Pediatric EM Morsels

OCTOBER 6, 2023

(Forster, 2021) Transmission is by Fecal-Oral route (Chiodini 2018) Incubation period 6-30 days after exposure (Chiodini 2018) Salmonella typhi produces an endotoxin although its clinical significance is not yet well understood (Gibani 2019) Two typhoid vaccines are available for those > 6 m/o and are 50-80% effective.

Pediatrics 161

Pediatrics CDC Seizures Documentation/Coding 161

EMDocs

OCTOBER 5, 2024

ESBL are found exclusively in Gram-negative organisms, including: Klebsiella pneumoniae Klebsiella oxytoca Escherichia coli Proteus mirabilis Pseudomonas aeruginosa The first reported beta-lactamase enzyme was reported in 1963, and today there are well over 350 ESBL enzyme variants. The Lancet Infectious Diseases.

EMS 86

EMS Infectious Diseases Sepsis Hospitals 86

Pediatric Education

MAY 7, 2023

The fever was responsive to antipyretics, and he was taking some dextromethorphan as well. Maximum temperature was 102.4F 5 days ago. The last recorded temperature was the evening before at 100.1F.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Infectious Diseases Pediatrics Poisoning 40

Pediatric Education

JUNE 25, 2023

Borate toxicity can cause abdominal pain, diarrhea, emesis, fever, irritability, seizures, and death. Borates can cause skin irritation and there can be some reproductive changes as well. Toxic borate exposure can occur through inhalation, or oral and dermal routes with non-intact skin being a bigger problem.

Infectious Diseases 40

Infectious Diseases Pediatrics Seizures Outcomes 40

Pediatric Education

SEPTEMBER 1, 2024

Smallpox is an ancient disease and an especially well-known cause of severe morbidity and mortality and therefore was used as a curse or epiphet. The lesions are 7-10 mm in diameter, round, firm, deep-seated and well circumscribed… ” Lesions tend to appear more on the forearms and face than rest of the body.

Infectious Diseases 40

Infectious Diseases Pediatrics Seizures Sepsis 40

PEMBlog

JULY 10, 2024

At any stage, patients can develop neurosyphilis, that can present with vision changes, neuropathies, seizures, or altered mental status. Patients with neurologic complaints should undergo CSF testing as well. Trepanemal tests, such as the FTA ABS, are used as confirmation in the setting of a positive non trepanemal test.

Pediatrics 52

Pediatrics CDC Seizures Emergency Department 52

Pediatric Education

NOVEMBER 10, 2024

Per the parents through an interpreter the baby was doing well. Note that some people will add clinically important bacterial infections such as Group B Streptococcus , Escherichia coli , and Listeria to this list as well. Patient Presentation A 9-day-old male came to clinic after discharge from the neonatal intensive care unit.

Infectious Diseases 40

Infectious Diseases Pediatrics Seizures Resuscitation 40

EMDocs

JANUARY 6, 2025

She presents with a seven-day history of fever, fatigue, and myalgias associated with decreased oral intake and an episode of seizure-like activity three hours prior to arrival. Additionally, there is no family history of seizure disorders. 10 This burden of infectious disease is markedly higher than for the general population.

Infectious Diseases 67

Infectious Diseases CDC PPE Rapid Diagnostic Testing 67

EMDocs

NOVEMBER 2, 2024

A broad workup is initiated for altered mental status, including an STD panel, which shows a reactive Venereal Disease Research Laboratory (VDRL) and a negative CT head. Consultation with an infectious disease and neurology specialist can be considered to guide treatment and proper disposition. Symptoms: Personality change (i.e.,

EMS 104

EMS Infectious Diseases CDC Research 104