Pediatric emergency care
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Pediatric emergency care · Sep 2005
Review Case ReportsPediatric diabetic ketoacidosis: clinical presentations and nursing considerations.
Pediatric diabetic ketoacidosis is a life-threatening medical condition that requires rapid recognition yet gradual organized treatment. This article discusses the pathophysiology and morbidity of diabetic ketoacidosis and cerebral edema, in addition to treatment and nursing considerations. Three case studies are presented to reintroduce the reader to varying severity of ketoacidosis.
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Pediatric emergency care · Sep 2005
Case ReportsChest pain among adolescents with anorexia nervosa.
Chest pain is common among adolescents. However, chest pain among adolescents with eating disorders is unique. We report a case of an anorexic adolescent presenting to the emergency room with acute onset of chest pain due to spontaneous pneumomediastinum. The pathophysiology, etiology, and risk factors of chest pain among adolescents with anorexia nervosa are reviewed.
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Pediatric emergency care · Sep 2005
Comparative StudyWitnessed and unwitnessed esophageal foreign bodies in children.
The purpose of this study was to describe the clinical presentation of children with either an unwitnessed or witnessed esophageal foreign body. ⋯ Children who present to the emergency department two years old and younger, who have a documented fever and with respiratory findings should be considered at risk for having a retained esophageal foreign body. Children with esophageal abnormalities may also be at risk for retained esophageal foreign bodies.
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Although young victims of intentional violence are commonly cared for in emergency departments, minimal information exists regarding the characteristics of these young people. This study fills that knowledge gap. ⋯ Young persons who are victims of interpersonal violence have a high rate of delinquency and drug abuse than nonvictimized youth. Physicians caring for these youth need to be cognizant of the special psychosocial issues of these victims.