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ToxCard: Iron

EMDocs

6 Can see subsequent electrolyte disturbances and dehydration related to severity of GI symptoms. 2005 Jun;159(6):557-60. Clinical Toxicology, 2005; 43(6), 553570. Typically presents in the first few hours following ingestion. In severe toxicity, hematemesis, melena, or hematochezia may occur. McGraw Hill; 2019. Tenenbein M.

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Bullous Skin Lesions, Meet Emergency Medicine

Taming the SRU

This differential is broad and reflects the clinical diversity of their presentations - in this post we will parse through the specifics of bullous lesions as well as what there is to do for them acutely. There is typically no mucous membrane involvement, however children will also have poor feeding resulting in fluid loss and dehydration.

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Pediatric Diarrhea with Dr. Jay Larmon

Downeast Emergency Medicine

Well, patients have a greater potential to be sicker, and even though there is a higher chance of a bacterial infection these patients should NOT be started empirically on antibiotics. In this patient population, well appearing children can have stool cultures ordered and be referred to follow up as an outpatient.

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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.

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Pain Management of Common Chief Complaints in the ED

EMDocs

She denies any trauma, swelling, or redness in the joints, as well as fever or weight loss. 2005 Jul-Aug 2005;12(4):311-9. Effects of hydration and dehydration on blood rheology in sickle cell trait carriers during exercise. The pain is worse with activity but improves with rest. Jan 23 2008;(1):CD000396. doi:10.1002/14651858.CD000396.pub3

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IV fluids in the ED: When do we really need them?

EMDocs

1,2 For hypervolemia in heart failure patients, orthopnea >2 pillows is the most reliable clinical finding, 3,4 though an increase in peripheral edema and increased weight can be useful as well. For patients who are elderly, orthostasis is an unreliable clinical finding and may be present in the absence of dehydration.

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Cholera: ED presentation, evaluation, and management

EMDocs

As the disease progress the patients will experience profound dehydration and start to develops signs and symptoms such as: Rapid heart rate Loss of skin elasticity Dry mucous membranes Low blood pressure If left untreated, severe dehydration may lead to kidney failure, shock, coma, and death within hours.