro case https://meded.reeldx.com/cases/478 2-year-old with retractions https://meded.reeldx.com/cases/435 2-year-old with cough and https://meded.reeldx.com/cases/318 difficulty breathing 16-year-old with wheezing https://meded.reeldx.com/cases/285 and cough 14-year-old with chest pain and difficulty breathing: GoPro case 4-year-old with moderate respiratory distress 5-year-old with respiratory distress Two patients with ataxia in multiple sclerosis Atopic dermatitis, Contact 5-year-old with rash on dermatitis wrists: Google Glass case Eczema, Contact dermatitis, 2-year-old male with facial Atopic dermatitis, Food rash allergy, Atopic dermatitis (eczema), 6-year-old with skin Contact dermatitis, Scabies, lichenification & papules Lichen simplex chronicus, https://meded.reeldx.com/cases/505 https://meded.reeldx.com/cases/73 https://meded.reeldx.com/cases/60 https://meded.reeldx.com/cases/670 https://meded.reeldx.com/cases/363 https://meded.reeldx.com/cases/533 https://meded.reeldx.com/cases/97 Atrial fibrillation Atrial fibrillation Attention Deficit Hyperactivity Disorder, ADHD Back Pain Back pain, Chronic Back Pain, Compression fractures Bat Bite Sinus tachycardia, Atrial fibrillation, Atrial flutter, Multifocal atrial tachycardia (MAT), AVRT or AVNRT (atrioventricular node reentrant or non-reentrant tachycardia), WolffParkinson-White syndrome, Myocardial infarction/ischemia, Hyperthyroidism/thyroid storm, Dehydration Atrial fibrillation, Myocardial infarction, Cocaine ingestion, Caffeine overdose, Methamphetamine overdose, Hyperthyroidism, Pulmonary embolism Attention deficit disorder (ADD), Attention deficit hyperactivity disorder (ADHD), Post-traumatic stress disorder (PTSD), Depression, Generalized anxiety disorder, Seizure, Back pain, Fracture, Nerve damage, Slipped disc Vertebral compression fracture, Muscle strain, UTI or pyelonephritis, Cauda equina syndrome, Epidural abscess, Lumbar disk herniation, Spinal stenosis Bat bite from rabid vs. nonrabid bat 83-year-old with fast heart rate, palpitations https://meded.reeldx.com/cases/262 62-year-old with chest palpitations https://meded.reeldx.com/cases/217 14-year-old with attention deficit disorder: medication check https://meded.reeldx.com/cases/650 49-year-old with back pain https://meded.reeldx.com/cases/431 77-year-old with back pain https://meded.reeldx.com/cases/270 6-year-old bitten by bat https://meded.reeldx.com/cases/344 Bilateral hydrocele Bilateral Internuclear Ophthalmoplegia Biliary atresia, Jaundice Branchial cleft cyst Breast cancer, Invasive ductal carcinoma, ER/PR(+), Metastatic carcinoma Bronchiolitis Bronchiolitis Bronchiolitis, Pneumonia Bronchitis with bronchospasm Hydrocele, Orchitis, Epididymitis, Testicular torsion, Scrotal trauma (eg, hematocele, scrotal hematoma), Tumores of the testis , Tumors of the spermatic cord Biliary atresia, Malnutrition, Sepsis, Hepatitis (viral), Galactosemia, Cytomegalovirus (CMV), Alagille syndrome, Cystic Fibrosis, Developmental cysts/sinus tracts (e.g., branchial cleft cyst), Abscess, Lymphadenitis, Simple cyst, Fibroma, Bronchiolitis, Asthma, Pneumonia, Foreign body, Upper respiratory infection Bronchiolitis, Asthma, Pneumonia, Foreign body Bronchiolitis, Viral pneumonia, Bacterial pneumonia, Croup, Asthma, Foreign body Bronchitis (viral or bacterial), Bronchospasm, Bacterial pneumonia, 3-month-old with bilateral, enlarged, painless scrotum since birth https://meded.reeldx.com/cases/563 Bilateral Internuclear https://meded.reeldx.com/cases/654 Ophthalmoplegia (INO) 3-month-old with jaundice, https://meded.reeldx.com/cases/461 pale stools 3-year-old with painful, swollen lump over left medial lower neck https://meded.reeldx.com/cases/335 Dr. Farley Case Presentation: Pilot https://meded.reeldx.com/cases/703 15-month-old with cough, h/o fever & intercostal retractions 4-month-old with wheezing, cough and dyspnea 2-year-old with difficulty breathing https://meded.reeldx.com/cases/531 43-year-old with cough https://meded.reeldx.com/cases/261 https://meded.reeldx.com/cases/44 https://meded.reeldx.com/cases/177 Bronchitis, Possible pneumonia Bronchospasm Bronchospasm, Wheezing Bronchspasm, Lower Respiratory Tract Infection Brown recluse spider bite, Arachnidism Burkitt’s lymphoma Burn Burn Injury, Second degree burn Candida dermatitis (diaper dermatitis) Candida dermatitis (diaper Mycoplasma pneumonia, Lower respiratory infection (viral), COPD exacerbation Bronchitis, PNA (viral vs bacterial), Bronchospasm, Other infection (cellulitis, UTI) Pneumonia, Bronchospasm, Status asthmaticus, Bronchitis Viral-induced bronchospasm, Bronchiolitis , Congenital airway anomaly , Foreign body aspiration Asthma, Bronchospasm, Upper respiratory infection (URI), Lower respiratory tract infection (LRTI), Pneumonia Brown recluse spider bite, Abscess, Cellulitis Burkitt’s lymphoma, Acute lymphoblastic leukemia (ALL) First degree burn, Second degree burn, Accidental trauma, Non-accidental trauma Second degree burn, Thirddegree burn, Thermal burn, Compartment syndrome, Circumferential burn Candidal diaper dermatitis, Irritant diaper dermatitis, Impetigo Thrush (oral candidiasis), 90-year-old with cough and fever https://meded.reeldx.com/cases/332 16-year-old with wheezing https://meded.reeldx.com/cases/374 and cough 7-month-old with expiratory wheeze https://meded.reeldx.com/cases/17 5-year-old with mild respiratory distress https://meded.reeldx.com/cases/27 6-year old with brown recluse spider bite 4-year-old with Burkitt’s lymphoma or ALL https://meded.reeldx.com/cases/415 https://meded.reeldx.com/cases/345 18-month-old with burn on https://meded.reeldx.com/cases/157 face 66-year-old with burn to the right arm https://meded.reeldx.com/cases/578 16-month-old with diaper rash https://meded.reeldx.com/cases/12 3-week-old with black https://meded.reeldx.com/cases/232 dermatitis), Oropharyngeal candidiasis (thrush), Monilial diaper rash Cavernous hemangioma Cellulitis Cellulitis Cellulitis Cellulitis of the knee Cellulitis, Abscess (nonMRSA), Congenital cyst Cellulitis, Wound infection Cephalohematoma Cerebral Vascular accident Cerebrovascular accident (CVA), Alzheimer’s disease Monilial diaper rash, Normal pigmentation, Medication stain (e.g., iron supplement, bismuth), Hemangioma, , Cellulitis, Insect bite, Local allergic reaction Lymphangitis, Cellulitis, Necrotizing fasciitis, Blood clot, Fracture, Abscess Cellulitis, Insect bite, Lymphangitis , Cellulitis of the knee, Septic joint, Abscess, Osteomyelitis, Abscess (MRSA vs nonMRSA), Cellulitis, Foreign body, Puncture wound, Congenital cyst (with infection), Laceration , Cellulitis, Avulsion, Wound healing via second intention Cephalohematoma, Vitamin K deficiency, Birth trauma, Non-accidental trauma, Severe anemia, Cerebral vascular accident (CVA), Mass lesion, Infection (mastoiditis), Anxiety, Bell’s palsy, Depression with conversion disorder CVA, GERD, Subdural hematoma , Esophageal tongue 4-month-old with a skin lesion 2-year-old with rash, swelling 40-year-old with left arm swelling https://meded.reeldx.com/cases/68 3-year-old with erythema of the foot 57-year-old with knee pain S/P total knee repair https://meded.reeldx.com/cases/115 13-year-old with preauricular abscess https://meded.reeldx.com/cases/604 10-year-old with infected toe laceration https://meded.reeldx.com/cases/142 6-day-old with large scalp hematoma https://meded.reeldx.com/cases/447 69-year-old with facial droop, weakness https://meded.reeldx.com/cases/266 85-year-old with newonset aphagia https://meded.reeldx.com/cases/402 https://meded.reeldx.com/cases/393 https://meded.reeldx.com/cases/430 https://meded.reeldx.com/cases/307 Cerebrovascular accident (CVA), Seizure stricture, Seizure vs. status epilepticus, Aspiration, Trauma, Ascertain etiology for seizure (poor sleep, infectious process), Poor compliance with antiepileptic medications, Metabolic (electrolyte imbalance associated with diarrhea, if present) , Chest pain Chest pain Chest pain Chest pain of uncertain Myocardial infarction, CHF, Pneumonia, Aortic aneurysm, Musculoskeletal pain, Arthritis, Pulmonary embolus, Pneumothorax, Trauma (accidental vs. nonaccidental), Myocardial infarction, Congestive heart failure, Aortic aneurysm, Pneumonia , Chronic obstructive pulmonary disease (COPD); e.g., emphysema, Anxiety (diagnosis of exclusion), Gastroesophageal reflux disease (GERD), Pneumothorax , Pulmonary embolus, Chest wall pain (costochondritis) Working DDx-chest pn, 7-year-old in seizure: GoPro case https://meded.reeldx.com/cases/494 Recorded ReelDx Webinar: 94-year-old with radiating chest pain (02/24/16) 90-year-old with chest pain, shortness of breath: GoPro case https://meded.reeldx.com/cases/722 94-year-old with chest pain radiating to upper abdomen: Student assessement https://meded.reeldx.com/cases/663 79-year-old difficulty https://meded.reeldx.com/cases/611 https://meded.reeldx.com/cases/432 etiology possible acid reflux, angina Chest pain of uncertain etiology Acute coronary syndrome (spectrum from angina to myocardial infarction), Thoracoabdominal aneurysm or dissection, PE, PNA, Pericarditis, GERD, Musculoskeletal strain, costochondritis, Anxiety attack MI, LVAD malfunction, Arrhythmia, Pneumonia, Pulmonary embolus, Congestive heart failure ####This child’s symptoms could also mean:, Chickenpox, Herpes simplex (herpes virus), Impetigo Cellulitis, Abscess, Necrotizing fasciitis, Allergic reaction, Trauma, Dental/gingival infection Choreoathetosis, Epilepsy, Cerebral palsy, Inborn errors of metabolism, Kernicterus, , Shoulder dislocation, Humerus fracture, Pneumothorax, Flail chest, Clavicle fracture, Pelvis fracture, Myocardial contusion Clavicle fracture, Contusion, Dislocation of the shoulder, Chest pain, Shortness of breath Chickenpox (varicella) Chin and lip cellulitis, Abscess Choreoathetosis, Chorea Clavicle fracture Clavicle fracture breathing: Includes filmed consent 47-year-old with chest pain https://meded.reeldx.com/cases/296 66-year-old with acute https://meded.reeldx.com/cases/523 onset chest pain, history of previous myocardial infarction Parent feature: 6-year-old, https://meded.reeldx.com/cases/519 vaccinated child with chickenpox 8-year-old with painful, swollen lip https://meded.reeldx.com/cases/325 11-year-old with upper arm spasticity https://meded.reeldx.com/cases/192 51-year-old in motorcycle crash: GoPro case https://meded.reeldx.com/cases/438 2-year-old won’t move right arm https://meded.reeldx.com/cases/134 Cleft lip, Cleft palate Cleft palate, Congenital Facial Anomalies, Micrognathia Proximal fracture of the humerus, Non-accidental trauma, Nursemaid’s elbow Cleft lip, Cleft palate Severe cleft palate, Microcephaly, Cleft lip, Micrognathia, Consider genetic syndrome, Close midshaft left radius and Fracture, Sprain, ulna fracture Dislocation, Soft tissue injury, Contusion, Dislocation Closed head injury, Contusion, Abrasion, Laceration, Abrasion Concussion, Intracranial bleed (very low risk based upon PECARN score), Nonaccidental trauma/neglect Closed head injury, Head Head laceration, Syncope, laceration, Atrial fibrillation, Intracranial bleed, Knee contusions, Hip Arrhythmia, Hip fracture, contusions Lower leg fracture, Aortic stenosis, Underlying infection, Anemia, Malnutrition, Stroke, Dehydration, Parkinsonian symptoms, Neurologic deficits, Cerebellar dysfunction, Acute coronary syndrome, Heart failure, Vision changes, Adverse medication reactions/interactions Closed head injury, Scalp Concussion, Skull fracture, hematoma Intracranial bleeding, Contusion, 4-day-old with cleft lip and https://meded.reeldx.com/cases/69 palate 1-day-old with severe cleft https://meded.reeldx.com/cases/443 palate & multiple facial anomalies 13-year-old with left arm pain https://meded.reeldx.com/cases/493 2-year-old with recent head injury https://meded.reeldx.com/cases/626 85-year-old with head laceration https://meded.reeldx.com/cases/308 6-year-old with hematoma on forehead https://meded.reeldx.com/cases/118 Closed head injury, Scalp laceration, Ground level fall (GLF) Closed head injury, Traumatic injury Clubfoot (congenital talipes equinovarus), Serial casting, Birth defect Coin ingestion, Foreign body ingestion Common newborn rashes