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EM@3AM: Leukopenia

EMDocs

Well keep it short, while you keep that EM brain sharp. Philadelphia, PA: Elsevier; 2022:1-11. 101,33 (2022): e30116. Updated 2022 Nov 14]. Available from: [link] The post EM@3AM: Leukopenia appeared first on emDOCs.net - Emergency Medicine Education. Curr Opin Hematol. 2017;24(1):46-53. doi:10.1097/MOH.0000000000000305

EMS 95
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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. Allergy Asthma Clin Immunol 18, 54 (2022). It may sound silly (“FPIES”), but it can be serious! Volume Status?!

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Rebaked: Inborn Errors of Metabolism presenting in the ED

Pediatric EM Morsels

Dehydration Surgery Pregnancy ( If we don’t ask we don’t know ) Many important IEM are included in the Newborn Screen. Pediatr Rev (2022) 43 (7): 371–383. link] The post Rebaked: Inborn Errors of Metabolism presenting in the ED appeared first on Pediatric EM Morsels. Viral infections also may cause metabolic stress. Pediatrics.

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EM@3AM: Sialadenitis

EMDocs

We’ll keep it short, while you keep that EM brain sharp. Risk factors include oral neoplasms, sialolithiasis, advanced age, dehydration, ductal foreign bodies, concomitant tracheostomy, and recent receipt of an anesthetic agent. Treasure Island (FL): StatPearls Publishing; September 26, 2022. Updated 2022 Aug 8].

EMS 98
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EM@3AM: Suppurative Parotitis

EMDocs

We’ll keep it short, while you keep that EM brain sharp. Emergency Medicine Residents’ Association; 2022. 2021.3.51501 The post EM@3AM: Suppurative Parotitis appeared first on emDOCs.net - Emergency Medicine Education. Other bacterial causes include anaerobic oral flora, Strep viridans, E. Wilson M, Pandey S. 2004;97(11):1139.

EMS 96
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Cerebral Edema and Diabetic Ketoacidosis: Rebaked

Pediatric EM Morsels

Kids < 5 years of age New onset of diabetes at presentation Longer duration of symptoms Severity of acidosis Elevated BUN Greater degree of dehydration and hyperventilation Cerebral Edema and DKA: Diagnostic Considerations Early detection and treatment is the best means to prevent brain injury and death. 2022; 23( 7): 835- 856.

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Morel-Lavallée Lesion in Children

Pediatric EM Morsels

Sometimes this can be used to our advantage, like when we need to give subcutaneous fluids to a dehydrated patient without an IV, or when we need to give SQ medications for things like Sulfonylurea overdose , Hereditary Angioedema , or DVTs. 2022) Morel-lavallee lesions – diagnosis and practical management of these troublesome injuries!