Hello, med students.

My name is Zach Olson, and thank you for downloading this week's episode of the EM Clerkship

Podcast.

We're still working through our super high-yield pediatric panic algorithm.

Oh shit, grab the braslow.

Let's repeat our case.

Okay. the braslow. Let's repeat our case. Okay, everybody, this is Dakota. He's a three and a half year old male is awoken with

diffuse abdominal pain. According to mom, he vominated about five times. Some of that was productive.

Has a rash on the interior chest. He was lethargic when we got there since we've been

there with him and through the transport now crying as you can see long sounds

were clear as far as we can tell we then noticed O2 sats dropping and had

cyanosis around the lips so he put him on O2 he's one he had no previous fever now 102.3 rectal mom and extended

family are out here so just FYI GCS at 10 BP 100 over 60

Pulse of 120 97% on the O2 and no allergies no meds had not been sick for the

past couple days any questions anybody I know it's a lot. He's kind of

crunking on us. Okay? Thank you. All right. So we've been working through this. We've started

oxygen and considered our airway and breathing emergencies. We've checked that blood sugar for hyper and hypoglycemia.

We worked up and treated for possible sepsis.

We've considered those congenital heart syndromes.

And today we are covering eye, inborn errors of metabolism and endocrinology.

And I can hear the groans. But this is important.

Inborn errors of metabolism are a huge family of diseases that you learned about in biochemistry. And in this category also falls the famous high yield endocrine disorder, congenital adrenal hyperplasia.

...