Compression fractures Concussion Concussion, Laceration, Intracranial bleeding (subdural hematoma, epidural hematoma), Skull fracture, Cervical spine injury, Assess for an underlying etiology for the fall, Hyperglycemic event dka r/o, Multiple falls caused by undiagnosed peripheral neuropathy, Hypotension, CVA r/o, Cardiovascular r/o Foreign body esophagus, Foreign body in the airway, Nevus simplex, Erythema toxicum – consider herpes simplex virus, Miliaria – consider folliculitis, Pustular melanosis – consider herpes simplex virus Cervical spine injury, Thoracic spine injury, Injuries to the thorax or back (eg, myocardial contusion), Back contusion, Fracture of the spine, Subluxation injury Concussion, Cervical spine injury, Intracranial hemorrhage, Seizure, Sudden arrhythmia, Hypoglycemia, Concussion 87-year-old with head injury https://meded.reeldx.com/cases/401 73-year-old with multiple injuries from fall https://meded.reeldx.com/cases/429 4-week-old with R foot deformity https://meded.reeldx.com/cases/705 10-month-old with possible coin ingestion 3-day-old with common skin findings https://meded.reeldx.com/cases/291 https://meded.reeldx.com/cases/45 11-year-old with back pain https://meded.reeldx.com/cases/636 following diving accident 16-year-old dizzy, nauseous following football collision and suspected closed head injury https://meded.reeldx.com/cases/720 Congenital dermal melanocytosis (Mongolian spot) Congenital diaphragmatic hernia Congenital Muscular Torticollis Congenital proximal radioulnar synostosis Congenital ptosis Congenital vascular birthmark Conjunctival hemorrhage Conjunctival hemorrhage, Umbilical cord stump, Mongolian spot (congenital dermal melanocytosis), Ecchymosis, Non-accidental trauma (NAT), Congenital melanocytic nevus, , Diaphragmatic hernia, Chest wall deformity (congenital), Pulmonary hypoplasia, Pneumonia (inducing worsening respiratory distress), Rotatory atlanto-axial instability / Grisel’s disease (older children), Klippel-Feil syndrome (fixed torticollis without SCM mass), Other neck masses (Lymph Nodes…), Congenital proximal radioulnar synostosis, Congenital radial head dislocation Congenital ptosis, Horner’s syndrome, Marcus Gunn Jaw-Winking Syndrome Congenital vascular†…birthmark, Infantile hemangioma, SturgeWeber syndrome, Klippel-Trenaunay syndrome Subconjunctival hemorrhage, Scleral abrasion/laceration, Supratherapeutic INR Non-accidental trauma 3-month-old with dark spot on back https://meded.reeldx.com/cases/212 3-year-old with right-sided chest compression https://meded.reeldx.com/cases/383 1-month-old with tilted, rotated head and neck mass https://meded.reeldx.com/cases/715 14-year-old with no forearm rotation, limited elbow flexion, elbow pain 5-month-old with mild right ptosis https://meded.reeldx.com/cases/717 https://meded.reeldx.com/cases/236 4-dayhttps://meded.reeldx.com/cases/21 old with congenita l vascular birthma rk 78-year-old with acute red eye https://meded.reeldx.com/cases/303 4-day-old newborn exam https://meded.reeldx.com/cases/99 Congenital dermal melanocytosis (Mongolian spot) Conjunctivitis Conjunctivitis Conjunctivitis Conjunctivitis, Acute Otitis Media Constipation, Mesenteric adenitis Constipation, Metastatic prostate cancer Infectious conjunctivitis – viral or bacterial, Allergic conjunctivitis (pink-eye), Periorbital cellulitis, Infectious conjunctivitis – viral or bacterial, Allergic conjunctivitis, Periorbital cellulitis Allergic conjunctivitis, Viral conjunctivitis, Bacterial conjunctivitis, Periorbital conjunctivitis, Otitisconjunctivitis syndrome, Foreign body, Corneal abrasion, secondarily infected Conjunctivitis-otitis syndrome, Acute otitis media (AOM), Eustachian tube dysfunction, Serous otitis media (SOM), Conjunctivitis - viral, bacterial, allergic, Systemic viral syndrome, URI, , Constipation, Mesenteric adenitis, Appendicitis, Nephrolithiasis, Functional abdominal pain, Small bowel obstruction, Urinary tract infection (UTI) Constipation, Bowel obstruction, Metastatic cancer, Neoplastic disease, 1-year-old with inflamed conjunctiva https://meded.reeldx.com/cases/100 8-month-old with eyelid edema https://meded.reeldx.com/cases/43 2-year-old with puffy, red, encrusted eye https://meded.reeldx.com/cases/573 12-month-old with red eye, fussiness https://meded.reeldx.com/cases/248 11-year-old with 1 week abdominal pain https://meded.reeldx.com/cases/437 85-year-old with back pain, 7 days constipation https://meded.reeldx.com/cases/216 Contact dermatitis, Poison oak Contusion Contusion of the coccyx Contusion, Sprain of the Thumb COPD exacerbation, Chronic obstructive pulmonary disease exacerbation COPD exacerbation, Shortness of breath, Dyspnea Corneal abrasion Corneal Ulceration, Corneal Scarring Diverticulitis, Obstipation, Contact dermatitis, Urticaria, Accidental trauma, Contusion, Non-accidental trauma, Tinea corporis , Contusion of the coccyx, Fracture of the coccyx, Fracture of the sacrum, Contusion, Fracture, Sprain, Dislocation Congestive heart failure, Myocardial infarction, Medication non-compliance, COPD exacerbation, Pneumonia , Pulmonary embolism , Myocardial infarction, COPD exacerbation, Asthma exacerbation, Pulmonary embolus, Rib fracture, Pneumonia Corneal or scleral abrasion, Corneal or scleral retained foreign body, Scleral laceration, Subconjunctival hemorrhage Pneumonia , HIV, Corneal scarring , Rickets , Vitamin A deficiency, Varicella infection, Pseudomonas infection, Congenital toxoplasmosis infection, Herpes Simplex, Eye trauma 17-year-old with pruritic rash 16-month-old with idiopathic skin lesions https://meded.reeldx.com/cases/61 36-year-old with coccyx pain https://meded.reeldx.com/cases/265 23-year-old with right thumb pain 82-year-old with shortness of breath https://meded.reeldx.com/cases/225 64-year-old with 5 days worsening dyspnea, SOB (includes IV/ECG placement) https://meded.reeldx.com/cases/510 8-year-old with eye pain and redness https://meded.reeldx.com/cases/251 16-month-old with HIV presents with corneal scarring in Africa https://meded.reeldx.com/cases/442 https://meded.reeldx.com/cases/20 https://meded.reeldx.com/cases/264 Cough, Shortness of breath Croup Croup Croup Croup, Stridor Croup, Stridor Croup, Stridor Cryptorchidism (undescended testicles) Cryptorchidism (undescended testicles) Pneumonia, Myocardial Infarction, Congestive heart failure exacerbation, Pulmonary edema, Pulmonary embolus, COPD exacerbation Croup, Epiglottitis, Tracheitis, Foreign body ingestion, Retropharyngeal abscess Croup, Foreign body, Upper respiratory infection, Epiglottitis, Tracheitis, Retropharyngeal abscess, Croup, Foreign body ingestion, Bacterial tracheitis, Epiglottitis Croup, Epiglottitis, Tracheitis, Foreign body ingestion, Retropharyngeal abscess Croup, Asthma, Allergic reaction, Airway foreign body, Bacterial tracheitis, Epiglottitis, Pneumonia, Differential diagnosis for child with acute-onset upper airway obstruction:, Airway foreign body, Bacterial tracheitis, Epiglottitis, Gonadal failure, Cryptorchidism, Consider other congenital syndromes such as Prader-Willi, Undescended testes, Retractile testes , Absent 83-year-old with shortness of breath, chest pressure: GoPro case https://meded.reeldx.com/cases/464 2-year-old with cough and difficulty breathing https://meded.reeldx.com/cases/365 11-month-old with wheezing, cough, fever https://meded.reeldx.com/cases/565 8-month-old with cough, stridor https://meded.reeldx.com/cases/416 2-year-old with cough and stridor with cry https://meded.reeldx.com/cases/311 5-year-old with respiratory distress https://meded.reeldx.com/cases/428 2-year-old with cough and stridor with cry https://meded.reeldx.com/cases/387 8-yearold with bilateralâ €…cryptorchidism https://meded.reeldx.com/cases/385 2-week-old with undescended testicles https://meded.reeldx.com/cases/16 Cyst Diaper Rash, Rash, Candida dermatitis (diaper dermatitis) Dog bite testes (indicating disorders of sexual development, such as congenital adrenal hyperplasia), Cyst, Hemangioma, Hematoma, Cellulitis, Caput, Cranial tumor , Herpes simplex virus (HSV), if vesicular Diaper candidiasis, Irritant diaper dermatitis, Bacterial diaper dermatitis, Atopic dermatitis Animal bite, Cellulitis, Fracture, Rabies , Drug allergy, Dental abscess, Cutaneous fistula Drug allergy, Dental abscess, Cutaneous fistula Drug eruption Drug rash Drug rash Dental abscess with fistula, Acute drug allergy, Anaphylaxis, Ludwig’s angina, Parapharyngeal abscess Drug eruption (amoxicillin), Viral exanthem, Allergic rash (food), Diffuse contact dermatitis Atopic dermatitis, Acne vulgaris, MRSA, Folliculitis, Drug rash, Contact dermatitis Viral exanthem, Amoxicillin allergy, Mononucleosis, Other viral illiness, Contact 2-day-old with soft bump on head https://meded.reeldx.com/cases/113 2-month-old with 3 days diaper rash https://meded.reeldx.com/cases/22 13-year-old with a dog https://meded.reeldx.com/cases/127 bite on the leg Recorded ReelDx https://meded.reeldx.com/cases/721 Webinar: 22-year-old noncompliant patient with allergic and infectious process (02/03/16) 22-year-old noncompliant https://meded.reeldx.com/cases/675 patient with a neck abscess presents with new onset rash 8-month-old with pink, raised rash https://meded.reeldx.com/cases/243 17-year-old with rash, recent hospitalization https://meded.reeldx.com/cases/590 15-year-old with rash after https://meded.reeldx.com/cases/436 starting course of amoxicillin Drug rash, Contact dermatitis, Rhus dermatitis Drug rash, Contact dermatitis, Umbilical hernia Dvelopmental delay, Mutism, Hypotonia Dyshidrotic eczema Dyshidrotic eczema, Acute palmoplantar eczema Dyspnea, Hypoxemia Ecchymosis dermatitis Rhus contact dermatitis (from poison ivy/oak/sumac oil), Other contact dermatitis, Impetigo , Eczema Umbilical hernia, Contact dermatitis, Cellulitis, , Acute palmoplantar eczema (dyshidrotic eczema), Palmoplantar pustulosis, Topical dermatitis, Friction blisters , Burn, Contact dermatitis, Tinea Pedis, Mulloscum contagiosum, Acute palmoplantar eczema (dyshidrotic eczema), Palmoplantar pustulosis, Topical dermatitis, Friction blisters , Burn, Contact dermatitis, Gonococcal infection Pulmonary edema, Congestive heart failure, Pneumonia, Pulmonary embolus, Myocardial infraction, Ecchymosis, Hemangioma, Hyperpigmented lesion (cafe au lait), Port-wine stain, Nevus simplex, Accidental trauma, Nonaccidental trauma, 8-year-old with rash on face https://meded.reeldx.com/cases/244 5-week-old with umbilical bulge and rash 7-year-old with global developmental delay and mutism 15-year-old with vesicular rash on feet https://meded.reeldx.com/cases/109 13-year-old with vesicular sores on palms https://meded.reeldx.com/cases/111 79-year-old dialysis patient with difficulty breathing: GoPro case https://meded.reeldx.com/cases/538 1-year-old with forehead discoloration https://meded.reeldx.com/cases/198 https://meded.reeldx.com/cases/696 https://meded.reeldx.com/cases/482 Eczema, Cellulitis, Eczema herpeticum Emesis - Etiology unclear Encephalocele, Neural tube defect Endocarditis Epilepsy, Possible toxin ingestion, Respiratory Distress, Altered Mental Status Epistaxis, Allergic Rhinitis Erythema infectiosum (fifth Eczema herpeticum, Impetigo, Contact dermatitis, Cellulitis Myocardial ischemia, Mesenteric ischemia, Cholecystitis, Gastroenteritis, Dehydration, Diabetic ketoacidosis (new-onset DM unusual in 85 y/o female), Anxiety, Arrhythmia 2-year-old with eczema and new-onset rash https://meded.reeldx.com/cases/110 85-year-old with 2 hours nausea, vomiting and abdominal pain https://meded.reeldx.com/cases/396 3-week-old presents with an encephalocele Working diagnosis 60-year-old with endocarditis with likely abdominal pain, altered septic emboli to brain, Other mental status infection (meningitis, UTI, pneumonia), Stroke, Sinus venous thrombosis, Dehydration, Electrolyte abnormality (Hyponatremia, hypokalemia), Seizure, Hypoglycemia, 10-year-old with Toxidrome, Sepsis, Trauma respiratory distress, altered mental status and hypoglycemia Rhinitis, Foreign body 6-year-old with ~1w (common in toddler age bilateral nosebleeds children), Mechanical (“picking the nose”), Von Willebrand disease, Leukemia or other bloodborne