Orthopedics

Dec 28, 2018 by in EMERGENCY MEDICINE Comments Off on Orthopedics

Fractures and Fracture Classification Print Section Listen Clinical Summary Fractures are caused by high-energy forces on bones and may result from blunt or penetrating trauma. Fracture size and shape is…

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Trauma

Dec 28, 2018 by in EMERGENCY MEDICINE Comments Off on Trauma

Head Trauma Print Section Listen Clinical Summary Pediatric head trauma occurs commonly with most being minor; however, seemingly low-risk presentations may have intracranial injuries, and thus it is important to…

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Dermatology

Dec 28, 2018 by in EMERGENCY MEDICINE Comments Off on Dermatology

Urticaria Print Section Listen Clinical Features Urticaria, or hives, are pruritic raised erythematous superficial skin wheals that arise in response to histamine, leukotrienes, prostaglandins, and other substances released by stimulated…

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Toxicology

Dec 28, 2018 by in EMERGENCY MEDICINE Comments Off on Toxicology

The Poisoned Patient: General Approach and Gastrointestinal Decontamination Print Section Listen Clinical Summary The incidence of pediatric poisoning follows a biphasic curve, with 85% to 90% in children age 1…

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Environmental Emergencies

Dec 28, 2018 by in EMERGENCY MEDICINE Comments Off on Environmental Emergencies

Thermal Burns Print Section Listen Clinical Summary Extent of injury depends on the amount of heat, the delivery medium (gas, liquid, solid, or vapor), and the duration of contact. Scald…

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Nephrology

Dec 28, 2018 by in EMERGENCY MEDICINE Comments Off on Nephrology

Proteinuria Print Section Listen Clinical Summary Healthy children normally have protein in their urine, at a rate of protein excretion <4 mg/m2/h or <100 mg/m2/d throughout childhood. The upper limit…

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Hematology and Oncology

Dec 28, 2018 by in EMERGENCY MEDICINE Comments Off on Hematology and Oncology

Sickle Cell Anemia with Fever Print Section Listen Clinical Summary Fever in a child with sickle cell disease (SCD) is a medical emergency, because of the possibility of overwhelming Streptococcus…

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Emergency Ultrasound

Dec 28, 2018 by in EMERGENCY MEDICINE Comments Off on Emergency Ultrasound

Trauma Print Section Listen Clinical Summary The focused assessment with sonography for trauma (FAST) examination is a safe, portable, noninvasive diagnostic tool to investigate for hemoperitoneum, hemopericardium, and hemothorax in…

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Neurology

Dec 28, 2018 by in EMERGENCY MEDICINE Comments Off on Neurology

Bacterial Meningitis Print Section Listen Clinical Summary Meningitis is inflammation of the membranes (dura, pia mater, and arachnoid) surrounding the brain and spinal cord. Bacterial meningitis most commonly results from…

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Surgery and Genitourinary

Dec 28, 2018 by in EMERGENCY MEDICINE Comments Off on Surgery and Genitourinary

Intussusception Print Section Listen Clinical Summary Intussusception is when the proximal portion of the intestine invaginates into the distal portion, causing an obstruction. Early in the process, lymphatic return is…

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