The next patient is a sick metabolic kid, the kind you dread because you can never remember all those metabolic pathways from medical school. Citrullinemia, maple syrup urine disease, gluteric acidemia – it makes your eyes cross.
Pediatric Journal Club
A 2-year-old female was brought in by parents for a 2-day history of  fever, coryza, cough and had been noted to have difficulty walking. This persisted to the point that she had refused to walk for the 4-6 hours prior to ED  arrival.
alt A 29-year-old, G2 P1010, six-week pregnant female complained of abdominal pain for several hours. Past medical history was unremarkable except for a first trimester, spontaneous miscarriage. 

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