neoplasm, Thrombocytopenia (e.g., ITP), Trauma Erythema infectiosum (fifth 12-month-old with fever https://meded.reeldx.com/cases/685 https://meded.reeldx.com/cases/405 https://meded.reeldx.com/cases/474 https://meded.reeldx.com/cases/595 https://meded.reeldx.com/cases/317 disease; parvovirus B19) Erythema infectiosum (fifth disease; parvovirus B19) Erythema infectiosum (fifth disease; parvovirus B19) Erythema infectiosum (fifth disease; parvovirus B19) Erythema multiforme minor Erythema multiforme minor Erythema multiforme minor, Drug Rash Erythema nodosum Esotropia disease; parvovirus B19) , Urticaria (hives), Contact dermatitis, Viral exanthem Erythema infectiosum (fifth disease; parvovirus B19) , Urticaria, Contact dermatitis, Viral exanthem , Scarlet fever, Cellulitis Erythema infectiosum (fifth disease; parvovirus B19) , Urticaria (hives), Contact dermatitis, Viral exanthem , Drug rash Erythema infectiosum (fifth disease; parvovirus B19) , Urticaria, Contact dermatitis, Viral exanthem , Erythema multiforme minor, Hives, Allergic reaction Erythema multiforme minor due to bacterial, viral or post-viral reaction, Urticarial drug reaction, JRA, SLE (lupus), HSP, Pregnancy, Mononucleosis Erythema multiforme minor, Erythema multiforme major, Urticaria , Viral exanthem, Erythema nodosum, Strep infection, Cellulitis, Abscess (multi-focal), Insect bites, Urticaria, Viral exanthem, Accommodative esotropia, Acquired nonaccommodative esotropia, and rash 4-year-old with fever and rosy cheeks https://meded.reeldx.com/cases/278 10-month-old with red, macular, spreading rash https://meded.reeldx.com/cases/323 2-year-old with “slapped cheek†rash https://meded.reeldx.com/cases/50 2-year-old with rash https://meded.reeldx.com/cases/338 15-year-old with nonpruritic, blanching rash https://meded.reeldx.com/cases/316 1-year-old with “bullseye” rash https://meded.reeldx.com/cases/38 9-year-old with raised, tender bumps over shin bones https://meded.reeldx.com/cases/492 3-year-old with “drifting” eye https://meded.reeldx.com/cases/280 ETOH Withdrawal, Tachycardia, Delerium tremens, Non-cardiac chest pain Eustachian tube dysfuction Eustachian tube dysfunction Excluding infant trauma External ear foreign body Pseudostrabismus, CNS mass #### Tremor: , Alcohol withdrawal, Anxiety, Benign essential tremor, , #### Lower chest/abdominal pain:, Acute coronary syndrome, Aortic aneurysm or dissection, Pancreatitis, Alcoholic hepatitis, Gastritis/gastroesophageal reflux/peptic ulcer disease, Biliary colic/cholecystitis, Boerhaave’s syndrome (esophageal tear associated with forceful vomiting; especially in alcoholics) Acute otitis media, Serous otitis media, Eustachian tube dysfunction (ETD), Upper respiratory infection Eustachian tube dysfunction (ETD), Acute otitis media, Nasal congestion, Otitis media with effusion, Myringitis Blunt abdominal trauma, Closed head injury or concussion, Intracranial bleed (eg, epidural hematoma), Non-accidental trauma - evaluate for child abuse, Fracture (esp long bone, ribs) Ear foreign body (insect), Perforation of the tympanic 58-year-old with tremors and chest pain https://meded.reeldx.com/cases/227 9-year-old with right otalgia https://meded.reeldx.com/cases/272 15-year-old with otalgia https://meded.reeldx.com/cases/178 7-week-old sat on by dad: Evaluate for blunt trauma injuries https://meded.reeldx.com/cases/647 18-month-old with fly in ear https://meded.reeldx.com/cases/360 Facial cellulitis, Dental caries Facial cellulitis, Tooth abscess Facial nerve paralysis (Bell’s palsy) Facial nerve paralysis (Bell’s palsy) Facial nerve paralysis (secondary to birth trauma) Facial trauma, Facial membrane, Otitis externa, Bleeding in the external ear canal Tooth abscess, Facial cellulitis, Tooth abscess, Facial cellulitis, Sinusitis Bell’s Palsy, Acute or chronic otitis media , Osteomyelitis of the skull base , Neoplastic (onset of palsy is usually slow and progressive), Skull-base tumor , Temporal bone fracture , Mandibular bone fracture , Multiple sclerosis, Myasthenia gravis (should be considered in cases of recurrent or , bilateral facial palsy) , Guillain-Barré syndrome (may also present with bilateral facial palsy) , Mononeuritis or polyneuritis Bell’s palsy , Neoplastic lesion (e.g. acoustic neuroma), Otitis media, Consider Lyme disease in endemic areas, Consider Ramsay Hunt syndrome with an associated vesicular rash Facial nerve palsy due to trauma, Congenital facial nerve paralysis Facial laceration, Eyelid 6-year-old with facial swelling 2-year-old with unilateral facial edema 18-year-old with R facial muscle weakness + ipsilateral facial pain https://meded.reeldx.com/cases/282 4-year-old with acuteonset, unilateral facial weakness https://meded.reeldx.com/cases/28 2-day-old with unilateral facial paralysis https://meded.reeldx.com/cases/48 18-year-old in motor https://meded.reeldx.com/cases/342 https://meded.reeldx.com/cases/36 https://meded.reeldx.com/cases/562 lacerations, Eyelid lacerations, Foreign body, Maxillary fracture, Flourescein Exam Fall, Failure to thrive, Trail house (garbage house), Possible overdose (OD) Fall, Rule out closed head injury, Rule out non-accidental trauma Femoral Anteversion Fever Fever Fever, Irritable child, Bulging fontanelle laceration, Fracture of the orbit, Maxilla injury (fracture), Corneal abrasion, Retained foreign body, Complete trauma eval for injuries outside the face, Ground level fall (GLF), Restless legs syndrome, Dehydration, Failure to thrive, CVA/stroke, Concussion, Intracranial bleed (e.g., subdural hematoma), Arrhythmia, Poor medical compliance (e.g., under/overdosed) Concussion, Closed head injury, Non-accidental trauma and/or neglect, Fracture of the skull or other bones, Hematoma, Seizure Knee valgus, Functional Gait Disorders (Spasticity of the hip adductors) Lower tract UTI, Pyelonephritis, Stent infection, Sepsis, Kidney stone (nephrolithiasis), Ureteral stone , , Febrile seizure (postictal state), Upper airway obstruction, Bronchiolitis, Sepsis, Meningitis, Fever, , , Meningitis, bacterial, Meningitis, viral, Meningitis, tuberculosis, Non-accidental trauma, , vehicle accident (MVA) 74-year-old fell out of bed; https://meded.reeldx.com/cases/500 altered mental status: GoPro case 7-week-old fell off table https://meded.reeldx.com/cases/459 9-year-old with difficulty walking and running https://meded.reeldx.com/cases/706 51-year-old with fever and pain with urination: GoPro case https://meded.reeldx.com/cases/586 5-month-old with difficulty breathing: GoPro Case https://meded.reeldx.com/cases/535 5-monthhttps://meded.reeldx.com/cases/348 old with 4 days fever, bulging font anelle Fever, Vomiting Finger amputation, Self-harm, Psychosis Finger laceration Forearm fracture Fracture, Boxer’s fracture, Hand fracture Fracture, clavicle Fracture, Osteomyelitis Viral syndrome, Acute otitis media, Pharyngitis, Pneumonia, Intussusception, Gastroenteritis, Dehydration, Febrile seizure Trauma, Self-mutilation, Dementia, Psychosis , Hypovolemic shock Abrasion, Laceration, Nailbed laceration Fracture (open vs closed), Contusion, Sprain, Dislocation Fracture, Contusion, Dislocation, Fracture, Contusion, Dislocation of the shoulder, Proximal fracture of the humerus Osteomyelitis, Cellulitis, Abscess, Pathologic fracture (leukemia), Tuberculosis Friedreich ataxia G-tube obstruction Gallstones (cholelithiasis) Equipment failure, Cerebral palsy, Epilepsy, Scoliosis, Cohen syndrome, Osteoporosis, Kidney failure, Developmental delay Gallstones, Constipation, Urinary tract infection (UTI), Medication side effects, Pregnancy, Ectopic 4-month-old with fever, vomiting: GoPro case https://meded.reeldx.com/cases/615 85-year-old amputation of distal fingertip from selfharm (bite injury) 36-year-old with finger laceration 9-year-old L arm deformity: GoPro case https://meded.reeldx.com/cases/682 13-year-old with knuckle pain and swelling 7-year-old with clavicle pain after injury https://meded.reeldx.com/cases/105 8-year-old with nonhealing wound on leg https://meded.reeldx.com/cases/518 52-year-old with 10y poor balance and ataxia 17-year-old with G-tube obstruction: GoPro case https://meded.reeldx.com/cases/655 16-year-old with abdominal pain https://meded.reeldx.com/cases/330 https://meded.reeldx.com/cases/271 https://meded.reeldx.com/cases/456 https://meded.reeldx.com/cases/49 https://meded.reeldx.com/cases/502 Gallstones (cholelithiasis) Gibbous deformity of the spine, Pott disease Gingivostomatitis, Molluscum contagiosum Granuloma Graves’ disease Ground level fall (GLF) Ground level fall (GLF), Hip contusions Ground level fall (GLF), Laceration pregnancy, Functional abdominal pain, Conversion disorder, Pancreatitis Cholecystitis, Gallstones, Constipation, Urinary tract infection (UTI), Medication side effects, Pregnancy, Ectopic pregnancy, Functional abdominal pain, Conversion disorder, Pancreatitis TB of the spine, Gibbous deformity, Pott disease, HIV, Malaria, Viral exanthem, Molluscum contagiosum, HSV-1 infection, Gingivostomatitis, Viral syndrome, Gingivitis, Granuloma, Self-mutilation, Depression, Neoplasm Graves’ disease, Hashimoto thyroiditis, Anxiety Concussion, Skull fracture, Cervical spine injury, Hematoma, CVA, Assess for an underlying etiology for the fall (eg, arrhythmia), Working DDx – r/o hip, pelvis, femur FX, dislocation, muscle/soft injury Ground level fall (GLF), Lacerations, R/O cardiac cause, Bundle branch block (BBB), Sick sinus 41-year-old with acute abdominal pain https://meded.reeldx.com/cases/497 12-month-old with chronic cough https://meded.reeldx.com/cases/690 4-year-old with rash on gums and leg https://meded.reeldx.com/cases/607 17-year-old with inflamed growth on fingertip 16-year-old with ADHD presents with chest pain and exophthalmos 96-year-old ground level fall: GoPro case https://meded.reeldx.com/cases/480 69-year-old with hip pain from ground level fall: GoPro case https://meded.reeldx.com/cases/463 80-year-old with lacerations from fall: GoPro case https://meded.reeldx.com/cases/458 https://meded.reeldx.com/cases/42 https://meded.reeldx.com/cases/503 Hair tourniquet, Toe injury Hand Foot and Mouth Disease Hand Foot and Mouth Disease Hand Foot and Mouth Disease Hand Foot and Mouth Disease syndrome, Orthostatic BP changes Hair tourniquet, Laceration, Fracture Hand, foot and mouth disease (coxsackievirus), Varicella (chickenpox), Cellulitis, Papular acrodermatitis of childhood (aka Gianotti-Crosti syndrome) , Papular urticaria (hives), Scabies Hand, foot and mouth disease (coxsackievirus), Varicella (chickenpox), Staph species skin infection , Papular acrodermatitis of childhood (aka GianottiCrosti syndrome) , Papular urticaria (hives) Hand, foot and mouth disease (coxsackievirus), HSV infection - think of a herpetic whitlow (painful), Petechiae (for the pin-point red lesions), Viral exanthem, Rocky Mountain spotted fever, Gonorrhea Hand, foot and mouth disease (coxsackievirus), Varicella (chickenpox), Staph species skin infection , Papular acrodermatitis of childhood (aka GianottiCrosti syndrome) , Papular urticaria (hives), Eczema 7-month-old with hair tourniquet on toe 2-year-old with rash in diaper area https://meded.reeldx.com/cases/79 2-year-old with vesicular rash https://meded.reeldx.com/cases/145 15-month-old with fever and lesions on hands and feet https://meded.reeldx.com/cases/200 3-year-old with sores around the mouth https://meded.reeldx.com/cases/103 https://meded.reeldx.com/cases/107 Hand Foot and Mouth Disease, Onychomadesis, Coxsackievirus, Nail shedding Hand laceration Head laceration, Facial trauma, Traumatic injury Head laceration, Head trauma, Knife wound Head Lice Headache Heart disease, Cardiac disease, Pulmonary hypertension Hemangioma coxsackium Hand, foot and mouth disease (coxsackievirus), Onychomadesis (nail shedding), Varicella (chickenpox), Staph species skin infection, Papular acrodermatitis of childhood (aka Gianotti-Crosti syndrome), Laceration, Abrasion, Contusion Intracranial injury, Cervical spinal injury, Superficial trauma, Occult trauma Head trauma, Thoracic trauma, Stab wounds, Early hemorrhagic shock, Assorted other injuries, Head lice, Dried hairspray or gel, Seborrhea Tension headache, Migraine headache, Anxiety, School