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Travel-Related Illnesses in Children

Pediatric EM Morsels

Abdel-Haq 2021). Travel dates can help to exclude certain infections by their incubation periods (Abdel-Haq 2021) Physical examination can sometimes reveal concerning features including hepatomegaly , jaundice or a rash that may guide differential. A study of swiss tourists found they compromised 53.4%

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Congenital Syphilis

Pediatric EM Morsels

Neonates presenting to the Emergency Department often cause a lot of uncertainty. Let’s review how Congenital Syphilis may present to our Emergency Departments: Congenital Syphilis : Basics Occurs when the spirochete Treponema pallidum is transmitted from mother to fetus. 2021 Feb 5;14(2):e240532.

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EM@3AM: Leukopenia

EMDocs

PCP Pneumonia, Sepsis) can be discharged with initiation of Antiretroviral Therapy in consultation with Infectious Disease (ID) physician with full ID evaluation outpatient. A 45-year-old outdoor enthusiast presents to the emergency department with fever, headache, myalgias, and malaise. No rash is identified.

EMS 80
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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. The two “COVID seasons” of 2020-21 and 2021-22 were excluded from their comparisons.

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The Latest in Critical Care, 11/6/23 (Issue #19)

PulmCCM

Convalescent plasma was also previously shown to be effective at preventing severe disease in outpatients , when given in the first nine days of infection (to mostly unvaccinated U.S. patients infected with the Wuhan/Delta variants in 2020-2021). Sixteen major UK trauma centers participated, some with more experience than others.

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Case Report: Cutaneous Leishmaniasis in Chicago

ACEP Now

A 25-year-old Venezuelan male presented to a Chicago area emergency department (ED) in early November 2023. There was concern for possible cutaneous leishmaniasis (CL), therefore he was admitted to the hospital for infectious-disease and surgical consultations, as well as to complete a punch biopsy the following day.

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SAEM Clinical Images Series: Below the Chin, Badness Lies Within

ALiEM

A 50-year-old male with insulin-dependent Type 2 Diabetes presented to the emergency department with three days of pain and swelling on the right side of his neck. 2021 Oct;21(5):442-444. doi: 10.1136/practneurol-2021-002928. Epub 2021 May 7. Additional Images Physical Exam Vitals : BP 153/96; HR 110; T 100.0°F;