Child With Sore Throat

Child With Sore Throat

IMAGES IN EMERGENCY MEDICINE Michael Wawrzyniak, MD; Wesley Eilbert, MD 0196-0644/$-see front matter Copyright © 2016 by the American College of Emerg...

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IMAGES IN EMERGENCY MEDICINE Michael Wawrzyniak, MD; Wesley Eilbert, MD 0196-0644/$-see front matter Copyright © 2016 by the American College of Emergency Physicians. http://dx.doi.org/10.1016/j.annemergmed.2016.02.048

Figure. Uvular edema.

[Ann Emerg Med. 2016;68:638.] An 8-year-old boy presented to the emergency department, complaining of a sore throat, difficulty swallowing for the previous 2 days, and a muffled voice and foreign-body sensation in his throat for 1 day. He had finished a 10-day course of penicillin for “strep throat” 10 days before presentation. He was afebrile, with uvular edema noted on physical examination (Figure).

For the diagnosis and teaching points, see page 647. To view the entire collection of Images in Emergency Medicine, visit www.annemergmed.com 638 Annals of Emergency Medicine

Volume 68, no. 5 : November 2016

Correspondence Table. Number of Duane Reade pharmacies by address. Street or Avenue Broadway 3rd Ave Lexington Ave 8th Ave 2nd Ave 1st Ave 6th Ave 7th Ave Columbus Ave 23rd St Park Ave Penn Plaza

Locations 24 13 6 6 5 4 4 4 4 4 4 2

Electronic prescriptions, particularly in the emergency setting, should be optional, not mandatory. Nayan Patel, MD Nicole Kaban, MD Jeremy Rose, MD

Volume 68, no. 5 : November 2016

Eric Steinberg, DO Michael Heller, MD Department of Emergency Medicine Icahn School of Medicine at Mount Sinai Beth Israel New York, NY http://dx.doi.org/10.1016/j.annemergmed.2016.06.011

Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article as per ICMJE conflict of interest guidelines (see www.icmje.org). The authors have stated that no such relationships exist. 1. Wormser GP, Erb M, Horowitz HW. Are mandatory electronic prescriptions in the best interest of patients? Am J Med. 2016;3:233-234. 2. Gagnon MP, Nsangou ER, Payne-Gagnon J, et al. Barriers and facilitators to implementing electronic prescription: a systematic review of user groups’ perceptions. J Am Med Inform Assoc. 2014;21:535-541.

Annals of Emergency Medicine 647