avoidance, Meningitis Congenital heart disease, Rheumatic heart dis ease, Other shunting lesio ns, Pulmonary hypertensio n, ASO Hemangioma (strawberry, infantile), Pyogenic granuloma, Traumatic 2-year-old with proximal shedding of finger/toe nails https://meded.reeldx.com/cases/181 3-year-old with hand laceration 80-year-old with facial trauma from plane crash https://meded.reeldx.com/cases/334 37-year-old with head trauma from knife assault https://meded.reeldx.com/cases/425 12-year-old with chronic, severe head lice infestation 11-year-old with 3 days headache https://meded.reeldx.com/cases/153 8-yearold with fatigue, malaise https://meded.reeldx.com/cases/350 5-month-old with red bump on abdomen https://meded.reeldx.com/cases/235 https://meded.reeldx.com/cases/423 https://meded.reeldx.com/cases/434 Hemangioma Hemangioma Hemangioma Hemangioma Hemangioma, Infantile Hemangioma, Strawberry hemangioma Hemangioma, Infantile Hemangioma, Strawberry hemangioma Hematemesis Hematoma, Chronic Ecchymosis hematoma, Vascular malformation Hemangioma (strawberry, infantile), Pyogenic granuloma, Traumatic hematoma, Hemangioma, Cellulitis, Insect bite, Hematoma Hemangioma, Neoplastic mass, Cellulitis, Trauma, Parotitis Hemangioma (strawberry, infantile), Pyogenic granuloma, Traumatic hematoma Hemangioma (strawberry, infantile), Pyogenic granuloma, Traumatic hematoma, Capillary malformation, Hemangioma (strawberry, infantile), Capillary malformation, Pyogenic granuloma, Hypovolemic shock, Liver failure, Hepatitis, Esophagitis, Gastritis, Peptic ulcer disease, Gastric varices, Mallory Weiss tear, Pancreatitis, Portal hypertension Hematoma, Cellulitis, Thrombophlebitis, Ulcer, Trauma including abuse or neglect, Thrombocytopenia, Platelet dysfunction 1-year-old with red lesion on the torso https://meded.reeldx.com/cases/196 14-month-old with red lesion on neck 6-month-old with swollen R parotid gland https://meded.reeldx.com/cases/392 18-month-old with birthmark on R arm https://meded.reeldx.com/cases/203 5-month-old with enlarging birthmark on left shoulder blade https://meded.reeldx.com/cases/252 4-month-old with red, lobulated skin lesion https://meded.reeldx.com/cases/176 34-year-old with hematemesis: GoPro case https://meded.reeldx.com/cases/530 91 year old woman with right leg pain https://meded.reeldx.com/cases/218 https://meded.reeldx.com/cases/481 Hemoperitoneum, Abdominal trauma Hemophilus species s uspected otitisconjunctivitis Henoch-Schonlein purpura Henoch-Schonlein purpura Henoch-Schonlein purpura (medications, uremia), Acquired coagulation disorders – liver disease, vitamin K deficiency, Purpura in sepsis, Anemia from extensive hematoma, Warfarin-induced skin necrosis, Compartment syndrome, Deep vein thrombosis Kidney, liver or splenic laceration, Badder injury, Bowel injury, Hypovolemic shock Conjunctivitis-otitis syndrome , Bacterial conjunctivitis (e.g.: strep pneumo, moraxella catarrhalis), Systemic viral infection (e.g.: adenovirus), Seasonal allergies Henoch-Schonlein purpura, Thrombocytopenia Henoch-Schonlein Purpura, EBV infection, Juvenile idiopathic arthritis (Still’s disease), Systemic lupus erythromatosis (SLE), Thrombocytopenic disease (ITP, TTP, DIC), Rickettsial disease, Purpura fulminans, Other vasculitis entities, Henoch-Schonlein purpura, Drug rash, Thrombocytopenic purpura 4-year-old with abdominal injury s/p motor vehicle accident (MVA) https://meded.reeldx.com/cases/580 4-year-old with ear pain and inflamed conjunctiva https://meded.reeldx.com/cases/15 5-year-old with pruritic rash 16-year-old with rash, abdominal pain and joint pain https://meded.reeldx.com/cases/329 9-year-old with 4 days rash, abdominal pain & vomiting https://meded.reeldx.com/cases/201 https://meded.reeldx.com/cases/326 Henoch-Schonlein purpura Henoch-Schonlein purpura Herpangina Herpes gladiatorum Herpes virus simplex 1 (HSV1) Herpes virus simplex 1 (HSV1) Herpes zoster (shingles) High blood pressure, Fall, Failure to thrive, Ground level fall (GLF), Trail house (garbage house) (TTP), Idiopathic thrombocytopenic purpura (ITP), Leukemia Henoch-Schonlein purpura, Drug rash, Thrombocytopenic purpura (TTP), Idiopathic thrombocytopenic purpura (ITP) Meningococcemia, Varicella, Nonspecific viral exanthem, Erythema multiforme, Henoch Schonlein Purpura (HSP) Herpangina (coxsackievirus), Hand, foot and mouth disease (coxsackievirus), Herpes simplex infection , Aphthous ulcers, Pharyngitis (viral or bacterial) Herpes gladiatorum, Impetigo, Shingles Herpetic eyelid lesion, Impetigo, Contact dermatitis Herpes simplex virus, Varicella-zoster virus, Impetigo Herpes zoster (shingles), Abscess, Atopic dermatitis, Primary varicella infection, Contact dermatitis, Cellulitis Ground level fall (GLF), Hypertension, Dehydration, Failure to thrive, Pelvis fracture, Back contusion, 5-year-old with pruritic rash & abdominal pain https://meded.reeldx.com/cases/31 Unvaccinated 2-year-old with fever and purpuric rash https://meded.reeldx.com/cases/709 5-year-old with sore throat https://meded.reeldx.com/cases/18 and fever 18-year-old with a rash on the neck 3-year-old with lesion on left eyelid 6-year-old with painful vesicle on the face https://meded.reeldx.com/cases/76 5-year-old with leg pain, rash https://meded.reeldx.com/cases/460 84-year-old unknown medical alarm: GoPro case https://meded.reeldx.com/cases/441 https://meded.reeldx.com/cases/399 https://meded.reeldx.com/cases/46 Hip pain Hirschsprung’s Disease, Constipation HIV stage 3, Lymphadenopathy Hordeolum Hordeolum Hot tub folliculitis Hydrocephalus Hydrocephalus Hyperglycemia, Diabetes Fracture of the spine, CVA/stroke Toxic synovitis, Shingles, Leukemia, Other neoplastic disease, Legg-calve-perthes disease, Septic arthritis Hirschsprung disease, Functional constipation, Abdominopelvic mass, Malrotation, Volvulus, Lymphadenitis, HIV, Tuberculosis (TB), Atypical mycobacterial infection, Leukemia, Lymphoma Hordeolum (stye), Insect bite, Chalazion, Periorbital cellulitis, Eyelid abscess (MRSA), Foreign body, Chalazion, Hordeolum (stye), Peri-orbital (preseptal) cellulitis, Abscess Hot tub folliculitis, Heat rash, Varicella (chickenpox), Cercarial dermatitis (swimmer’s Itch), Congenital hydrocephalus, Acquired hydrocephalus, Meningitis Congenital hydrocephalus, Acquired hydrocephalus, Meningitis, Hyperglycemia, Misuse of medication, Stress, Inappropriate diet, Trauma (physiologic stress), Infection (physiologic 7-year-old with 4 days limp, knee pain https://meded.reeldx.com/cases/561 1-year-old with severe constipation https://meded.reeldx.com/cases/9 13-year-old Masai girl with https://meded.reeldx.com/cases/692 sore, tender lymph nodes in neck 7-year-old with eyelid swelling https://meded.reeldx.com/cases/337 11-year-old with red, swollen lump on eyelid https://meded.reeldx.com/cases/71 7-year-old with 3 days pustular rash https://meded.reeldx.com/cases/24 3-month-old with severe hydrocephalus https://meded.reeldx.com/cases/351 3-month-old with macrocephaly and respiratory distress 52-year-old diabetic with altered mental status: GoPro case https://meded.reeldx.com/cases/151 https://meded.reeldx.com/cases/440 Hyperglycemia, Diabetes Hypertension, Diarrhea, Malaise, Emesis Hyperthyroidism stress), Myocardial infarction/stroke/pulmonary embolism (physiologic stress), , Refusal of care, Social reason, Fear of medical system, Fear of medical diagnosis, Misunderstanding of situation, Hypoxia, Hypoglycemia, Metabolic derangement, Intoxication, Head trauma, , Working diagnosis: Hyperglycemia due to insufficient antihyperglycemic medications Hyperglycemia, Stroke, Metabolic abnormality, Intracranial bleeding or trauma, Intoxication, Diabetic ketoacidosis, hyperosmolar non-ketotic state, Infection, Working diagnosis: Weakness and hyperglycemia Electrolyte abnormality (hypokalemia), Dehydration, Hypertensive crisis, Myocardial infarction, Hyperthyroidism, Peptic ulcer diasease Superventricular tachycardia, Hyperthyroidism, Atrial fibrillation, Pulmonary embolism, Dehydration, 74-year old with shaking and altered level of consciousness (ALOC): GoPro case https://meded.reeldx.com/cases/439 64-year-old with weakness and diarrhea: Includes student IV insertion https://meded.reeldx.com/cases/617 39-year-old with tachycardia https://meded.reeldx.com/cases/391 Hyphema Hypospadias Hypospadias Hypospadias Hypotension Idiopathic urticaria (hives) Impetigo Impetigo Impetigo, Cellulitis, Lymphangitis, Dental Trauma Impetigo, Rash Infantile seborrheic dermatitis (cradle cap) Anxiety Hyphema, Corneal 14-year-old with eye injury abrasion, Open globe injury, Traumatic iritis Hypospadias, Duplicated 4-month-old with urethral meatus, Urethral stenosis opening on underside of penis Hypospadias, Duplicated 2-week-old twins with meatus, Urethral stenosis identical urethral openings on underside of penises Hypospadias, Duplicated 3-month-old with urethral meatus, Urethral stenosis opening on underside of penis Hypotension (primary or 90-year-old with related to medication), dizziness, blurred vision Dehydration, Arrhythmia, CVA/stroke, Myocardial infarction, Medication overdose or noncompliance, Metabolic disturbance (electrolyte abnormality, eg hypokalemia), , Acute urticaria (hives), 1-year-old with raised, Contact dermatitis, red, spreading rash Erythema multiforme, Impetigo, Herpes type 1, 4-year-old with facial rash Tinea, Cellulitis, Impetigo, Tinea, Herpetic 2-year-old with 2-days impetigo rhinorrhea and facial rash Lymphangitis, Cellulitis, 4-year-old with streaking Necrotizing fasciitis, erythema of the arm Impetigo, Tinea, Herpetic 3-year-old with facial rash impetigo Infantile seborrheic 4-month-old with yellow dermatitis (cradle cap), plaque on scalp https://meded.reeldx.com/cases/414 https://meded.reeldx.com/cases/202 https://meded.reeldx.com/cases/256 https://meded.reeldx.com/cases/175 https://meded.reeldx.com/cases/632 https://meded.reeldx.com/cases/95 https://meded.reeldx.com/cases/496 https://meded.reeldx.com/cases/32 https://meded.reeldx.com/cases/106 https://meded.reeldx.com/cases/58 https://meded.reeldx.com/cases/610 Infantile seborrheic dermatitis (cradle cap) Infantile seborrheic dermatitis (cradle cap) Influenza A Ingestion, Chemical Ingestion of Lye Ingrown toenail (unguis incarnatus) Inguinal hernia Inguinal hernia Insect bite Insect bite Insect bite, Cellulitis, Rash Insect bite, Cellulitis, Rash of unclear etiology Insect bites, Bug bites Psoriasis, Cellulitis, Atopic dermatitis Infantile seborrheic dermatitis (cradle cap), Tinea capitis (scalp ringworm), Contact dermatitis, Cellulitis Infantile seborrheic dermatitis (cradle cap), Psoriasis, Cellulitis, Atopic dermatitis Influenza, Gastroenteritis, Viral syndrome Accidental poisoning, Lye exposure, Chemical burn, Tongue edema Nail bed trauma, Paronychia, Inguinal hernia, Inguinal lymphadenopathy, Hydrocele , Lymphoma Inguinal hernia, Inguinal lymphadenopathy, Hydrocele , Lymphoma, Insect bite, Mastoiditis, Cellulitis, Trauma, Insect bite, Cellulitis, Trauma, Insect bites, Cellulitis Lyme disease, Spider bite, Other insect bite, Cellulitis, Abscess, Insect bites, Varicella, Contact dermatitis, Viral exanthem, Allergic reaction 2-month-old with scalp rash https://meded.reeldx.com/cases/197 5-month-old with scalp rash https://meded.reeldx.com/cases/8 5-year-old with fever and emesis 4-year-old swallowed lye https://meded.reeldx.com/cases/287 12-year-old with severe ingrown toenails 15-year-old with painless bulge in groin area https://meded.reeldx.com/cases/74 5-year-old with painless bulge in inguinal area https://meded.reeldx.com/cases/84 https://meded.reeldx.com/cases/413 https://meded.reeldx.com/cases/341 9-year-old with ear edema https://meded.reeldx.com/cases/62 9-year-old with severe eyelid inflammation 4-year-old with pruritic, red bumps 78-year-old with insect bite surrounded by solid red ring 3-year-old with bumps on face https://meded.reeldx.com/cases/108 https://meded.reeldx.com/cases/126 https://meded.reeldx.com/cases/643 https://meded.reeldx.com/cases/233 Intraorbital floor fracture, Corneal abrasion Intussusception IV placement, Diarrhea Jaundice Jaundice, Normal newborn Keratosis pilaris Kerion with Id reaction (autoeczematization) Kwashiorkor Corneal