Remove 2023 Remove Dehydration Remove Emergency Department
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Food Protein Induced Enterocolitis Syndrome (FPIES)

Pediatric EM Morsels

Today we are talking about a rare disease called FPIES (food protein induced enterocolitis syndrome) and how you might encounter these patients in the Pediatric Emergency Department. Patients with FPIES can have marked dehydration due to vomiting and diarrhea, even to the point of hypotension! Volume Status?!

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But Can You Just PO?

Taming the SRU

Fluid management in the Emergency Department (ED) is crucial in the adequate resuscitation of the acutely ill and decompensating patient. Other conditions that lead to intravascular fluid depletion include but are not limited to starvation/dehydration, vomiting, diarrhea, burns/trauma, hyperglycemia, and hemorrhage.

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SAEM Clinical Images Series: There’s a Stone Under My Tongue

ALiEM

A 44-year-old female presented to the emergency department with the complaint of a “stone under [her] tongue.” Larger, more superficial sialoliths may benefit from excision in the emergency department. The emergency physician made a single 1 cm incision over the calculus and a 0.5 2011 Dec;145(6):935-9.

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EM@3AM: Suppurative Parotitis

EMDocs

A 75-year-old male with past history of HTN, CVA, DM II presents to the emergency department with right facial swelling since last night. WikEM, The Global Emergency Medicine Wiki. Accessed March 27, 2023. Emergency Medicine Residents’ Association; 2022. Accessed on April 11, 2023. RR 18, SpO2 97% on RA.

EMS 70
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EM@3AM: Leukopenia

EMDocs

A 45-year-old outdoor enthusiast presents to the emergency department with fever, headache, myalgias, and malaise. 0000000000000305 Kazumi Y (2023) The Epidemiology and Outcomes of Leukopenia in Different Populations and Regions. Updated 2023 Aug 23]. No rash is identified. Dale DC, Bolyard AA. Curr Opin Hematol.

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Paediatric Constipation

Mind The Bleep

It is also sensible to advised to ensure good fluid intake throughout treatment to help avoid dehydration which can occur with laxatives. SM, “Paediatric Constipation Differential Diagnoses,” 5 March 2023. Kahana DD, “Constipation,” 5 March 2023. Management of Constipation in CED,” 5 March 2023.

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Sweet! A Metabolic Disorders focused podcast episode

PEMBlog

This episode will help you better prepare for and manage children with inborn errors of metabolism in the Emergency Department. Updated 2023 Jul 17]. Transcript Note: This transcript was partially completed with the use of the Descript AI Welcome to PEM Currents, the Pediatric Emergency Medicine Podcast.