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Cerebral Edema and Diabetic Ketoacidosis: Rebaked

Pediatric EM Morsels

Kids < 5 years of age New onset of diabetes at presentation Longer duration of symptoms Severity of acidosis Elevated BUN Greater degree of dehydration and hyperventilation Cerebral Edema and DKA: Diagnostic Considerations Early detection and treatment is the best means to prevent brain injury and death. 2004 Jul;27(7):1541-6.

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Failure to thrive

Don't Forget the Bubbles

Are there signs of significant dehydration or malnutrition? If severely dehydrated or malnourished, then they require admission for close monitoring with rehydration and refeeding. They have supportive parents who live nearby and a good friend network. Once you have completed your history, it’s time to examine the child. Eur J Pediatr.

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Bullous Skin Lesions, Meet Emergency Medicine

Taming the SRU

Mortality rates related to bullous skin lesions are typically related to disruption of the skin barrier and include subsequent dehydration, electrolyte imbalances, hypothermia, increased metabolic needs, and secondary infection leading to bacteremia and/or sepsis. Nature 2004; 428:486. Proc Natl Acad Sci U S A 2005; 102:4134.

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Neonatal Jaundice

Pediatric Emergency Playbook

They may get a little dehydrated, especially if mother’s milk is late to come in. Home care The neonate who is safe to go home is well appearing, and not dehydrated. Most babies with hyperbilirubinemia are dehydrated, which just exacerbates the problem. None of them became dehydrated or became sunburned. Bhutani et al.

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Don’t Forget the Orbeez!

Don't Forget the Bubbles

Closer to home, the New South Wales Poisons Information Centre (NSWPIC) reported 129 incidents involving water-absorbing beads since 2004. Other symptoms, such as constipation, abdominal pain and dehydration, were also be seen. The vast majority were managed at home, with no adverse events reported. Zamora et al.,

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Ovarian Torsion: Don’t get your knickers in a twist!

Don't Forget the Bubbles

Aziz D, Davis V, Allen L, Langer JC (2004) Ovarian torsion in children: is oophorectomy necessary? CT prediction of the degree of ovarian torsion. Jpn J Radiol. 2015 Aug;33(8):487-93. doi: 10.1007/s11604-015-0452-z. Epub 2015 Jun 29. PMID: 26118889. J Pediatr Surg, 39(5):750-3, PMID: 15137012. Moro F, Bolomini G, Sibal M, Vijayaraghavan S.B,

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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

Also consider non-hemorrhagic volume depletion, dehydration : orthostatic vitals may uncover this [see Mendu et al. (3)]. Premonitory symptoms (Nausea, pallor, diaphoresis, flushing), or triggers (Valsalva, Pain, Emotion, Prolonged Standing, Dehydration) are very useful in making the diagnosis. Vasovagal syncope is generally benign.