abrasion, Orbital wall fracture, Contusion, Hyphema, Facial bone fracture; retro-orbital hematoma, Injury to the infraorbital nerve, Intussusception, Constipation, Bowel obstruction, Gastroenteritis, Viral syndrome Diarrhea, Hypotension, Dehydration, GI bleed (upper vs. lower) 66-year-old with periorbital deformity https://meded.reeldx.com/cases/268 1-year-old with abdominal pain and vomiting https://meded.reeldx.com/cases/508 84-year-old with rectal pain, diarrhea: Paramedic student places an IV en route Hepatitis, Neoplasm (eg, 72-year-old with “dark pancreatic, urine”, painless jaundice cholangiocarcinoma), Biliary and scleral icterus obstruction (eg, stone), Fatty liver, Cholecystitis, Cirrhosis, Cholelithiasis, Pancreatitis, Physiologic newborn 2-day-old demonstrating jaundice, Breastfeeding normal newborn features: jaundice, Part 1 Keratosis pilaris, Acne 5-year-old with painless vulgaris, Atopic dermatitis, skin bumps Folliculitis Kerion with id reaction 3-year-old with itchy rash (autoeczematization), Drug spreading to whole body allergy reaction, Cradle cap, Seborrheic dermatitis, Cellulitis, Abscess, Tinea corporis Kwashiorkor malnutrition, 2-year-old with severe Nephrotic syndrome, malnutrition Protein losing enteropathy https://meded.reeldx.com/cases/522 https://meded.reeldx.com/cases/528 https://meded.reeldx.com/cases/137 https://meded.reeldx.com/cases/37 https://meded.reeldx.com/cases/336 https://meded.reeldx.com/cases/147 Laceration Laceration, Suture repair Left distal radius fracture Left hip pain Left knee pain Left mid-shaft clavicle fracture Left radial head subluxation (Nursemaid’s elbow) Leopard syndrome Leprosy, Filariasis Lingual fibroma Lymphangitis Malnutrition, Biliary atresia, Agonal respirations Laceration, Contusion, Abrasion Fracture, Laceration, Contusion, Joint capsule disruption Fracture, Septic joint, Contusion, Sprain Toxic synovitis, Septic arthritis, Osteomyelitis, Fracture , Non-accidental trauma LCL injury, ACL injury, MCL injury, Meniscal injury, Ruptured Baker’s cyst Contusion, Clavicle fracture, Dislocated shoulder, Acromio-clavicular (AC) separation, Humerus fracture, Rotator cuff injury Wrist contusion, Radial head subluxation, Distal radius fracture, Supracondylar fracture, , 4-year-old with foot laceration 23-year-old with knee injury from a chainsaw https://meded.reeldx.com/cases/299 15-year-old with wrist swelling 17-month-old with L hip pain: GoPro case https://meded.reeldx.com/cases/394 25-year-old with left knee pain https://meded.reeldx.com/cases/263 9-year-old with shoulder pain https://meded.reeldx.com/cases/381 15-month-old with wrist pain https://meded.reeldx.com/cases/298 7-year-old with Leopard syndrome Leprosy , Filariasis, Diabetic 45-year-old with several neuropathy, Cellulitis, , years foot swelling and discoloration Lingual fibroma, Lingual 14-year-old with mass on thyroid, Lingual malignancy, tongue Lymphangitis, Cellulitis, 8-year-old with red streak Necrotizing fasciitis, on chest Bacteremia, Insect bite, Trauma Biliary atresia, Malnutrition, 6-week-old with severe Pneumonia, jaundice and malnutrition https://meded.reeldx.com/cases/390 https://meded.reeldx.com/cases/571 https://meded.reeldx.com/cases/579 https://meded.reeldx.com/cases/465 https://meded.reeldx.com/cases/231 https://meded.reeldx.com/cases/483 https://meded.reeldx.com/cases/150 Malnutrition, Kwashiorkor, Rickets Malnutrition, Tuberculosis, Congestive heart failure Marasmus, Human immunodeficiency virus (HIV), Tuberculosis Marasmus, Severe malnutrition, Dehydration Marijuana use, Hypertension Mastoiditis Mastoiditis CMV/rubella/toxoplasmosis/ syphilis Infections, Cystic fibrosis, Alpha1-antitrypsin deficiency, Sepsis, Hirschsprung’s disease Kwashiorkor malnutrition, Rickets, Pellagra, Nephrotic syndrome, Protein losing enteropathy Congestive heart failure, TB, Malnutrition, Undiagnosed cardiac disease Malnutrition, Developmental delay, Tuberculosis (TB), Human immunodeficiency virus (HIV), Vitamin deficiency Malnutrition (severe), Developmental delay, Tuberculosis (TB), Human immunodeficiency virus (HIV), Vitamin deficiency, Dehydration (severe), Failure to thrive Marijuana use, Hypertension, CVA/stroke, Co-ingestion with other agents, Depression/suicidality Mastoiditis, Otitis media, Otitis externa, Cellulitis Mastoiditis (secondary to acute otitis media or acute otitis externa) , Acute otitis media, Middle ear effusion 3-year-old with Kwashiorkor https://meded.reeldx.com/cases/347 11-month-old with suspected congestive heart failure and respiratory illness 4-year-old with severe malnutrition and developmental delay https://meded.reeldx.com/cases/346 6-week-old vomiting, severe malnourishment https://meded.reeldx.com/cases/469 55-year-old cannabis intoxication: GoPro case https://meded.reeldx.com/cases/455 6-year-old with right ear pain and drainage 10-year-old with ear pain https://meded.reeldx.com/cases/366 https://meded.reeldx.com/cases/146 https://meded.reeldx.com/cases/279 Mechanical fall due to prosthetic difficulty, Leg Edema, Psoriasis Metacarpal fracture #### Leading to fall:, Mechanical fall, Arrhythmia induced syncope, Infection/sepsis, Stroke, Hip fracture, Orthostasis, Dehydration, Myocardial infarction, Medications, Vertigo, , #### Resulting from fall:, Cervical spinal fracture, Intracranial bleeding, Rhabdomyolysis (if prolonged down time), Dehydration (if prolonged down time), Hypothermia, Musculoskeletal injuries like an ankle injury Contusion, Fracture (closed vs. open), Dislocation, Microcephaly, Pneumonia Microcephaly, Pneumonia, Malnutrition, Vitamin D deficiency, , Microtia Bilateral microtia Migraine complex, Hemiplegic Migraine Hemiplegic migraines, Stroke (CVA), CNS mass, Moyamoya disease, Conversion disorder (diagnosis of exclusion) Migraine, Hypertension, Depression, Meningitis, Closed head injury, AVM, Conversion disorder, Pain seeking behavior Physiologic jaundice, Migraine headache Mild Jaundice 75-year-old fell in shower https://meded.reeldx.com/cases/398 51-year-old with R hand pain after being kicked by a cow 2-year-old with microcephaly, malnutrition and increased work of breathing 5-month-old with bilateral microtia 12-year-old with episodic headaches, R-sided weakness https://meded.reeldx.com/cases/512 49-year-old with severe headache: GoPro case https://meded.reeldx.com/cases/491 4-day-old with jaundice https://meded.reeldx.com/cases/124 https://meded.reeldx.com/cases/352 https://meded.reeldx.com/cases/234 https://meded.reeldx.com/cases/602 Moderate respiratory distress Molluscum contagiosum Molluscum contagiosum, Abscess, Secondary infection Molluscum contagiosum, Atopic dermatitis, Rash Molluscum contagiosum, Eczema, Abscess (MRSA) Breastfeeding jaundice, Pathologic jaundice (ABO/Rh incompatibility, liver disease), Infection (sepsis), Cholestasis, Galactosemia), Hemolytic Disease of Newborn, Biliary Atresia, Cytomegalovirus Infection, Duodenal Atresia, Hypothyroidism Moderate respiratory distress, Croup, Bronchiolitis , Asthma exacerbation , Foreign body aspiration , Congenital malformations of the upper airway, Vascular malformations, Laryngotracheomalacia made worse by a simple viral illness Molluscum contagiosum, Eczema (atopic dermatitis), Abscess (MRSA), Staph infection (MSSA), Folliculitis Molluscum contagiosum, Abscess (secondary infection), Tinea corporis (ringworm), Cellulitis, Insect bites Molluscum contagiosum, Eczema (atopic dermatitis), Cellulitis, Folliculitis, Eczema (atopic dermatitis), Molluscum contagiosum, Abscess (MRSA), Staph 8-month-old with 3 days noisy breathing and cough https://meded.reeldx.com/cases/13 6-year-old with rash on neck https://meded.reeldx.com/cases/119 18-month-old with scalp lesions https://meded.reeldx.com/cases/467 7-year-old with papular rash https://meded.reeldx.com/cases/55 2-year-old with multiple rashes https://meded.reeldx.com/cases/35 Molluscum contagiosum, Rash Mononucleosis (Epstein-Barr virus) Mucocele, Ranula infection, Herpetic eczema, Cellulitis, Folliculitis Eczema, Warts, Molluscum contagiosum, Herpes zoster, Varicella zoster, Cellulitis Mononucleosis, Strep pharyngitis, Viral pharyngitis, Peritonsillar abscess, Cyst, Mucocele, Ranula, Neoplasm, Abscess Multiple sclerosis, C2 spinal lesion Multiple sclerosis, MS, Friedreich Ataxia, Poor eye tracking, INO Multiple sclerosis, MS, Transverse Myelitis, L’Hermitte’s sign Multiple Sclerosis, Nystagmus MVC MVC rollover, Shoulder pain Myasthenia gravis Trauma entry, R/O fx, dislocation, , PIC- Lara Forste Paramedic, PartnerE. Williams Paramedic, Date 8/19/15, Myasthenia gravis, Dermatomyositis/polymyosit 3-year-old with papular rash https://meded.reeldx.com/cases/10 17-year-old with fever and sore throat https://meded.reeldx.com/cases/75 13-year-old with painless swelling under tongue 40 year-old with numbness on R scalp, ear and jaw Recorded ReelDx Webinar: Illustrative presentations of MS, with NYU’s Dr. Jonathan Howard (02/24/16) Two patients present with back and extremity sensations with neck flexion Patient with multiple sclerosis presents with pendular and jerk nystagmus 41-year-old MVA 62yo MVC - shoulder trauma https://meded.reeldx.com/cases/421 60-year-old with muscle weakness https://meded.reeldx.com/cases/589 https://meded.reeldx.com/cases/714 https://meded.reeldx.com/cases/719 https://meded.reeldx.com/cases/676 https://meded.reeldx.com/cases/672 https://meded.reeldx.com/cases/644 https://meded.reeldx.com/cases/662 Myelomengingocele, Spina bifida cystica, Neural tube defect Nasal bone deformity, Nasal teratoma Nasal foreign body Neonatal acne, Rash, Newborn Rash, Acne Neonatal Jaundice Nephritis, Nephrosis, Ascites, Peripheral edema is , Multiple sclerosis, Thyroid disease, LambertEaton myasthenic syndrome, Sarcoidosis and neuropathy, Motor neuron syndromes, Botulism, Myopathies or muscular dystrophies Myelomengingocele (spina bifida cystica), Hydrocephalus, Congenital talipes equinovarus (club foot) Neoplasm, Hematoma (calcified), Congenital nasal bone abnormality, Intranasal foreign body, Sinusitis , Allergic rhinitis, Miliaria, Folliculitis, Erythema toxicum, Physiologic jaundice, Breastfeeding jaundice, Pathologic jaundice (ABO/Rh incompatibility, liver disease), Infection (sepsis), Cholestasis, Galactosemia), Hemolytic Disease of Newborn, Biliary Atresia, Cytomegalovirus Infection, Duodenal Atresia, Hypothyroidism Nephritis, Nephrosis, Poststreptococcal glomerulonephritis, Hepatitis, Cardiomyopathy, Newborn with myelomengingoc ele https://meded.reeldx.com/cases/355 5-year-old with nasal bone mass https://meded.reeldx.com/cases/603 4-year-old with foul odor from nose 2-week-old with erythematous pustules on the face 5-day-old with jaundice https://meded.reeldx.com/cases/250 https://meded.reeldx.com/cases/117 https://meded.reeldx.com/cases/81 8-year-old with 3 weeks of https://meded.reeldx.com/cases/466 progressive peripheral edema and ascites Neurofibromatosis Neutropenia Newborn Exam, Scalp Contusion Newborn gynecomastia Newborn jaundice Newborn leukorrhea Newborn Screening Portal Hypertension, Protein-losing enteropathy, Legius syndrome, Constitutional mismatch repair-deficiency syndrome, Neurofibromatosis , Nevus, Malignancy (neoplastic disease), Malnutrition Benign chronic neutropenia of childhood, Leukemia, Cyclic neutropenia, Drug induced neutropenia, Viral induced transient neutropenia, Congenital immunodeficiency, Benign bruising of the scalp, Caput succedaneum, Cephalohematoma, Gynecomastia, Abscess, Physiologic jaundice, Breastfeeding jaundice, Pathologic jaundice (ABO/Rh incompatibility, liver disease), Infection (sepsis), Cholestasis, Galactosemia), Hemolytic Disease of Newborn, Biliary Atresia, Cytomegalovirus Infection, Duodenal Atresia, Hypothyroidism, Newborn leukorrhea, Sexual abuse, Chlamydia, Gonorrhea, Bacterial vaginosis, Candida vaginitis Normal hip development, 7 year-old with hyperpigmented skin and distended abdomen https://meded.reeldx.com/cases/149 7-year-old with persistent neutropenia: Nurse Practitioner student assessment https://meded.reeldx.com/cases/566 2-day-old demonstrating normal newborn features: Part 3 Newborn male with enlarged breasts 4-day-old with jaundice https://meded.reeldx.com/cases/139 3-day-old with