Remove 2019 Remove Dehydration Remove Wellness
article thumbnail

What Are the Complications of Sickle Cell Trait?

Pediatric Education

He had no concerns and he was doing well in school and with his friends. He had a sprained ankle the previous year that he says was well-healed. With your sickle cell trait you usually shouldn’t have any problems, but dehydration could cause problems for you. The past medical history was positive for sickle cell trait.

article thumbnail

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.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

End of Life Care in the ED

Northwestern EM Blog

VitalTalk, 9 May 2019, www.vitaltalk.org/guides/transitionsgoals-of-care Expert Commentary This is a nice review of the steps of what can be a very difficult conversation from Drs. Anticipatory guidance is not just for well-child checks ! UpToDate, www.uptodate.com/contents/discussing-goals-of-care Ganta, Niharika, et al.

article thumbnail

Don’t Forget the Orbeez!

Don't Forget the Bubbles

Other symptoms, such as constipation, abdominal pain and dehydration, were also be seen. Point-of-care ultrasound may show well-demarcated, round, and hypoechoic material in the stomach and first part of the duodenum, though it can underestimate the number of beads present. Zamora et al., Persistent vomiting affected all 43 cases.

article thumbnail

emDOCs Revamp – Acute Chest Syndrome

EMDocs

His medical history is significant for three prior admissions for vaso-occlusive crises that have responded well to appropriate therapy, including pain control with NSAIDs and opioids, blood transfusions, antibiotics, and intravenous (IV) crystalloids. 2019 Jan 24;14:263-292. C or 100.4 mg/kg, max 0.4 C or 100.4 mg/kg, max 0.4

article thumbnail

SGEM#254: Probiotics for Pediatric Gastroenteritis – I Can’t Go For that…No Can Do

The Skeptics' Guide to EM

Date: April 16th, 2019 Reference: Schnadower et al. Date: April 16th, 2019 Reference: Schnadower et al. She is otherwise well appearing and has normal vitals and examines normally. Lactobacillus rhamnosus GG versus placebo for acute gastroenteritis in children. NEJM 2018 Guest Skeptic: Dr. Anthony G.

article thumbnail

Sickle Cell Disease Module

Don't Forget the Bubbles

SCD, therefore, is not only a mechanical disease but there are also many other cellular and plasma factors as well as endothelial interaction that generate chronic inflammation. Infections, fever, acidosis, hypoxia, dehydration and exposure to extreme temperatures can trigger VOC even though often no cause is identified.