Pediatric emergency care
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Pediatric emergency care · Apr 2009
Case ReportsIntraperitoneal bladder rupture as an isolated manifestation of nonaccidental trauma in a child.
Nonaccidental trauma is a significant cause of morbidity and mortality in children. We describe a case of a child who presented with intraperitoneal bladder rupture after sustaining blunt abdominal trauma. ⋯ Emergency exploratory laparotomy revealed rupture at the dome of the bladder. Bladder rupture as a result of nonaccidental trauma has been reported in 3 previous cases.
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Pediatric emergency care · Apr 2009
Case ReportsAcute, reversible nonoliguric renal failure in two children associated with analgesic-antipyretic drugs.
Analgesic-antipyretic agents and nonsteroidal anti-inflammatory drugs are the most commonly used medications worldwide for the treatment of pain and fever in children. Acute renal failure is commonly seen in adults after treatment with analgesic agents. This complication has rarely been reported in children. ⋯ Over-the-counter analgesic-antipyretic agents seem innocent but carry the risk of acute renal failure even at therapeutic doses. We believe that increased caution and awareness of the toxic effects of APAP and nonsteroidal anti-inflammatory drugs are needed. We suggest that clinicians should be careful while using analgesic-antipyretic-anti-inflammatory drugs especially in children with subclinical dehydration.