vaginal discharge https://meded.reeldx.com/cases/11 3-week-old evaluation for https://meded.reeldx.com/cases/162 https://meded.reeldx.com/cases/128 https://meded.reeldx.com/cases/56 Newborn Screening Non-cardiac chest pain Normal newborn at 2 days Normal newborn at 2 days with meconium stools and brick-colored urine Normal newborn at 2 days with mild jaundice Normal newborn reflexes at 2 months Normal reflexes at 4 months Obesity, Eating disorder, Binge eating, Prediabetes, Disordered eating, Food history Occipital skull mass Hip dysplasia, Normal hip development, Hip dysplasia Myocardial infarction, Costochondritis, Pleuritic chest pain, Pneumonia, Pulmonary embolus, Esophagitis, Asthma None Uric acid crystals, Hematuria, Anal fissure Physiologic jaundice, Breastfeeding jaundice, Pathologic jaundice (ABO/Rh incompatibility, liver disease), Infection (sepsis), Cholestasis, Galactosemia), Hemolytic Disease of Newborn, Biliary Atresia, Cytomegalovirus Infection, Duodenal Atresia, Hypothyroidism Normal newborn exam Normal 4-month exam Cavernous hemangioma, Neural tube defect, e.g. encephalocele, Neoplasm hip dysplasia 2-week-old evaluation for hip dysplasia 54-year-old with chest pain radiating to jaw https://meded.reeldx.com/cases/222 https://meded.reeldx.com/cases/513 2-day-old demonstrating normal newborn features: Part 4 2-day-old demonstrating normal newborn features: Part 5 2-day-old demonstrating normal newborn features: Part 2 https://meded.reeldx.com/cases/140 2-month-old demonstrating normal newborn reflexes 4-month-old normal exam 11-year-old presents with weight gain, binge eating https://meded.reeldx.com/cases/34 2-year-old with mass at base of skull since birth https://meded.reeldx.com/cases/470 https://meded.reeldx.com/cases/141 https://meded.reeldx.com/cases/138 https://meded.reeldx.com/cases/161 https://meded.reeldx.com/cases/707 Orthostatic hypotension, Hypovolemic dehydration Osgood-Schlatter disease Osgood-Schlatter disease Otitis media, Acute otitis media Otitis media, Acute Otitis Media, Bullous Myringitis Palpitations Papular acrodermatitis (less likely) Hypovolemia from dehydration of blood loss, Abdominal aortic aneurysm, Pulmonary embolism, Left ventricular dysfunction, Pericardial effusion, Overmedication, Infection , Hyperglycemia, Electrolyte abnormality Osgood-Schlatter disease, Patellar tendonitis, Tibial fracture, Chondromalacia patellae, Knee sprain, Knee contusion, , Osgood-Schlatter disease, Fracture, Contusion, Neoplasm, AOM, URI, Otitis media with effusion, Eustachian tube dysfunction, Trauma to ear canal, Foreign body, Otitis externa Acute otitis media (AOM), Otitis media with effusion, Eustachian tube dysfunction, Trauma to ear canal, Foreign body, Otitis externa Anxiety, Myocardial infarction, Palpitations, Schizo-affective disorder, Premature atrial contractions, SVT, Hyperthryoidism, Papular acrodermatitis of 77-year-old with dizziness https://meded.reeldx.com/cases/294 15-year-old with knee pain https://meded.reeldx.com/cases/213 11-year-old with pain over the tibial tuberosities https://meded.reeldx.com/cases/116 9-month-old with fussiness and decreased po intake https://meded.reeldx.com/cases/306 3-year-old with acuteonset ear pain https://meded.reeldx.com/cases/182 47-year-old with chest palpitations https://meded.reeldx.com/cases/277 15-year-old with rash on https://meded.reeldx.com/cases/281 (Gianotti-Crosti) Paraphimosis, Capistration Paronychia, Atopic dermatitis (AD) Patellar subluxation Pelvic inflammatory disease Penetrating neck trauma from nail gun Pericardial effusion, Cardiomegaly childhood (Gianotti-Crosti), Atopic dermatitis, Keratosis pilaris, Contact dermatitis, Paraphimosis, Phimosis face and arms 10-month-old with penis swelling Paronychia, Trauma 10-year-old with atopic contusion, Atopic dermatitis, dermatitis with new-onset Contact dermatitis, toenail pain Patellar subluxation, 14-year-old with knee Patellar dislocation, injury Meniscal injury, Collateral ligament injury Ovarian cyst, Pelvic 42-year-old with LLQ inflammatory disease (PID), abdominal pain Tubo-ovarian abscess , Diverticulitis, UTI/pyelonephritis, Renal colic, Ectopic pregnancy, Colorectal cancer, Vascular injury to the 19-year-old with neck carotid or vertebral arteries wound from nail gun or jugular vein , Esophageal injury , Laryngotracheal injury , Nervous system injury (spinal cod, autonomic nerves) , Laryngotracheal injury (recurrent laryngeal nerve, cartilage fracture, vocalcord damage) , C-spine injury Pericardial effusion (viral, 64-year-old with chest bacterial, malignancy), pain, shortness of breath Cardiomegaly, Pericarditis, Pneumonia, Empyema, Congestive heart failure, Myocardial infarction, https://meded.reeldx.com/cases/328 https://meded.reeldx.com/cases/129 https://meded.reeldx.com/cases/199 https://meded.reeldx.com/cases/247 https://meded.reeldx.com/cases/612 https://meded.reeldx.com/cases/507 Pericardial effusion, Pericarditis, Myocarditis Periorbital cellulitis Peritonsillar Abscess Pharyngitis Physiologic jaundice Pulmonary embolus Pericardial effusion, Costochondritis, Pericarditis, Myocarditis, Myocardial infarction, Pneumothorax, Pulmonary embolus, Chest wall trauma Periorbital cellulitis, Orbital cellulitis, Allergic reaction (histamine response), Cavernous sinus thrombosis, Per Medscape (http://emedicine.medscape. com/article/764188differential):, Peritonsillar cellulitis, Tonsillitis, Parapharyngeal abscess, Tracheitis, Ludwig angina, Dental infection, Cervical adenitis, Neoplasms (leukemia, lymphoma), Foreign body aspiration, Aneurysm of internal carotid artery Streptococcal pharyngitis, Viral pharyngitis, Mononucleosis (EpsteinBarr virus) Physiologic jaundice, Breastfeeding jaundice, Pathologic jaundice (ABO/Rh incompatibility, liver disease), Infection (sepsis), Cholestasis, Galactosemia), Hemolytic 16-year-old with 6 days Lsided chest pain https://meded.reeldx.com/cases/520 2-year-old with periorbital swelling https://meded.reeldx.com/cases/275 Peritonsillar Abscess: Ultrasound-guided needle aspiration https://meded.reeldx.com/cases/668 15-year-old with sore throat, malaise https://meded.reeldx.com/cases/564 10-day-old with yellow skin and eyes https://meded.reeldx.com/cases/384 Physiologic jaundice Phytophotodermatitis Pityriasis alba Pityriasis Rosea Pityriasis Rosea Plantar fascitis Disease of Newborn, Biliary Atresia, Cytomegalovirus Infection, Duodenal Atresia, Hypothyroidism Physiologic jaundice, Breastfeeding jaundice, Pathologic jaundice (ABO/Rh incompatibility, liver disease), Infection (sepsis), Cholestasis, Galactosemia), Hemolytic Disease of Newborn, Biliary Atresia, Cytomegalovirus Infection, Duodenal Atresia, Hypothyroidism Contact dermatitis, Tinea versicolor, Exposure to chemical dyes, Phytophotdermatitis, Pityriasis alba (postinflammatory hypopigmentation), Tinea versicolor, Vitiligo, Sarcoidosis Pityriasis rosea, Viral exanthem, Allergic reaction, Contact dermatitis, Eczema, Psoriasis, Tinea, Erythema multiforme, Syphillis Pityriasis rosea (PR), Tinea corporis (ringworm), Eczema, Psoriasis, Viral exanthem Plantar fasciitis, Metatarsal fracture, Sever’s disease, Foreign body 2-day-old with jaundice https://meded.reeldx.com/cases/114 20-month-old with rash on upper extremities https://meded.reeldx.com/cases/409 28-year-old with 10 years hypopigmented skin https://meded.reeldx.com/cases/26 8-month-old with 1 week rash https://meded.reeldx.com/cases/313 13-year-old with 1 week pruritic rash https://meded.reeldx.com/cases/160 12-year-old with foot pain https://meded.reeldx.com/cases/215 Pleural effusion Pleural effusion, Thoracentisis Pneumonia Pneumonia - right middle lobe Pneumonia, Microcephaly, Seizure disorder Pneumonia, Respiratory distress Pneumothorax Pneumothorax Metastatic cancer, Pulmonary embolism, Pleural effusion, Myocardial infarction, Pericarditis, Central line embolus, Pleural effusion, Pericardial effusion, Metastatic cancer, Pulmonary embolism, Myocardial infarction, Pericarditis, Central line embolus, Pneumonia, Pneumothorax Metastatic cancer, Pneumonia, Pleural effusion, Myocardial infarction, Pericarditis, Myocarditis, Congestive heart failure Pneumonia, Bronchospasm, Foreign body aspiration, URI Microcephaly, Pneumonia (consider aspiration), Congenital malformations, Seizure (consider status epilepticus), Pneumonia, Bronchiolitis, Dehydration, 68-year-old with bilateral chest pain https://meded.reeldx.com/cases/488 63-year-old with metastatic cancer, chest pain, shortness of breath https://meded.reeldx.com/cases/504 88-year-old with shortness of breath https://meded.reeldx.com/cases/495 5-year-old with cough and fever https://meded.reeldx.com/cases/301 5-week-old with microcephaly and respiratory distress https://meded.reeldx.com/cases/148 6-week-old with respiratory distress and grunting Pneumothorax, Rib fracture, 17-year-old with dyspnea Clavicle fracture, after sustaining chest wall Hemothorax, Brachial trauma plexus/phrenic nerve injury, Commotio cordis, Myocardial contusion Pneumothorax, Chest wall 19-year-old with Hx https://meded.reeldx.com/cases/152 https://meded.reeldx.com/cases/529 https://meded.reeldx.com/cases/417 Poison oak, Allergic contact dermatitis Poison oak, Contact dermatitis Polymyositis Post-tonsillectomy bleeding Postictal state, Febrile seizure Preauricular skin tag Presumed cutaneous anthrax, Facial cellulitis pain, Costochondritis, Pulmonary embolism, Pericarditis Irritant contact dermatitis, Urticaria (hives), Contact dermatitis, Poison oak, Urticaria (hives), Erythema infectiosum (fifth disease; parvovirus B19), Strep disease, Food allergy Polymyositis, Conversion disorder, Dermatomyositis, Rheumatoid arthritis, Leukemia, Post-surgical bleeding, Nosebleed/swallowed blood, Bleeding ulcer, Mallory-Weiss syndrome, Gastritis, Other mouth trauma, Pulmonary hemorrhage, Arteriovenous malformation or fistula Febrile seizure, Postictal state, Closed head injury (concussion, intracranial bleed), Infection (eg, meningitis), Metabolic causes (diabetic ketoacidosis), Accidental trauma, Non-accidental trauma Preauricular skin tag, Branchial cleft cyst Cutaneous anthrax, Cellulitis, Periorbital cellulitis, Preseptal cellulitis, pneumothorax, chest pain 17-year-old with streaked, pruritic rash on forearms 4-year-old with widespread pruritic rash https://meded.reeldx.com/cases/98 4-year-old with muscle weakness https://meded.reeldx.com/cases/101 15-year-old with posttonsillectomy bleeding https://meded.reeldx.com/cases/368 9-month-old in postictal state: GoPro case https://meded.reeldx.com/cases/453 5-year-old with preauricular skin tag 2-year-old with facial swelling, lesions https://meded.reeldx.com/cases/239 https://meded.reeldx.com/cases/206 https://meded.reeldx.com/cases/472 Psychogenic cough Pterygium, Cataract Pyloric Stenosis Pyogenic Granuloma Pyogenic Granuloma Radial fracture, Ulnar fracture, Femur fracture Radial fracture, Ulnar fracture, Femur fracture Rash, Petechial rash Raynaud’s disease Bacteremia Psychogenic cough (aka habit cough) , Lower respiratory tract infection (such as pneumonia, pertussis, or bronchitis), Upper respiratory tract infection, Asthma, Sinusitis , GERD Pterygium, Cataract, Conjunctivitis, Foreign body Pyloric stenosis, Gastroesophageal reflux (GERD), Malrotation, Volvulus, Increased intracranial pressure Pyogenic granuloma, Hemangioma, Carcinoma of the skin, Abscess Pyogenic granuloma, Hemangioma, Carcinoma of the skin Working DDx – R/O L wrist fracture/dislocation, L hip/femur fracture Working DDx – R/O L wrist fx/dislocation, L hip/femur fx Viral exanthem, StevensJohnson syndrome, Allergic reaction (urticaria), Meningococcemia (less likely with blanching rash) Raynaud’s disease (idiopathic vs autoimmune), Sjogren’s syndrome, 8-year-old with chronic cough https://meded.reeldx.com/cases/156 50-year-old with lesion on cornea 6-week-old with 2 weeks of projectile vomiting, abnormal abdominal exam https://meded.reeldx.com/cases/359 15-year-old with rapidly growing lesion https://meded.reeldx.com/cases/238 7-year-old with bump on neck https://meded.reeldx.com/cases/82 88-year-old with L wrist and L leg pain https://meded.reeldx.com/cases/397 88-year-old with L wrist and L leg pain