Pediatric EM Morsels
NOVEMBER 3, 2023
ovale to cover the hypnozoite that can stay dormant in the liver and cause a secondary infection in the future Severe Malaria IV artesunate is currently the accepted first line treatment Previously IV quinine was first line, however it was associated with higher incidence of hypoglycemia, cardiac dysrhythmias, seizures, and comas.
Taming the SRU
FEBRUARY 5, 2024
Scandinavian journal of infectious diseases , 45 (9), 657–663. Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases , 22 Suppl 3 , S37–S62. As may be seen in the table below, there are several themes as well a range of stringency.
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Pediatric EM Morsels
DECEMBER 20, 2024
These include: Mucocutaneous disease including rashes like erythema multiforme, mycoplasma induced rash and mucositis (AKA reactive infectious mucocutaneous eruption RIME), and SJS.
EMDocs
MAY 9, 2024
The triage nurse records the event as a “seizure” lasting 7 minutes. His MDM says nothing about the patient’s seizure but does state that “there is an ongoing community outbreak of gastroenteritis… and 6 patients currently in the ED with similar sx.” Plaintiff : You never acknowledged the alleged “7 minute” seizure.
Pediatric EM Morsels
AUGUST 18, 2023
Myth # 2: Neurologic affects Nervous system adverse events mostly include central concerns (ex, seizures, headaches, dizziness, lightheadedness, sleep disorders, hallucinations) and peripheral neuropathy. BMC Infectious Disease. PMID: 26407358 Meesters K, Mauel R, Dhont E, Walle JV, De Bruyne P.
EMDocs
JANUARY 11, 2024
Systems included neurological, cardiac, pulmonary, hematology, infectious disease, gastrointestinal, endocrine, fluids management, and general critical care. EEG Monitoring and Seizures Statements Takeaway: If possible, obtain an EEG to evaluate for seizure activity. Treat seizures if present.
Pediatric EM Morsels
AUGUST 9, 2024
Pemphigus syphiliticus Hepatomegaly Most common May have abnormal LFTs and evidence of Hepatitis. Jaundice Lymphadenopathy Generalized Epitrochlear lymphadenopathy is suggestive of congenital syphilis.
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