Otolaryngology

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

Acute Otitis Media Print Section Listen Clinical Summary Diagnosis of acute otitis media (AOM) requires (1) a history of acute onset of signs/symptoms, (2) presence of middle-ear effusion, and (3)…

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Ophthalmology

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

Orbital Cellulitis Print Section Listen Clinical Summary Orbital cellulitis is an infection of the soft tissues of the orbit posterior to the orbital septum. Infection may involve all the orbital…

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Gastrointestinal Disorders

Dec 28, 2018 by in EMERGENCY MEDICINE Comments Off on Gastrointestinal Disorders

Esophageal Foreign Bodies Print Section Listen Clinical Summary Ingested foreign bodies (FBs) account for many emergency department visits, and most pass through the gastrointestinal (GI) tract spontaneously. However, in children…

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Rheumatology

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

Kawasaki Disease Print Section Listen Clinical Summary Kawasaki disease (KD; also known as mucocutaneous lymph node syndrome) is an immune-mediated disorder of unknown etiology that occurs in genetically predisposed children…

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Endocrinology

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

Diabetic Ketoacidosis Print Section Listen Diabetic ketoacidosis/ketoacidemia (DKA) is an absolute or relative insulin deficiency resulting in ketone body production and decreased serum total CO2 concentration. This potentially life-threatening metabolic…

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Respiratory Disorders

Dec 28, 2018 by in EMERGENCY MEDICINE Comments Off on Respiratory Disorders

Tracheobronchial Foreign Bodies Print Section Listen Clinical Features Foreign body (FB) aspiration, though uncommon, accounts for 7% of deaths in children under 4 years of age. Most aspirated FBs become…

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Infectious Diseases

Dec 28, 2018 by in EMERGENCY MEDICINE Comments Off on Infectious Diseases

Streptococcal Pharyngitis and Scarlet Fever Print Section Listen Clinical Summary “Strep throat” is acute tonsillopharyngitis caused by Streptococcus pyogenes (group A β-hemolytic streptococci [GABHS]) in the majority, and occasionally by…

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Cardiology

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

Bradycardia Print Section Listen Clinical Summary Bradycardia is a heart rate below normal range for age with many etiologies. Bradycardia of <60 beats per minute (bpm) associated with poor systemic…

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