Clinical Pediatric Emergency Medicine最新文献

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Can't Poop, Can't Pee…What's Going On With Me? 不能咕咕叫,不能偷窥…我怎么了?
Clinical Pediatric Emergency Medicine Pub Date : 2019-12-01 DOI: 10.1016/j.cpem.2019.100722
Seth M. Woolf MD, Melissa L. Langhan MD, MHS
{"title":"Can't Poop, Can't Pee…What's Going On With Me?","authors":"Seth M. Woolf MD,&nbsp;Melissa L. Langhan MD, MHS","doi":"10.1016/j.cpem.2019.100722","DOIUrl":"10.1016/j.cpem.2019.100722","url":null,"abstract":"<div><p><span>A 12-month-old female presented to the pediatric </span>emergency department<span> with constipation associated with urinary retention<span><span>. This visit was one of several for constipation over the course of several weeks. She had been treated for functional constipation with dietary changes and an </span>osmotic agent<span> without relief and required one hospitalization for a bowel clean out. It was during her second admission, where she required frequent bladder catheterizations for urinary retention, that a diagnostic study was done which revealed the correct diagnosis.</span></span></span></p></div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"20 4","pages":"Article 100722"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2019.100722","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43697080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
In Case You Missed It: A Brief History of Emergi-Quiz 万一你错过了:新兴市场简史测验
Clinical Pediatric Emergency Medicine Pub Date : 2019-12-01 DOI: 10.1016/j.cpem.2019.100745
Thuy L. Ngo DO, MEd
{"title":"In Case You Missed It: A Brief History of Emergi-Quiz","authors":"Thuy L. Ngo DO, MEd","doi":"10.1016/j.cpem.2019.100745","DOIUrl":"10.1016/j.cpem.2019.100745","url":null,"abstract":"","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"20 4","pages":"Article 100745"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2019.100745","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42858396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Let’s Break the Tension 让我们打破紧张
Clinical Pediatric Emergency Medicine Pub Date : 2019-12-01 DOI: 10.1016/j.cpem.2019.100746
Baillie W Lott MD , Rudy J Kink MD , Monica L Brown Lobbins DO , Arwa Nada MD, MSc
{"title":"Let’s Break the Tension","authors":"Baillie W Lott MD ,&nbsp;Rudy J Kink MD ,&nbsp;Monica L Brown Lobbins DO ,&nbsp;Arwa Nada MD, MSc","doi":"10.1016/j.cpem.2019.100746","DOIUrl":"10.1016/j.cpem.2019.100746","url":null,"abstract":"<div><p>A 14-year-old healthy male adolescent presented to the emergency department with a 1-month history of vomiting and was found to have severe hypertension secondary to renal failure. After a prolonged hospitalization and extensive workup his ultimate diagnosis was revealed. This case highlights the etiology and workup of hypertension as well as differential of hypertension and renal failure in the adolescent population.</p></div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"20 4","pages":"Article 100746"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2019.100746","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41785444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Baby With Bruises 满身瘀伤的婴儿
Clinical Pediatric Emergency Medicine Pub Date : 2019-12-01 DOI: 10.1016/j.cpem.2019.100729
Jaycelyn R. Holland MD, Daisy A. Ciener MD
{"title":"A Baby With Bruises","authors":"Jaycelyn R. Holland MD,&nbsp;Daisy A. Ciener MD","doi":"10.1016/j.cpem.2019.100729","DOIUrl":"10.1016/j.cpem.2019.100729","url":null,"abstract":"<div><p>A 7-day-old female infant presented to the emergency department with a chief complaint of bruises. She was found to have severe coagulopathy. Initial management focused on identifying and treating complications of the coagulopathy without causing harm to the patient. Further workup was performed with the assistance of hematology experts to determine the underlying cause. Ultimately, the patient's diagnosis was determined by a single laboratory test. This patient's presentation allows us to review the workup of neonatal coagulopathy with special attention to potential pitfalls one might encounter in the management of these patients.</p></div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"20 4","pages":"Article 100729"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2019.100729","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42848429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Please Heel Me, I Can't Walk! 请跟我走,我走不动了!
