Sunday 25 September 2011

24 year old female ingested 15 tabs of Lorazepam (1 mg per tab) 10 hours before presentation to ER. She had 3 episodes of non-bloody non-bilious vomiting after ingestion. She started to be dizzy and drowsy one hour after ingestion. She has slurred speech but she's hemodynamically stable.

Fever and cough

5 year old male known to have G6PD deficiency presented with 5 days history of fever (maximum 39.5, every 6-8 hours) and 2 days history of upper respiratory symptoms (runny nose and dry cough). No other symptoms. Patient is active and has good oral intake with adequate urine output. Physical exam reveals erythematous pharynx without exudates on tonsills. Lungs are clear with good bilateral air entry. Vital signs: Temperature: 37.5, Pulse: 90, RR: 22, BP 110/70. His vaccinations are uptodate.

What's the most approriate next step of management?
  • Do a chest x-ray.
  • Discharge patient on symptomatic treatment
  • Discharge patient on antibiotics