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2 years old children came to diasgnosis and emergency services falling. What can you see?

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\ \ A previously healthy 18-month-old boy presents to the emergency department after a fall. Parents report that father was carrying the child down the stairs when he slipped 2 steps from the bottom; the child fell out of his arms and landed on his chest on the hardwood floor. The child did not lose consciousness and he cried immediately, but several minutes later, his mother noticed that he seemed “dazed.” He was observed in the ED.\ \ After a trial of oral intake, he stood up to walk, at which point he was noted to be slightly antalgic. Mother noticed right-sided facial droop when he smiled and that his head was tilted to the left. The physician noted decreased movement of the right arm and leg, with only a weak grip in his right hand. The head CT revealed the diagnosis. Basal ganglia stroke after minor trauma associated with mineralizing angiopathy is an uncommon phenomenon in children, but it is a unique clinicoradiological entity (pictured here).](https://app.figure1.com/case-detail/0df0d219-2164-4693-9e29-b4f3a3924e96)

\ \ A 2-year-old girl is suspected of aspirating the eye from one of her small stuffed animals and she is seen in the emergency department. Her mother reports consistent coughing but no displays of distress or pain. In which area of the airway would you expect to hear diminished breath sounds?\ A. Both the left and right lobe\ B. The carina\ C. The left inferior lobe\ D. The right inferior lobe\ E. The right superior lobe\ Question from Atlas of Human Anatomy, 7th Edition. ISBN: 9780323393225. Copyright © 2019 by Elsevier, Inc.](https://app.figure1.com/case-detail/204decea-deda-409d-9a1f-b3e64f1dd44f)

\ \ Clinical scenario — pediatric patient under four years of age, normal height and weight for age, no known medical history, presents with acute abdominal pain and complaints (by mother) having severe constipation (not moving bowels in over a week). Mother stated that he has always had trouble moving his bowels, and have been going back and forth to the doctor with same problem/ complaint only being told to change his food and given suppository but NO definitive diagnosis ! On exam, normal appearing pediatric male in obviously discomfort not being able to sit on buttock due to severe constipation; BS ACTIVE, abdomen soft but noticeably tender to palpation. Several hard firm knotted stool removed manually from anus, but impaction remain and referred to Emergency room for further management including deimpaction and further care ! What is the most likely diagnosis](https://app.figure1.com/case-detail/22d83001-cdcf-4c07-befa-fa2cf352017c)

\ \ Parents bring in a 3month old apneic and pulseless baby to the emergency centre. They're unable to say how long since the child was breathing.\ Child appears significantly underweight for 3 months and hospital records indicate prem-birth and multiple medical issues during first month of life.\ Resuscitation, including intubation, io access, drugs etc, is attempted by a team for some time but all attempts are unsuccessful.\ How do you involve the parents during this process? Do you prefer letting them stay in the room? How do you involve them at the point of discontinuing the resus and declaring death?\ In this case the parents were brought into the room one the decision to discontinue had been made and allowed to see the efforts being made by the team before they were stopped.](https://app.figure1.com/case-detail/2cffebdd-fba7-448f-9003-a7dfa351e780)

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\ \ A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets.\ Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)

\ \ A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)

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