Pediatric EM Morsels

FEBRUARY 2, 2024

Pediatric patients with recent travel and fever of unknown origin should be considered for admission if malaria is a possible diagnosis. Malaria requires 3 negative thick and thin smears over 12 hours to fully exclude.

Infectious Diseases 161

Infectious Diseases Pediatrics Sepsis Documentation/Coding 161

EMDocs

MARCH 11, 2024

The clinical picture of this patient was consistent with hypovolemic shock secondary to acute cholera infection. 10 In non-endemic regions, suspicion arises in patients with severe dehydration or death from acute watery diarrhea. 11 The presentation of cholera on physical examination depends on the patient’s level of dehydration.

Dehydration 90

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 90

EMDocs

JANUARY 6, 2025

Based on available hospital resources, the patient is treated for septic shock secondary to pneumonia and an infected wound using broad-spectrum antibiotics and IV crystalloid fluids. She is sent to the medical ward after three days in the ED with the diagnoses of resolving septic shock, severe malaria, and AKI. 57 Table 2.

Infectious Diseases 57

Infectious Diseases CDC PPE Rapid Diagnostic Testing 57

EMDocs

DECEMBER 9, 2024

The outbreak spread to four additional African countries, leading the Africa CDC to declare it a Public Health Emergency of Continental Security. 43 As shown in Table 1, the CDC recommends acetaminophen or NSAIDs for general pain relief, with gabapentin or opioids reserved for more severe cases. In: CDC Yellowbook. 43 Table 3.

CDC 59

CDC Documentation/Coding Infectious Diseases Dehydration 59