Pediatric emergency care
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Pediatric emergency care · May 2013
Case ReportsHyperkalemia and ventricular tachycardia after outpatient ureteral valve reimplantation: a case report.
This study aimed to report on a toddler who presented with progressively worsening abdominal pain and obstructive uropathy 1 week after ureteral valve reimplantation. Acute renal failure resulted in critical hyperkalemia. ⋯ More commonly, hyperkalemia results from overuse/overdose of supplementation or in patients with known renal failure. Although less common, obstructive uropathy should be considered in any patient with recent instrumentation of the urinary tract and coincident complications can be significant.
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Pediatric emergency care · May 2013
Case ReportsHomicidal acute formalin poisoning in an infant from a rural sericulture family presenting with multisystem failure.
Acute poisoning of formalin is rare because of its strong irritating effect and alarming odor. Although few cases of acute poisoning in adults have been reported in literature, to our knowledge, this is the first case report of formalin poisoning in an infant presenting with multisystem failure. Despite proper supportive treatment in the absence of antidote, the infant died within 13 hours after deliberate poisoning.
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Pediatric emergency care · May 2013
The effect of image quality on the assessment of child abuse photographs.
Although child abuse pediatricians are frequently asked to evaluate risk of abuse based on photographs, the effect of photographic quality on this process is presently unknown. Photographs of abused children are often taken by professionals without photographic training, and quality varies widely. This article reports the first study of the effect of image quality on clinical assessment from photographs. ⋯ Higher-quality images improved accuracy. An examiner's impression that an image is adequate did not guarantee an accurate interpretation. Reliance on photographs alone is not sufficiently accurate in the assessment of cutaneous trauma.
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Pediatric emergency care · May 2013
Unscheduled return visits to the emergency department: the impact of language.
Return visits to the emergency department (ED) resulting in admission are an important marker of quality of care. Patients and families with limited English proficiency (LEP) are at risk for suboptimal care related to imprecise communication. ⋯ Patients with LEP are at higher risk of return visit for admission.
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The complaint of nontraumatic neck pain in a pediatric patient without fever or any other symptoms is unusual and can be very challenging. We present the case of a 4-year-old boy with imaging consistent with a rare diagnosis. This report discusses this diagnosis as well as the utility of advanced imaging and laboratory evaluations in the presentation of pediatric neck pain.