Infectious Disease

Clinical Decision-Making Case: Pediatric Sexually Transmitted Infections and Consent

Emily Drone, MD*, Andrew Shedd, MD^, Leslie Rodriguez, RN, MSN† and Chinmay Patel, DO^

DOI: https://doi.org/10.21980/J8.52335 Issue 10:5[mrp_rating_result]
By the end of this case the learner will be able to: 1) demonstrate competency with the new ABEM Certifying Exam Clinical Decision-Making Case format, 2) manage a simulated pediatric care encounter that requires navigating the details of pediatric consent, 3) explain common exceptions to requiring parental consent in emergency situations according to established guidelines as well as state and local laws, 4) report increased comfort managing ethical dilemmas related to pediatric consent in the ED.
Current IssueInfectious DiseaseOb/GynPediatrics

Prioritization: Run This Board: Septic Shock, Acute Coronary Syndrome, Small Bowel Obstruction, and Penetrating Chest Trauma

Colleen Donovan, MD1, Nicole Novotny, MD2, Charles Lei, MD3, Alaa Aldalati, MBBS4, Andrew Melendez, DO5, Neil Wallace, MD6, Tiffany Moadel, MD7, Stephanie Stapleton, MD8 and Shagun Berry, DO9

DOI: https://doi.org/10.21980/J8.52355 Issue 10:5[mrp_rating_result]
By the end of this case learners will be able to: 1) Become familiar with format of a prioritization case (a component of the ABEM Certifying Exam), 2) Practice their ability to prioritize multiple patients and provide stabilizing care, 3) Consider changes in status/patient acuity/new cases as presented, 4) Understand how to utilize team resources appropriately.
Current IssueAbdominal/GastroenterologyCardiology/VascularCertifying Exam CasesClinical Decision-MakingInfectious DiseaseNeurologyOb/GynPediatricsPrioritizationTrauma

A Low-Cost Task Trainer Constructed from Silicone Nipple Covers

Aubrey Bethel, MD* and Vivienne Ng, MD, MPH^

DOI: https://doi.org/10.21980/J8.52244 Issue 10:4[mrp_rating_result]
Educational Objectives: By the end of this training session, learners will be able to anesthetize an abscess, perform incision and drainage, develop manual dexterity maneuvering instruments to break up the abscess, and place packing using both the linear incision and loop techniques.
Infectious DiseaseInnovationsProcedures

Pizza and Paintballs: A Cost-Effective Model for Incision and Drainage Simulation Training

Patrick McNeal, DMSc, PA-C*, Andrea D Boan, PhD, MSCR, MSPAS, PA-C* and Emily Douglas, DMSc, MSPAS, MSc (PH), PA-C*

DOI: https://doi.org/10.21980/J8.52047 Issue 10:4[mrp_rating_result]
Upon completing this lab session, the participant should have the capability to: 1) describe the indications, contraindications, and reasons for performing I&D of an abscess, 2) select the necessary equipment for performing I&D of an abscess, 3) demonstrate the necessary steps for performing an I&D procedure on a simulated abscess.
Infectious DiseaseInnovationsProcedures
Calciphylaxis Photo LLE. JETem 2025 1

A Case Report of Calciphylaxis

Kim Hoang, BS*, Tien Lu, MD^, Alex Dang, MD^, Danielle Matonis, MD^

DOI: https://doi.org/10.21980/J8KW8V Issue 10:3[mrp_rating_result]
On arrival for this visit, the patient was nontoxic appearing with stable vital signs. The physical exam was notable for deep, ulcerated, bilateral anterior leg wounds with purulent drainage and large areas of eschar (see photographs).
Visual EMDermatologyInfectious DiseaseRenal/Electrolytes

Diabetic Ketoacidosis and Necrotizing Soft Tissue Infection

Matthew Henschel, DO* and Stephanie Songey, DO^

DOI: https://doi.org/10.21980/J89M0K Issue 10:2[mrp_rating_result]
At the end of this oral board session, examinees will: 1) Demonstrate the ability to obtain a complete medical history and physical exam. 2) Identify and appropriately treat DKA. 3) Identify, treat, and make appropriate consults for NSTI. 4) Demonstrate effective communication of the treatment plan with the patient.
Certifying Exam CasesEndocrineInfectious Disease
Inferior Rectus Abscess CT Coronal Unannotated. JETem 2025

