article thumbnail

Food Protein Induced Enterocolitis Syndrome (FPIES)

Pediatric EM Morsels

Patients with FPIES can have marked dehydration due to vomiting and diarrhea, even to the point of hypotension! – As always, treat symptoms and dehydration based on severity. 2017 Jun 27;10:197-207. It may sound silly (“FPIES”), but it can be serious! Volume Status?! J Asthma Allergy. doi: 10.2147/JAA.S100379.

article thumbnail

Medical Malpractice Insights: Brain Abscess

EMDocs

He has been ill for 3 days with abdominal pain, fever, diarrhea, and vomiting, and his father thinks his son is dehydrated. He reasoned that dehydration and orthostatic hypotension led to a syncopal episode with limb shaking. The elevated WBC could be due to dehydration. Updated: Oct 27, 2017. Medscape eMedicine.

article thumbnail

Haemolytic Uraemic Syndrome

Don't Forget the Bubbles

She appears pale and dehydrated , and her level of alertness fluctuates. Pay specific attention to fluid status, looking for evidence of dehydration. Manage hydration Children may be dehydrated or present with signs of fluid overload. 2017 Sep 12 [cited 2023 Nov 30];archdischild-2016-311377. F1000Research. Oct 30 2019.

article thumbnail

Episode 36 - Diagnosis and Management of Acute Gastroenteritis in the Emergency Department

EB Medicine

No 1996 AAP guidelines, 2016 ACG guidelines, and 2017 IDSA guidelines all note diarrhea illness but may be vomiting predominant. Laboratory Testing and Imaging: Dehydration is the biggest contributor to mortality, especially in the very young and elderly. Lab evaluation for dehydration is recommended in these populations.

article thumbnail

The Perception of Risk

Don't Forget the Bubbles

Let’s break it down: Less than 50% of normal fluid intake in a 24-hour period Children who are sick generally don’t eat or drink, so dehydration is a legitimate concern. Victoria: Victoria State Government – Health and Human Services; 2017. References Government VS. Guidelines for emergency department short stay units.

article thumbnail

End of Life Care in the ED

Northwestern EM Blog

We’ve all seen an end-of-life situation generate a second patient with dehydration mediated syncopal episode at the bedside, let’s try to prevent that. Written by: Savannah Vogel, MD (NUEM ‘24) Edited by: Logan Wedel, MD (NUEM ‘22) Expert Commentary by : Matt Pirotte, MD References “Discussing Goals of Care.” SGIM Forum, vol.

article thumbnail

Managing a patient with decompensated liver cirrhosis

Mind The Bleep

These include infection & sepsis, GI bleeding, dehydration, AKI, alcohol consumption, constipation, and certain medications. GBD 2017 Cirrhosis Collaborators. On Day 3 (i.e. 48 hours later) albumin is administered at 1g/kg. 9 Encephalopathy Look closely for a precipitant and treat accordingly! Bull World Health Organ.