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Failure to thrive

Don't Forget the Bubbles

It is commonly seen in the first couple of years of life and accounts for 1-5% of paediatric hospital admissions for those under two. Are there signs of significant dehydration or malnutrition? If severely dehydrated or malnourished, then they require admission for close monitoring with rehydration and refeeding. Eur J Pediatr.

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Maintenance Fluids in Critical Illness

Don't Forget the Bubbles

If the fractional excretion of sodium is <1%, you agree with your consultant that you will also ask the nurses to account for the replacement of 5% dehydration (900ml) over 48h (≈ 19ml/h). Given the present urine output of 0.3ml/kg/hr and no dehydration replacement, you estimate she will receive ~1mmol/kg/day of sodium.

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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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Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

Author continued : STE in aVR is often due to left main coronary artery obstruction (OR 4.72), and is associated with in-hospital cardiovascular mortality (OR 5.58). For instance: sepsis, bleeding, dehydration, hypoxia, and mild ACS. 2015 Oct; 66(4):355-362. Annals of Emergency Medicine. De Backer D et al. Folland ED, et al.

EKG/ECG 40
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An overview of hypopituitarism

Don't Forget the Bubbles

This condition, known as diabetes insipidus (DI) , results in dehydration and high sodium concentrations in the blood. As dehydration can rapidly worsen in children , this test must be performed in a hospital setting with strict monitoring. PROP1, POU1F1, LHX3, and LHX4 mutations in congenital hypopituitarism).

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

Don't Forget the Bubbles

However, the limitation with MRI scanning is the logistics of obtaining one in a busy hospital especially if it is an out-of-hours presentation of torsion. 2015) Surgical problems in the paediatric patient, Clinical Gynaecology, 2 nd edition, p578-579. 2015 Aug;33(8):487-93. Epub 2015 Jun 29. Mansuria S.M, Donnellan N.M

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Haemolytic Uraemic Syndrome

Don't Forget the Bubbles

She appears pale and dehydrated , and her level of alertness fluctuates. The Royal Children’s Hospital in Melbourne summarises them in an easy-to-follow flow diagram (figure 1). Pay specific attention to fluid status, looking for evidence of dehydration. 2015 Nov;46(5):586–9. The management of HUS is primarily supportive.