This month’s case is a guest post by Dr. Sathyaseelan Subramaniam, a 2nd year PEM fellow from SUNY Downstate Medical Center in Brooklyn, NY.
It is the morning after a GOP debate and you are reading a recent tweet about vaccinations…
… when a well appearing, completely vaccinated (you hear yourself sigh with relief), 5-year-old male with sickle cell disease (HbSS) presents for 6 days of fever and new onset cough that started today. He had seen his pediatrician 4 days ago, was diagnosed with right ear otitis media and prescribed amoxicillin for treatment. He has been taking his medication over the last 3 days but his mother is concerned about the persistent fever and new cough. You decide to ultrasound his lungs before he goes for his chest X-ray.
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