You are called to evaluate an adolescent in the Emergency Department for severe chest/epigastric pain, headache and emesis. The patient is a 15-year-old previously healthy male who developed fever, nasal congestion, rhinorrhea, cough, and malaise 1 week ago. He was seen by his PMD and started on anti-reflux medications. He initially started to feel better but over the past 2 days developed dyspnea, chest pain, intermittent productive cough, and has been unable to sleep. Scenario begins with anxious appearing adolescent, who is tachycardic to 110, with stable blood pressure for age, with initial saturations of 90% on room air, which improve to 96% on 1LPM nasal cannula. He is intermittently coughing and dyspneic. Overall goal is to perform the objectives below and admit to the CTICU.
Emergency medicine, Pediatrics
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