Pediatric emergency care
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Pediatric emergency care · Jul 2007
Case ReportsSpontaneous pneumothorax, pneumomediastinum, and epidural emphysema presenting as neck pain suspicious for meningitis.
Pneumomediastinum and epidural pneumatosis are rare findings. Simultaneous occurrence of spontaneous pneumothorax, pneumomediastinum, pneumopericardium, and epidural emphysema is particularly rare. These findings are even more unusual when there is no history of trauma, underlying pathology, or history of asthma. ⋯ It is important to recognize the clinical signs and symptoms of air trapping in various tissues and investigate appropriately. This may prevent potentially life-threatening complications. Subcutaneous emphysema, pneumomediastinum, and epidural emphysema associated with spontaneous bilateral pneumothoraces represents an extremely rare presentation.
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Pediatric emergency care · Jul 2007
Releasing of zipper-entrapped foreskin: a novel nonsurgical technique.
This report describes a novel technique of releasing the zipper-entrapped penile skin. The thin blade of a small screwdriver is inserted between the outer and inner faceplates of the zip fastener, and twisting movement is made toward the median bar. ⋯ This technique was used in 12 children and was found to be safe, effective, simple, painless, and nontraumatic. This can be done by attending pediatrician even in nonhospital settings without resorting to surgical help.