Clinical Pediatric Emergency Medicine Pub Date : 2019-12-01 DOI: 10.1016/j.cpem.2019.100723
Wendi-Jo Wendt MD , Allison Cator PhD, MD , Andrew Hashikawa MD
{"title":"Please Heel Me, I Can't Walk!","authors":"Wendi-Jo Wendt MD ,&nbsp;Allison Cator PhD, MD ,&nbsp;Andrew Hashikawa MD","doi":"10.1016/j.cpem.2019.100723","DOIUrl":"10.1016/j.cpem.2019.100723","url":null,"abstract":"<div><p><span><span>A previously healthy 20-year-old man presented to the emergency department<span> with difficulty walking and bilateral heel pain. His pain started acutely in the right heel approximately 3 months prior to presentation with no known trauma or injury. He had previously been treated with steroids for presumed tendinitis and magnetic resonance imaging of his ankle showed a possible partial tear of the right </span></span>Achilles tendon. His pain worsened and involved swelling of both heels so that he was unable to walk. On presentation, he had a normal neurological exam. His musculoskeletal exam was pertinent for pain over the </span>calcaneus<span> bilaterally and swelling with firmness over both Achilles tendons. Labs were notable for an elevated uric acid<span>, and a computed tomographic scan<span> of his feet showed the presence of monosodium urate crystal<span> deposition, consistent with a diagnosis of gouty arthritis. Despite gout being a disease diagnosed almost exclusively in adults, pediatric providers must consider this and other diseases that typically affect adults, especially when treating patients at the older end of the pediatric spectrum.</span></span></span></span></p></div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"20 4","pages":"Article 100723"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2019.100723","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47307889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Unresponsive: A Case of Hyperglycemia and Altered Mental Status 无反应:一例高血糖和精神状态改变
Clinical Pediatric Emergency Medicine Pub Date : 2019-12-01 DOI: 10.1016/j.cpem.2019.100726
Jill L. Sorcher BA , Oluwakemi Badaki-Makun MD, CM , Thuy L. Ngo DO, MEd
{"title":"Unresponsive: A Case of Hyperglycemia and Altered Mental Status","authors":"Jill L. Sorcher BA ,&nbsp;Oluwakemi Badaki-Makun MD, CM ,&nbsp;Thuy L. Ngo DO, MEd","doi":"10.1016/j.cpem.2019.100726","DOIUrl":"10.1016/j.cpem.2019.100726","url":null,"abstract":"<div><p>Altered mental status is an emergency that significantly contributes to morbidity and mortality in children, and thus, requires rapid and thorough evaluation. Identification of the underlying cause of altered mental status is crucial for appropriate clinical management. With a presentation of hyperglycemia<span><span> and a family history of diabetes mellitus type 2, an astute physician would consider metabolic encephalopathy as the cause of altered mental status. We describe a critical case of altered mental status in a 14-year-old obese male adolescent with no history of chronic illness or surgeries who presented to the </span>emergency department with hyperglycemia.</span></p></div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"20 4","pages":"Article 100726"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2019.100726","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45693785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hindsight Is 20/20 事后诸葛亮
Clinical Pediatric Emergency Medicine Pub Date : 2019-12-01 DOI: 10.1016/j.cpem.2019.100728
Tucker Anderson MD , Sandra R. Arnold MD, MSc , Bindiya Bagga MD , Lauren C. Ditta MD , Mindy Longjohn MD
{"title":"Hindsight Is 20/20","authors":"Tucker Anderson MD ,&nbsp;Sandra R. Arnold MD, MSc ,&nbsp;Bindiya Bagga MD ,&nbsp;Lauren C. Ditta MD ,&nbsp;Mindy Longjohn MD","doi":"10.1016/j.cpem.2019.100728","DOIUrl":"10.1016/j.cpem.2019.100728","url":null,"abstract":"<div><p><span>A 17-year-old male adolescent presented to the emergency department<span> initially with abdominal pain and headache which progressed to neck swelling and vision changes over a period of several weeks. He was noted to have a 4 cm by 4 cm right supraclavicular lymph node and </span></span>visual acuity of 20/200 in the right eye and 20/70 in the left eye. Further testing, imaging, and a thorough history revealed the source of his illness and unusual ophthalmologic findings.</p></div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"20 4","pages":"Article 100728"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2019.100728","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48794702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
More Than Just Teenage Angst? 不仅仅是青少年焦虑?
