Pediatric emergency care
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Pediatric emergency care · Apr 2015
Case ReportsIntranasal midazolam for the emergency management of hypercyanotic spells in tetralogy of fallot.
The case of a 2-month-old boy with previously diagnosed tetralogy of Fallot who was brought to the emergency department with a hypercyanotic spell is described. Because partly of the difficulty of intravenous placement, especially in an infant crying with marked hypernea and deeply cyanotic, intranasal midazolam was administered. ⋯ Sedation is an important step in the management of patients with cyanotic spells. Intranasal midazolam offers an alternative use as an initial method of calming the child that was effective in a patient with a severe cyanotic spell because of tetralogy of Fallot in the emergency department.
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Pediatric emergency care · Apr 2015
Case ReportsRecurrent rhabdomyolysis in a teenager with psychosis-intermittent hyponatremia-polydipsia syndrome.
To report a case of recurrent hyponatremia and rhabdomyolysis in a teenager with psychogenic polydipsia. ⋯ Severe hyponatremia and rhabdomyolysis can complicate psychogenic polydipsia. Patients receiving antipsychotic drugs with concomitant severe hyponatremia need to be monitored for rhabdomyolysis.
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Pediatric emergency care · Apr 2015
Case ReportsPrimary hyperparathyroidism: an uncommon cause of hip pain.
Hip pain is a common complaint in a pediatric emergency department. The causes of hip pain are diverse and generally include traumatic and infectious causes. We report a case of hip pain caused by deep soft tissue infection associated with hypercalcemia and primary hyperparathyroidism. Atypical presentation of primary hyperparathyroidism may result in a delay in diagnosis.
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Pediatric emergency care · Apr 2015
Case ReportsPediatric Tea Tree Oil Aspiration Treated With Surfactant in the Emergency Department.
Tea tree oil is an essential oil containing a mixture of aromatic hydrocarbons. We describe an 18-month-old male patient who ingested tea tree oil, developed central nervous system depression, respiratory distress, and received early emergency department treatment with surfactant. Early treatment of hydrocarbon pneumonitis with surfactant has not been previously described. Early administration of surfactant should be further evaluated for treatment of hydrocarbon aspiration.