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Diagnostic Costs : RSV rapid tests: $100-$400 (higher end when included in multiplex testing) Risk Stratification : Infants <6 months, especially those with prematurity, chronic lung disease, or congenital heart disease, have a heightened risk of hospitalization. Electrolyte disturbances secondary to fluid losses.
He has been ill for 3 days with abdominal pain, fever, diarrhea, and vomiting, and his father thinks his son is dehydrated. The patient is transferred to a tertiary care hospital where an MRI reveals bilateral mastoiditis with bony erosion. The elevated WBC could be due to dehydration. VS are normal with a temp of 97.3.
Hospital Inpatient : R thigh is indurated and blistered but abdomen is all but ignored. On the 2nd hospital day, she becomes obtunded and is intubated. She only gets worse, and by the 4th hospital day she is unresponsive. High level amputation is considered, but she dies of sepsis and multiorgan failure on hospital day 7.
She appears pale and dehydrated , and her level of alertness fluctuates. The Royal Children’s Hospital in Melbourne summarises them in an easy-to-follow flow diagram (figure 1). Pay specific attention to fluid status, looking for evidence of dehydration. Clinical InfectiousDiseases [Internet]. Rch.org.au.
Severe anaemia is a common and life-threatening cause of hospital admission in children in sub-Saharan Africa. 8% die in hospital, with a further 12% dying in the six months following discharge. Population 6171 children from three hospitals in Uganda and one in Malawi were assessed for eligibility. Do you believe the results?
Considering HUS and treating dehydration early has been shown to help keep the dialysis machine away! Timing and utility of ultrasound in diarrhea-associated hemolytic uremic syndrome: 7-year experience of a large tertiary care hospital. Protect the Kidneys! References: Glatstein M, Miller E, Garcia-Bournissen F, Scolnik D.
Hospitalization for travel-related illness are around 10% for both VFR and tourists (Leuthard 2015) Multiple studies have reported the most common travel infections in various countries. A “Syndromic” Approach for Diagnosing and Managing Travel-Related InfectiousDiseases in Children. Glob Pediatr Health. 2021 May; 8:1-16.
Camargo, Clinical Trial: Comparative Effectiveness of Cephalexin Plus Trimethoprim-Sulfamethoxazole Versus Cephalexin Alone for Treatment of Uncomplicated Cellulitis: A Randomized Controlled Trial, Clinical InfectiousDiseases, Volume 56, Issue 12, 15 June 2013, Pages 1754–1762, [link] Liu C, Bayer A, Cosgrove SE, et al.
You are working in the paediatric emergency department of a busy District General Hospital. Infections are the most common reason for hospitalization within the first two years of transplant and are much more likely than rejection. Have there been any previous episodes of hospitalization since receiving the transplant?
Source: By Dr Graham Beards – Own work, CC BY-SA 4.0, [link] Less common physical exam findings associated with mpox complications can include secondary skin infections, proctitis, bronchopneumonia, diarrhea and dehydration, eye-related issues, and, in very rare cases, encephalitis. 43 Table 3.
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. times per month and that 80-120 refugees are screened daily for infectiousdiseases in the triage and emergency units. 12 Table 1.
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