A young female comes to the ER with severe vomiting. She receives an IV injection for nausea. Twenty minutes later, attendants panic because:
her eyes are fixed upward,
neck is twisted to one side,
jaw feels “locked,”
and they think she is having a seizure.
Vitals are normal. She is conscious but terrified. What happened?
This patient demonstrates a rapid arterial upstroke followed by sudden collapse.
What is this sign called?
A. Pulsus paradoxus
B. Water-hammer pulse
C. Pulsus alternans
D. Bisferiens pulse
15-year-old female 👧
Dark pigmentation over lips & oral mucosa
12-year history of intermittent abdominal pain
Recent vomiting & weight loss
What is the diagnosis? 🤔
A woman in her 40s presented with a 1-week hx of fatigue and painful, swollen gums.
White-cell count was 225,000 per cubic millimeter.
Likely diagnosis?
A healthy 8-year-old boy presented with a 4-week hx of worsening movement limitation and pain due to 👇.
No constitutional sx and vital signs were normal.
Oral antibiotics, and then broad-spectrum IV abx did not lead to any improvement.
Thoughts?
🧵 “Doctor, this swelling near my ear isn’t going away.”
A young girl with a left preauricular mass for 2 months.
Vitals normal.
But her face tells a story 👇