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Lung Abscess in Children

Pediatric EM Morsels

Lung abscess is a rare subset of these (< 1% of admitted cases of pneumonia ( Wojsyk-Banaszak, 2018 ) Lung abscess = collection of fluid within a thick-walled localized area of necrotic lung parenchyma. Pediatr Pulmonol. 2018 May;24(5):376-382. Epub 2018 Feb 15. Pediatr Emerg Care. 2018 Jun;34(6):447-449.

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Fluoroquinolone Use In Children

Pediatric EM Morsels

Jackson 2016) A systematic review of safety data for over 16000 pediatric patients did show MAEs were the most frequently reported event. 451 pediatric patients were included. Wirth 2018) One study including 4.4 Meesters 2018) Resistance is growing (likely from inappropriate / overuse)! Pediatrics. Clin Pediatr.

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Congenital Syphilis

Pediatric EM Morsels

Foles, 2024 ] In the US, from 2013-2018, cases increased from 362 to 1,306. The post Congenital Syphilis appeared first on Pediatric EM Morsels. Worldwide, congenital syphilis complicates about 1 million pregnancies / year. Hussain, 2023 ] Leads to >300,000 perinatal deaths / year globally. A case of congenital syphilis.

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The End of Respiratory Season Hell?

EM Literature of Note

These are each awful, of course, in their own way from a patient- and parent-oriented standpoint, but they’re also quite awful at the population level, overburdening limited pediatric and emergency department resources. “Nirsevimab and Acute Bronchiolitis Episodes in Pediatric Emergency Departments” [link] Tweet

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EM@3AM: Kawasaki Disease

EMDocs

Upon further research in the 1970’s, retrospective data from autopsies of those patients showed coronary aneurysms 5 Pathophysiology: Kawasaki Disease is a vasculitis of medium sized arteries. Kawasaki disease: two case reports from the Aga Khan Hospital, Dar es Salaam-Tanzania. BMC Pediatrics. 2018; 3: e41-e45.

EMS 84
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Diagnostics: Inflammatory Markers

Taming the SRU

Spinal Infection: According to the Infectious Disease Society of America’s (IDSA) 2015 guidelines for native vertebral osteomyelitis, CRP and ESR in the setting of protracted back pain have sensitivities ranging from 94 to 100% for ruling out infection and malignancy in these patients. 2018 Aug 1;10(8):a028456. Epub 2018 Oct 19.

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PEM POCUS Series: Soft Tissue Ultrasound

ALiEM

Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric soft tissue ultrasonography. Take the ALiEMU PEM POCUS: Soft Tissue Quiz Case Goals List the indications of performing a pediatric soft tissue point-of-care ultrasound (POCUS). Pediatric Soft Tissue POCUS Ultrasound Technique Figure 1.