A Case Report of Inferior Rectus Abscess

Luke Chi*, Adam Sauer, MD ^ and Danielle Matonis, MD^

DOI: https://doi.org/10.21980/J8J35G Issue 10:2[mrp_rating_result]
Non-contrast computed tomography (CT) imaging of the head in coronal, sagittal, and axial planes revealed a distinct 1.7 x 2.2 x 1.4 cm peripherally enhancing fluid collection within the left inferior orbit, involving the inferior rectus (yellow circle). This lesion resulted in restricted extraocular motility due to structural compression of the left globe. Laboratory results showed a mildly elevated white blood cell count of 11.5/mm3 and otherwise normal results including C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR).
Visual EMInfectious DiseaseOphthalmology
Hydropic Gallbladder. CT Coronal Unannotatd. JETem 2025

A Case Report of Hydropic Gallbladder Presenting as Right Lower Quadrant Abdominal Pain

Savannah Tan, MD*, Zoe Adams, BA^, Scott Rudkin, MD, MBA* and Danielle Matonis, MD*

DOI: https://doi.org/10.21980/J8DD26 Issue 10:2[mrp_rating_result]
Computed tomography (CT) of the abdomen and pelvis with contrast was ordered, and general surgery was consulted for the initial working diagnosis of acute appendicitis. However, the CT scan resulted with findings of a markedly distended gallbladder measuring approximately 14.5 x 4 centimeters (cm) with marked gallbladder wall thickening (magenta) and pericholecystic fat stranding (cyan). The appendix was not dilated and had no inflammatory changes or edema. Follow-up right upper quadrant ultrasound confirmed the diagnosis of acute cholecystitis.
Visual EMAbdominal/GastroenterologyInfectious Disease

Bridging Hospital Resource Variability: Adapting the Escape Room to Integrate Procedure Teaching for Emergency Medicine Trainees in India

Jodi DeJohn, MD*, Tania Ahluwalia, MD, MPH^, Manu Madhok, MD, MPH† Shweta Gidwani, FRCEM**, Katherine Douglass, MD, MPH** and Susan Owens, MD, MPH*

DOI: https://doi.org/10.21980/J8CK98 Issue 9:4[mrp_rating_result]
By the end of the escape room, learners should be able to: 1) describe the mechanism of action of antiretroviral therapies available in India, 2) prescribe initial antiretroviral therapy to a patient presenting to the emergency department with a new diagnosis of HIV, 3) develop a differential diagnosis for a patient with HIV presenting to the ED with chest pain, 4) identify common dermatologic manifestations of opportunistic infections in patients with HIV, 5) identify computerized tomography scan and lumbar puncture features for central nervous system infections seen in patients with Acquired Immunodeficiency Syndrome (AIDS), 6) identify red flag features and appropriate workup for a patient with HIV presenting with a headache to the ED, 7) interpret images obtained during a Rapid Ultrasound for Shock and Hemorrhage (RUSH) exam, 8) identify cardiac tamponade and perform a pericardiocentesis, and 9) communicate and collaborate as a team to manage a complex, unstable patient with HIV in the ED.
Infectious DiseaseSmall Group Learning
Chest wall abscess. Photograph unannotated. JETem 2024

A Man With Chest Pain After An Assault – A Case Report

Mi Song Kim, MD*, Francis Gan, MD*, Karl Nimtz, MD*, Daniel Ng, MD*^ and John Costumbrado, MD, MPH*^

DOI: https://doi.org/10.21980/J8J93S Issue 9:3[mrp_rating_result]
On exam, we found a suspected chest wall abscess with surrounding erythema (blue arrow). The patient underwent CT of the chest which showed a comminuted displaced midsternal fracture (yellow arrow) with moderate fluid and air anteriorly (red arrow), consistent with an abscess. His laboratory results had no significant abnormalities.
Visual EMInfectious DiseaseTrauma