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Beyond this acute symptom, what other significant adverse effect is this child at increased risk for due to the risperidone overdose?

What is the most appropriate immediate intervention?

what is the most likely acute neurological complication this child is experiencing?

🔶 Medical Case No.150 ━━━━━━━━━━━━━━━━━━ 🔷  A 4 year old child, weighing 15 kg, presents to the emergency department after accidentally ingesting 5 mg of risperidone (Respal 1mg/1ml solution). The child exhibits sustained upward deviation of the eyes, an open mouth, neck deviation and appears distressed. Pulse: 135 Bp: 110/76 Temp: 37.5c 💠Appendix A 💠Appendix B ━━━━━━━━━━━━━━━━━━ #Medicine

That nerve innervates all of the following muscles EXCEPT:

Which nerve is most likely affected?

🔶 Medical Case No.149 ━━━━━━━━━━━━━━━━━━ 🔷 A patient has a fixed left pupil that does not constrict whether light is shone into the left eye or the right eye. The right eye constricts whether the light is shone into the right eye or the left eye. 💠Appendix A 💠Appendix B ━━━━━━━━━━━━━━━━━━ #Medicine

Diagnosis?

X-ray No. 72 A 30-year-old female presented after a fall on an outstretched hand (FOOSH). On examination, There was no tenderness over the medial or lateral epicondyles, She had pain during forearm pronation ♦️ No deformity ♦️ No decrease ROM ♦️ No paresthesia ♦️ Normal capillary refill ━━━━━━💠X-ray Topics💠━━━━━━━ #Xray

What is the best initial management for this patient?

What is the most likely diagnosis?

ABG results pH 7.42 pC02  36 mmHg p02 105 mmHg HCO3 : 26 Methemoglobin level 28.1%

Choose the investigation that would help you the MOST in making the diagnosis. I will reveal the results of three additional investigations, plus the investigation that receives the most votes, after 30 minutes.

🔶 Medical Case No.148 ━━━━━━━━━━━━━━━━━━ 🔷 A 35 y.o. male was brought to the hospital with complaints of shortness of breath and dizziness that began nearly 2 hours prior to presentation. His symptoms progressively worsened, prompting his wife to bring him to ER. His wife said that the patient had been using a only one medicine She brought the bottle with her, which was labeled "Rush", with "Nail Polish Remover" printed on the label. PMH: Favism Spo2 level does not improve after using Oxygen supplement Vital Signs SpO₂: Low Primary Survey Airway: Patent. Breathing: Mild tachypnea with normal bilateral chest rise. Circulation: Regular pulse, tachycardia, sluggish capillary refill, and cyanosis at nail beds and perioral region. Cardiovascular Examination Tachycardia. No murmurs. Respiratory Examination Normal breath sounds bilaterally. No wheezes or crackles. 💠Appendix A 💠Appendix B ━━━━━━━━━━━━━━━━━━ #Medicine

What is the correct way to use Epipen ?

Is this management correct? During anaphylaxis, epinephrine 1 mg/1 mL is diluted with 9 mL of normal saline to make a total of 10 mL, and then the full 10 mL is injected.”

Which lab is most useful acutely if diagnosis uncertain?

After successful treatment of non-life-threatening anaphylaxis, minimum ED observation time generally recommended?