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Hemolytic Uremic Syndrome (HUS): Rebaked Morsel

Pediatric EM Morsels

Though most children recover well after STEC is cultured from their stool, some will go on to display the findings that make up HUS. Considering HUS and treating dehydration early has been shown to help keep the dialysis machine away! The most notable varietal of the STEC is E.coli 0157:H7 (do you remember that from medical school?).

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EM@3AM: Leukopenia

EMDocs

Well keep it short, while you keep that EM brain sharp. A previously healthy 23-year-old male with no medical or surgical history presents to the ED with generalized malaise and no energy, progressively getting worse over the last six weeks. 10^9/L) Moderate (0.50.9 10^9/L) Severe (< 0.5 10^9/L) Generalized leukopenia (i.e.

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emDOCs Podcast – Episode 93: BRASH Syndrome

EMDocs

An inciting event will typically push them over the edge into BRASH syndrome: Dehydration Hypotension from sepsis or another condition GI illness Dosage increase of a chronic medication (e.g., 2020 Aug;59(2):216-223. The key is a patient who is on an AV nodal blocker and who has some sort of risk factor for renal insufficiency.

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EM@3AM: Sialadenitis

EMDocs

Risk factors include oral neoplasms, sialolithiasis, advanced age, dehydration, ductal foreign bodies, concomitant tracheostomy, and recent receipt of an anesthetic agent. Cham: Springer International Publishing; 2020:387-395. Patients who are immunocompromised may experience infection related to gram-negative organisms (e.g.,

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Don’t Forget the Orbeez!

Don't Forget the Bubbles

After Meshram et al, 2020 When Orbeez are exposed to water, the water molecules diffuse into the polymer network through osmosis. Other symptoms, such as constipation, abdominal pain and dehydration, were also be seen. This network enables Orbeez to retain their structure and not dissolve in water, yet allows them to swell. Metro, D.C.,

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EQUAL: a Straightforward Approach To Caring for Disabled Patients

ACEP Now

Oftentimes, it can be an indication of pain, infection, distress, anxiety, dehydration, or the first sign of sepsis. If they are part of the Deaf community, ensure that they have an American Sign Language interpreter present, as well as an in-person interpreter to best communicate the emotion behind their speech. Am J Public Health.

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EM@3AM: Suppurative Parotitis

EMDocs

September 9, 2020. Other bacterial causes include anaerobic oral flora, Strep viridans, E. Other bacterial causes include anaerobic oral flora, Strep viridans, E. Journal of oral and maxillofacial surgery: official journal of the American Association of Oral and Maxillofacial surgeons. 2002;60(4):446-448. doi:10.1053/joms.2002.31234

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