You are working in the ED and a 1 week old female infant pre…

You are working in the ED and a 1 week old female infant presents with the chief complaint of emesis. On exam, she has a depressed fontanel, dry mucous membranes and minimal tears. In her diaper area, she has labial fusion with palpation of small round lumps within the labial fold. The mother states that her daughter was born at home and has not yet been to the pediatrician. What labs should you obtain? 

Mia Battaglia is your patient with a diagnosis of major depr…

Mia Battaglia is your patient with a diagnosis of major depressive disorder (MDD).  She has been prescribed sertraline 100 mg po daily and has almost complete remission of her symptoms.  She calls your office with complaints of muscle spasms, dilated pupils, fever, diarrhea, rapid heart rate and agitation.  You immediately refer her the the emergency department.  What diagnosis do you suspect?