Jacob Tauferner

A 3-year-old male with no previous past medical history, born full term, and unvaccinated presents after 6 days of cough, fever, myalgias, and rhinorrhea. His mother states that he appeared improved until today when he developed high-pitched inspiratory noises and appeared overall unwell. Vitals are as follows: HR 105 bpm, BP 83/54, SpO2 92%, Temperature 39.1, RR 55 rpm. On exam the patient is ill appearing with tachypnea, retractions, and stridor at rest. What’s the next step in your evaluation and treatment, and what is the potentially life-threatening diagnosis?

A 55-year-old male with history of colon cancer, hydronephrosis, and right ureteral stent placed 10 weeks ago presents to ED with intermittent hematuria that has become more frequent over the last 3 days. He denies dysuria, fever, abdominal pain, or flank pain. His vital signs include BP 98/64, HR 98, T 97.5, RR 22, SpO2 99% on room air. On exam he has conjunctival pallor and tachypnea. His capillary refill is 3 seconds.