Clinical Pediatric Emergency Medicine Pub Date : 2019-12-01 DOI: 10.1016/j.cpem.2019.100730
Julie Leviter MD , Erika Constantine MD
{"title":"More Than Just Teenage Angst?","authors":"Julie Leviter MD ,&nbsp;Erika Constantine MD","doi":"10.1016/j.cpem.2019.100730","DOIUrl":"10.1016/j.cpem.2019.100730","url":null,"abstract":"<div><p><span><span>A 17-year-old girl with a history of anxiety and emotional dysregulation presented to the </span>emergency department with abdominal pain, weight loss, </span>dizziness<span>, and vomiting. She had previously been prescribed several medications for ongoing somatic and psychiatric complaints, but her symptoms continued to escalate. She was noted to have significant weight loss, orthostatic hypotension, a prolonged QTc on electrocardiogram, and a serum sodium of 130 mEq/L. She was admitted with concern for an eating disorder. While inpatient, her symptoms continued to evolve, and a test was sent that revealed her underlying diagnosis.</span></p></div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"20 4","pages":"Article 100730"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2019.100730","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47269244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Right in Our Own Backyard 就在我们的后院
Clinical Pediatric Emergency Medicine Pub Date : 2019-12-01 DOI: 10.1016/j.cpem.2019.100741
Anneka Hooft MD, MPH, Kristy Schwartz MD, MPH, Paul Ishimine MD
{"title":"Right in Our Own Backyard","authors":"Anneka Hooft MD, MPH,&nbsp;Kristy Schwartz MD, MPH,&nbsp;Paul Ishimine MD","doi":"10.1016/j.cpem.2019.100741","DOIUrl":"10.1016/j.cpem.2019.100741","url":null,"abstract":"<div><p>A 3-year-old male presented to the emergency department with two episodes of abdominal pain, 1 week apart. His evaluation was unrevealing, but he was admitted for continued bouts of severe, intermittent abdominal pain. Further history obtained the day after admission revealed the cause of his symptoms and the ultimate diagnosis.</p></div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"20 4","pages":"Article 100741"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2019.100741","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49555203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
You Bowel Believe It! 你简直不敢相信!
Clinical Pediatric Emergency Medicine Pub Date : 2019-12-01 DOI: 10.1016/j.cpem.2019.100721
Caleb Ward MD, BChir , Alyssa Abo MD
{"title":"You Bowel Believe It!","authors":"Caleb Ward MD, BChir ,&nbsp;Alyssa Abo MD","doi":"10.1016/j.cpem.2019.100721","DOIUrl":"10.1016/j.cpem.2019.100721","url":null,"abstract":"<div><p><span><span>A 2-year-old previously healthy girl presented to the emergency department with sudden onset of nonbilious emesis and severe abdominal pain. Her clinical examination and point-of-care ultrasound were consistent with a </span>small bowel obstruction<span><span>. She had sonographic evidence of free fluid in the abdomen and subsequently developed hemodynamic instability. Further imaging was suggestive for a </span>congenital anomaly causing her obstruction. She was ultimately diagnosed with an omphalomesenteric duct remnant, confirmed during an </span></span>exploratory laparotomy.</p></div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"20 4","pages":"Article 100721"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2019.100721","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43786816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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