https://meded.reeldx.com/cases/400 17-year-old with ~3d fullbody rash: GoPro case https://meded.reeldx.com/cases/582 16-year-old with loss of sensation in one finger https://meded.reeldx.com/cases/382 https://meded.reeldx.com/cases/527 Renal failure Respiratory distress, Asthma exacerbation Respiratory distress, Intercostal retractions, Chronic Lung Disease Respiratory distress, Pneumonia Respiratory failure Respiratory illness Restrictive anorexia, Anorexia, Scleroderma, Other autoimmune disease Nephritis/nephrotic syndromes, Focal segmental glomerular sclerosis, Lupus nephritis, Membranous nephropathy, Diabetic nephropathy, Hypertensive nephropathy, IgA nephropathy, Amyloidosis, Congestive heart failure, Liver disease, Medication side effects (amlodipine can cause peripheral edema) Asthma exacerbation, Croup, Foreign body, Pneumonia, Chronic lung disease, Asthma exacerbation, Pneumonitis, Bronchiolitis, Foreign Body, Pneumonia, Asthma exacerbation, Bronchiolitis, Viral pneumonitis, Empyema, Dehydration (secondary to pneumonia) Pulmonary edema, Hypoventilation due to medications, CNS event such as CVA, Pneumothorax, Aspiration Croup, Bronchiolitis, Pneumonia, Reactive airway disease, 47-year-old with swollen hands https://meded.reeldx.com/cases/292 3-year-old with difficulty breathing https://meded.reeldx.com/cases/587 6-month-old ex-preemie with intercostal retractions https://meded.reeldx.com/cases/585 19-month-old with difficulty breathing: GoPro case https://meded.reeldx.com/cases/574 Elderly male with end stage cancer presents with respiratory failure https://meded.reeldx.com/cases/462 26-month-old with rapid https://meded.reeldx.com/cases/674 heart beat, rapid breathing, fever 15-year-old with restrictive https://meded.reeldx.com/cases/673 restrictive, Eating disorder Restrictive anorexia, Disordered eating Restrictive anorexia, Eating disorder Rett syndrome Rib fracture Rickets, Pneumonia Risk of infection, Infected laceration Roseola Factitious disorder, Malignancy (brain tumor, leukemia are two we have seen), Addison’s disease (where weight loss and vomiting), Crohn’s disease or other IBD (where weight loss and abdominal symptoms), “Dieting gone awry” , Munchhausen by proxy Rett syndrome, Autistic spectrum disorder, Cerebral Palsy, Encephalitis, Fetal alcohol syndrome, LennoxGastaut syndrome, Ornithine transcarbamoylase deficiency, Phenylketonuria, Prader-Willi syndrome, Tuberous sclerosis Rib fracture, Contusion, Pneumothorax, Rickets, Pneumonia, Malnutrition, Upper respiratory infection, Laceration Roseola, Allergic reaction, Erythema multiforme, Pityriasis rosea, Rickettsial disease, Drug reaction anorexia Anorexia nervosa in an 11-year-old boy 21-year-old recovering from restrictive anorexia https://meded.reeldx.com/cases/710 https://meded.reeldx.com/cases/687 3-year-old with developmental delay and hand wringing https://meded.reeldx.com/cases/708 42-year-old with rib pain https://meded.reeldx.com/cases/223 18-month-old with rickets, pneumonia https://meded.reeldx.com/cases/353 27-year-old with laceration of the thigh from a knife 17-month-old with spotty rash https://meded.reeldx.com/cases/259 https://meded.reeldx.com/cases/320 Sandifer syndrome Scabies Scabies Scabies Scarlet fever (group A streptococcus) Scarlet fever (group A Streptococcus) Sebaceous Nevus Second degree burn, Hand burn Sandifer syndrome , Seizure disorder , Benign myoclonus of infancy , Aspiration , Hiatal hernia Scabies, Atopic dermatitis, Contact dermatitis, Urticaria (hives), Pityriasis rosea Scabies, Atopic dermatitis, Contact dermatitis, Urticaria (hives) Scabies, Atopic dermatitis, Contact dermatitis, Urticaria (hives), Group A streptococcus pharyngitis, Viral exanthem, Rubella, Contusion, Nonaccidental trauma - human bite, Accidental trauma animal bite Group A streptococcus, Viral exanthem , Rubella, Sebaceous nevus, Aplasia cutis congenita, Congenital nevus, , First degree burn, Second degree burn, Third degree burn, Non-accidental trauma Second degree burn, Hand burn, First degree burn Seizure disorder Seizure , Postictal state, Hypoglycemia, Medication reaction/overdose, 6-month-old with back arching after eating https://meded.reeldx.com/cases/144 6-year-old with 1-month pruritic rash https://meded.reeldx.com/cases/276 4-year-old with itchy red spots https://meded.reeldx.com/cases/290 16-year-old with pruritic rash https://meded.reeldx.com/cases/133 23-month-old with fever and rash https://meded.reeldx.com/cases/166 3-year-old with fever, sore throat and rash 7-month-old with scalp lesion https://meded.reeldx.com/cases/70 https://meded.reeldx.com/cases/214 5-year-old with hand burn: https://meded.reeldx.com/cases/646 9 days post-injury Resident teaching: Ultrasound guided radial, ulna, median nerve block for treatment of hand burns 50-year-old with postfocal seizure https://meded.reeldx.com/cases/639 https://meded.reeldx.com/cases/426 Seizure, Altered mental status, Weight loss Seizure, Epilepsy, Postictal state Shaft fracture of the radius Shaft fracture of the radius Shock Shortness of breath Shortness of breath CVA/stroke, Thyrotoxicosis Diabetes insipidus, Diabetic ketoacidosis (DKA), Hyponatremia, Malignancy (CNS), Encephalitis, Malaria, Seizure disorder, AIDS, Vitamin deficiency, Seizure, Postictal state, Illicit drug use, Intoxication, Closed head injury (concussion, intracranial bleed), Infection (eg, meningitis), Metabolic causes (diabetic ketoacidosis), Fracture, Dislocation, Contusion Fracture, Dislocation, Contusion Entamoeba histolytica, Viral sepsis, Bacterial sepsis, Pneumonia, Shock, Meningitis, Pyelonephritis, Gastroenteritis (with dehydration, shock) Atrial fibrillation, Myocardial infarction, Pulmonary embolism, COPD exacerbation, Pneumonia, Arrhythmia, CHF - chronic vs. exacerbation, COPD exacerbation (may explain dyspnea), Pericarditis, Medication non-compliance, Myocardial infarction, 6-year-old with polyuria, weight loss and recent seizures https://meded.reeldx.com/cases/476 17-year-old in postictal state https://meded.reeldx.com/cases/410 13-year-old with forearm pain and deformity 13-year-old with forearm pain and deformity 10-year-old Micronesian patient in shock https://meded.reeldx.com/cases/388 https://meded.reeldx.com/cases/284 https://meded.reeldx.com/cases/666 79-year-old with https://meded.reeldx.com/cases/576 shortness of breath, L arm pain: GoPro case 84-year-old with difficulty breathing: GoPro case https://meded.reeldx.com/cases/509 Shoulder dislocation Sickle cell disease Small bowel obstruction Soft palate injury Spider bite Spinal cord injury, Partial paralysis, Traumatic injury, Neurologic Exam, Sensory exam, Motor Exam, Penetrating spinal cord trauma, Brown Séquard Syndrome, Hemiparesis, Hemicord injury Spinal cord injury, Upper motor neuron signs Pneumonia, Aortic aneurysm, Musculoskeletal pain, Arthritis, Pulmonary embolus, Pneumothorax Shoulder dislocation, Humerus fracture, Clavicle fracture, Forearm fracture Sickle cell disease, Enlarged spleen (splenomegaly), Sequestration crisis Small bowel obstruction, Bowel atresia, Malrotation of midgut, Hirschsprung’s disease, Anorectal malformations, Failure to thrive (poor milk intake), Soft palate injury, with or without carotid artery involvement Spider bite , Contact dermatitis (e.g. poison ivy or oak) , Cellulitis, particularly community-acquired MRSA, Other insect bite or sting 82-year-old with right shoulder pain after a fall https://meded.reeldx.com/cases/309 4-yearold with sickle†…cell disease and splenomegaly 4-day-old with constant vomiting and failure to pass meconium since birth https://meded.reeldx.com/cases/354 4-year-old with palatal injury https://meded.reeldx.com/cases/367 17-year-old with 10-days black spot on shin https://meded.reeldx.com/cases/19 57-year-old with partial paralysis from penetrating wound to spinal cord https://meded.reeldx.com/cases/704 Three patients with spinal cord injuries, upper motor https://meded.reeldx.com/cases/671 https://meded.reeldx.com/cases/444 Status asthmaticus, Asthma exacerbation Strep throat (strep pharyngitis) Streptococcal pharyngitis (strep throat) Streptococcal pharyngitis (strep throat) Submandibular abscess with subsequent Ludwig’s angina Submassive pulmonary embolism (PE) Subungual hematoma Suspected CHF Suspected CHF Asthma exacerbation, Pneumonia, Foreign body (less likely due to age), Bronchiolitis, Pneumonitis Streptococcus pharyngitis, Retropharyngeal abscess, Viral pharyngitis, Peritonsillar abscess (rare in preteen years), URI, Streptococcal pharyngitis, Viral pharyngitis, Mononucleosis (EBV), Lymphadenitis Streptococcal pharyngitis, Viral pharyngitis, Mononucleosis (EpsteinBarr virus) Ludwig’s angina, Submandibular abscess, Lymphadenitis Pulmonary embolism, Pneumonia, Acute coronary syndrome, Pneumothorax, Pleural effusion, Pericardial effusion, Heart failure Accidental trauma, Subungual hematoma, Abscess, Cellulitis, Tuft fracture, distal phalanx CHF, Chest pain, Pneumonia, Myocardial infarction, Pericarditis CHF, Chest pain, Pneumonia, Myocardial infarction, Pericarditis neuron findings 10-year-old with asthma presents with acute respiratory distress https://meded.reeldx.com/cases/448 8-year-old with sore throat, fever https://meded.reeldx.com/cases/560 6-year-old with swollen lymph nodes on neck https://meded.reeldx.com/cases/143 5-year-old with sore throat https://meded.reeldx.com/cases/30 and headache 53-year-old with swelling under left jaw https://meded.reeldx.com/cases/404 51-year-old with acuteonset shortness of breath https://meded.reeldx.com/cases/418 15-year-old with painful, black fingernail https://meded.reeldx.com/cases/484 45-year-old with difficulty breathing, edema, chest pain 45-year-old with difficulty breathing, edema, chest pain https://meded.reeldx.com/cases/406 https://meded.reeldx.com/cases/408 Suture Repair, Laceration Syncope Syncope, Head laceration Syncope, Head laceration Syndactyly Thelarche Throat pain, Eschar Thrombocytopenia Fracture, Laceration, Contusion, Joint capsule disruption, Syncope – many etiologies, including vasovagal, Seizure, Anxiety, CVA, Pregnancy, Hypotension, Arrhythmia, Hypoglycemia, , Intracranial bleed , Cervical spine trauma, Pregnancy, Electrolyte abnormality, Vasovagal syncope, Eating disorder, Seizure, Hypotension Intracranial bleed , Cervical spine trauma, Pregnancy, Electrolyte abnormality, Vasovagal syncope, Eating disorder, Seizure, Hypotension Syndactyly Thelarche, Abscess, Neoplasm Normal post-operative course, Abscess, Dehydration, Post-operative bleeding, Post-operative infection, Idiopathic thrombocytopenic purpura (ITP), Leukemia, Other bone marrow dyscrasias, Henochschonlein purpura, Bacteremia/sepsis 23-year-old with knee injury from a chainsaw https://meded.reeldx.com/cases/224 15-year-old syncopal event: GoPro case https://meded.reeldx.com/cases/506 22-year-old with syncope and head laceration https://meded.reeldx.com/cases/245 22-year-old with syncope and head laceration https://meded.reeldx.com/cases/389 2-month-old with toe abnormality from birth 9-year-old with tender lump under nipple 8-year-old with throat pain https://meded.reeldx.com/cases/209 6-year-old with worsening rash https://meded.reeldx.com/cases/572 https://meded.reeldx.com/cases/168 https://meded.reeldx.com/cases/288 Thrombocytopenia, Epistaxis Thrombocytopenia, Pulmonary hemorrhage, Chest Pain Thyroglossal duct abscess Tinea capitis, Scalp rash Tinea capitis, Scalp rash Tinea corporis (ringworm) Tinea corporis (ringworm) Tinea corporis (ringworm) Tinea corporis (ringworm) Epistaxis, Thrombocytopenia, Leukemia, Trauma, Foreign body Peripheral vascular disease, Idiopathic thrombocytopenic purpura (ITP) , Ischemia, Pulmonary hemorrhage, Myocardial infarction, Leukemia, Pulmonary Embolus Simple abscess, Thyroglossal duct/cyst with recurrent infection/abscess, Branchial cleft cyst Tinea capitis, Folliculitis, Psoriasis, Cellulitis Tinea capitis, Folliculitis, Adenopathy, Psoriasis Tinea corporis (ringworm), Erythema multiforme, Pityriasis rosea, Contact dermatitis, Cellulitis Tinea corporis (ringworm), Erythema multiforme, Pityriasis rosea, Contact dermatitis Tinea corporis (ringworm), Erythema multiforme, Pityriasis rosea, Contact dermatitis Tinea corporis (ringworm), Bacterial superinfection, Erythema multiforme, Shingles (zoster), Contact dermatitis 9-year-old with nosebleed https://meded.reeldx.com/cases/424 87-year-old with worsening chest pressure https://meded.reeldx.com/cases/487 3-year-old with recurrent neck abscess https://meded.reeldx.com/cases/591 4-year-old with scaly rash on scalp 6-year-old with alopecia and knot on head 5-year-old with 3 weeks pruritic, painful rash https://meded.reeldx.com/cases/420 15-year-old with 2 weeks spreading rash https://meded.reeldx.com/cases/167 4-year-old with chronic pruritic rash in axilla https://meded.reeldx.com/cases/614 3-year-old with rash on the abdomen https://meded.reeldx.com/cases/159 https://meded.reeldx.com/cases/364 https://meded.reeldx.com/cases/220 Tinea corporis (ringworm) Tinea versicolor Tinea versicolor, Rash Toe necrosis, Ischemia, Diabetes, Gangrene Tonsillitis Tonsillolith Tooth abscess Torticollis Traumatic conjunctivitis, Subconjuctival hemorrhage Tinea corporis (ringworm), Erythema multiforme, Pityriasis rosea, Contact dermatitis, Tinea versicolor, Tinea corporis, Vitiligo, Tinea versicolor, Tinea corporis, Vitiligo, Ischemic digit, Peripheral vascular disease, Buerger’s disease (thromboangiitis obliterans), Diabetes, Embolic disease, Vasculitis, Cellulitis, Osteomyelitis, Gangrene Tonsillitis, Strep throat, Viral URI, Mononucleosis, Peritonsillar abscess, Lemierre’s disease thrombophlebitis of the internal jugular vein Tonsillolith, Tonsillitis, Foreign body, Tooth abscess, Parotitis, Cellulitis, Nephrotic syndrome, Popsicle panniculitis Torticollis, Neck strain, Subluxation of the cervical spine (slipped atlanto-axial facet), Soft tissue infection of the neck, including retropharyngeal abscess , Dystonic reaction to drugs Traumatic conjunctivitis, Infectious conjunctivitis – 11-year-old with an erythematous, pruritic rash https://meded.reeldx.com/cases/120 17-year-old with 2 years’ rash 17-year-old with recurring rash 57-year-old with black toe https://meded.reeldx.com/cases/132 31-year-old with sore throat https://meded.reeldx.com/cases/343 6-year-old with painless white lesion on tonsil 8-year-old with facial swelling https://meded.reeldx.com/cases/130 20-year-old with neck pain, limited range of motion https://meded.reeldx.com/cases/219 18-year-old with red, inflamed eye https://meded.reeldx.com/cases/94 https://meded.reeldx.com/cases/131 https://meded.reeldx.com/cases/302 https://meded.reeldx.com/cases/339 viral or bacterial, Allergic conjunctivitis, Acute hemorrhagic conjunctivitis, Traumatic injury, Car accident, Fracture of cervical spine, C-7 fracture Traumatic injury, Car accident, Fracture of cervical spine, C-7 fracture Trigeminal Neuralgia, Multiple Sclerosis Tuberculosis, Pneumonia Type 1 neurofibromatosis Trauma, Trauma entry, Head trauma (TBI), C-spine injury, Internal bleeding, Rib fx, Left ankle fx, Hemo/pneumothorax, Hypovolemic shock, Lacerations, Abrasions ReelDx Recorded Webinar: 15-year-old hit by car with injuries to neck and chest 15-year-old hit by car with injuries to the neck and chest https://meded.reeldx.com/cases/723 56-year-old with unilateral L jaw pain, electricalshock sensation 8-year-old with 3 months cough, night sweats and arthritis https://meded.reeldx.com/cases/712 Pneumonia, Tuberculosis, Septic arthritis, Osteomyelitis, Rheumatic fever, Endocarditis, Sickle cell anemia #### History, Patient states 51-year-old with pain from – Chest pain. Patient was tumor diagnosed with chest wall tumor 1 week ago, takes Vicodin for pain, not working any more. , GCS - 15, EKG - SR, CBG - 67, , #### Physical exam, Tumors on skin 1-2cm and smaller covering entire skin, Atraumatic, BBS CL equal, Strong pulses, Denies nausea, SOB, neck, back pain, Abd is soft, non- https://meded.reeldx.com/cases/411 https://meded.reeldx.com/cases/471 https://meded.reeldx.com/cases/638 Umbilical hernia tender, Chest is atraumatic and symmetrical rise and fall Contusion, Fracture, Dislocation Umbilical hernia, Soft tissue tumor Umbilical hernia Umbilical hernia Umbilical hernia, Umbilical hernia Umbilical hernia, Urachal cyst, Cellulitis Eczema, Cellulits, Tinea pedis, Eczema herpeticum, Impetigo, Staph-scalded skin syndrome, StevensJohnson syndrome, Cellulitis (staphylococcus, streptococcus) Sydenham’s chorea, Acute cerebellar ataxia, Epilepsy?, Cerebral palsy?, Other movement disorder? Myocardial infarction, Transient ischemia attack , CVA, UTI, Pneumonia, Hypothyroidism, Electrolyte disorder, Medication effects, Anemia, Intracranial bleed, Vertigo, Depression Upper respiratory infection, Lower respiratory infection, Foreign body (from older brother) in the respiratory Type 3 Salter-Harris fracture Umbilical hernia Underlying eczema with secondary bacterial infection Underlying eczema with secondary bacterial infection, Eczema herpeticum, Staphylococcus Cellulitis Unknown Unknown Upper respiratory infection 12-year-old with finger pain and edema 9-month-old with umbilical bulge 2-year-old with protruding umbilicus 2-month-old with protrusion from umbilicus 1-month-old with protruding umbilicus 13-year-old with painful rash on foot 4-year-old with severe, painful rash https://meded.reeldx.com/cases/283 8-year-old with lower extremity weakness https://meded.reeldx.com/cases/473 71-year-old with fatigue and dizziness https://meded.reeldx.com/cases/269 2-week-old with upper respiratory sounds from the nose https://meded.reeldx.com/cases/534 https://meded.reeldx.com/cases/210 https://meded.reeldx.com/cases/583 https://meded.reeldx.com/cases/83 https://meded.reeldx.com/cases/136 https://meded.reeldx.com/cases/23 https://meded.reeldx.com/cases/319 Upper respiratory infection Upper respiratory infection, Bronchitis (acute) Upper respiratory infection, Cough Upper respiratory infection, Osteogenesis imperfecta Upper respiratory infection, Pharyngitis, Petechial rash Upper respiratory infection, Teething Ureteral stone Ureteral stone, Pyelonephritis tract/nose, Choanal atresia, , Upper respiratory infection, Sinus infection, Dental infection, Cavernous sinus thrombosis, Venous sinus thrombosis Upper respiratory infection, Lower respiratory infection, Pneumonia, Pertussis Upper respiratory tract infections – usually viral, Lower respiratory tract infections – viral vs. bacterial, Reactive airway disease Upper respiratory infection, Osteogenesis imperfecta, RSV Viral pharyngitis, Upper respiratory infection, Strep pharyngitis with scarlatina rash, Meningococcal illness, Leukemia, Idiopathic thrombocytopenic purpura (ITP) Teething, Upper respiratory infection, Acute otitis media Ureterolithiasis, Nephrolithiasis, Pyelonephritis, Urinary tract infection (UTI), Pregnancy, Appendicitis (atypical), Ectopic pregnancy, Gallstone disease Ureterolithiasis, 24-year-old with fever, cough, right sinus pain https://meded.reeldx.com/cases/300 28-year-old pregnant woman with cough and dyspnea 4-year-old with hacking cough https://meded.reeldx.com/cases/267 4-month-old with blue sclerae https://meded.reeldx.com/cases/310 7-year-old with 4-days fever, cough, rash https://meded.reeldx.com/cases/189 7-month-old tugging at ears: Google Glass case 17-year-old with 4 days worsening, right CVAT https://meded.reeldx.com/cases/362 49-year-old with severe https://meded.reeldx.com/cases/517 https://meded.reeldx.com/cases/47 https://meded.reeldx.com/cases/511 Nephrolithiasis, Pyelonephritis, Urinary tract infection (UTI), Pregnancy, Appendicitis (atypical), Ectopic pregnancy, Gallstone disease Uric acid crystals (“brick stain”) Uric acid crystals (“brick dust urine”), Dehydration, Hematuria, Urticaria (hives) Urticaria (hives), Contact dermatitis, Erythema multiforme, Urticaria (hives) Urticaria (hives), Erythema multiforme, Eczema, Erythema nodosum, Tinea corporis (ringworm), Urticaria (hives), Drug rash Acute urticaria, Drug rash, Chronic urticaria, Contact dermatitis, Erythema multiforme Urticaria (hives), Drug rash Drug rash secondary to sulfamethoxazole/trimethopr im, Acute urticaria (hives), Allergic reaction (non-drug), Viral exanthem (fifth disease; parvovirus B19), Erythema multiforme Urticaria (hives), Drug rash, Critical possibilities, Dementia Anaphylaxis/allergic reaction, Drug reaction, Cellulitis, Vasculitis, Erythema Migrans/StevensJohnson syndrome/Toxic epidermal necrolysis, Warfarin rash, , Less critical possibilities, Viral R-side flank pain 2-day-old with pink, powdery discharge in diaper 9-month-old with a raised, red rash https://meded.reeldx.com/cases/179 4-year-old with itchy rash https://meded.reeldx.com/cases/77 23-month-old with rash https://meded.reeldx.com/cases/33 10-month-old with rash on body and face https://meded.reeldx.com/cases/242 93-year-old with full-body rash https://meded.reeldx.com/cases/412 https://meded.reeldx.com/cases/57 Urticaria (hives), Rash, Food allergy Urticaria pigmentosa Varicella (chickenpox) Varicella (chickenpox) Venous stasis Ventricular tachycardia Verruca vulgaris (common wart) syndrome, Urticaria, Working diagnosis, Hives, potentially due to medication allergy (cephalosporin) Allergic reaction, R/o anaphylaxis, StevensJohnson syndrome (target lesions) Urticaria pigmentosa, Acute urticaria (hives), Mastocytosis, Varicella (chickenpox), Herpes simplex, Impetigo, Abscess, Cellulitis, Postvaccination reaction Varicella (chickenpox), Herpes simplex, Impetigo Venous stasis, Deep vein thrombosis, Osteomyelitis, Cellulitis, Necrotizing fascitis, Gas gangrene, Erysipelas, Abscess Ventricular tachycardia, Myocardial Infarction, Electrolyte abnormalities: hypokalemia, hypomagnesemia, hypocalcemia, Recreational drug use (e.g., cocaine), Medication overdose (e.g., tricyclic antidepressants, Congestive heart failure, Pacemaker failure Verruca vulgaris (common wart), Molluscum 2-year-old with pruritic rash: GoPro case https://meded.reeldx.com/cases/454 5-year-old with brownpigmented, chronic rash https://meded.reeldx.com/cases/59 5-year-old with new-onset vesicular rash https://meded.reeldx.com/cases/490 6-year-old with vesicular rash 76-year-old with left leg pain and edema https://meded.reeldx.com/cases/39 71-year-old with shortness of breath: GoPro case https://meded.reeldx.com/cases/575 11-year-old with rash on fingertip https://meded.reeldx.com/cases/72 https://meded.reeldx.com/cases/304 Verruca vulgaris (common wart) Vertigo Viral exanthem Viral exanthem Viral pharyngitis Vitiligo Wart, Common wart, Verruca vulgaris (common wart) Well child with petechial rash secondary contagiosum, Verruca vulgaris (common wart), Porokeratosis, Intractable plantar keratosis, Molluscum contagiosum Vertigo, Adverse reaction to medications, CVA/stroke, Migraine variant headache, Psychogenic (conversion), Inner ear diseases, Meniere disease, Benign paroxysmal positional vertigo, Labyrinthitis, Viral exanthem, Varicella virus, Measles, Allergic rash, Scarlet fever (Streptococcus) Viral exanthem , Erythema infectiosum (fifth disease), Livedo reticularis, Erythema multiforme, Drug reaction Viral pharyngitis, Upper respiratory infection, Streptococcal pharyngitis, Herpangina Vitiligo, Tinea versicolor, Verruca vulgaris (common wart), Molluscum contagiosum Well child, Social/emotional delays, Language/communication delays, Cognitive delays, Physical delays Dehydration, 5-year-old with bump on toe https://meded.reeldx.com/cases/93 68-year-old with severe vertigo: GoPro case https://meded.reeldx.com/cases/592 2-year-old with rash and loss of appetite after flulike illness https://meded.reeldx.com/cases/537 8-year-old with rash following viral illness https://meded.reeldx.com/cases/207 7-year-old with sore throat https://meded.reeldx.com/cases/237 7-year-old with https://meded.reeldx.com/cases/96 depigmented skin patches 5-year-old with a bumpy https://meded.reeldx.com/cases/80 lesion on knee 4-year-old well-child exam https://meded.reeldx.com/cases/536 Transfer of care: 2-year- https://meded.reeldx.com/cases/635 to cough and vomiting, Hypovolemic dehydration, Vomiting Wound infection Gastroenteritis, Food poisoning, Foreign body, Cellulitis, Abscess, Malnutrition old with lethargy, vomiting, reduced po intake 20-year-old with infected wound https://meded.reeldx.com/cases/356
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