Pediatric emergency care
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Pediatric emergency care · Sep 2011
Subdural hematomas and emergency management in infancy and childhood: a single institution's experience.
We aimed to identify the incidence, clinical features, management, and outcome of subdural hematomas (SHs) in infancy and childhood. ⋯ Subdural hematoma is common in infancy and childhood and carries a poor prognosis. Most of the cases are due to head trauma, coagulation disorders, and child abuse. We believe that clinical investigation of such children should be carried out in a multidisciplinary approach with the collaboration of pediatricians, social workers, and neurosurgeons.
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A 2-month-old previously healthy infant presented to the emergency department with a complaint of projectile vomiting for 4 days and jaundice for the last 2 days. An ultrasound of the abdomen showed no sign of pyloric stenosis. ⋯ The patient was admitted for further gastrointestinal workup. Finally, a computed tomographic scan of the head showed active and chronic subdural bilateral hematomas with multiple calvarial fractures consistent with nonaccidental trauma.
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Pediatric emergency care · Sep 2011
Case ReportsOrnithine transcarbamylase deficiency presenting as recurrent abdominal pain in childhood.
Recurrent abdominal pain remains one of the most common symptoms in pediatrics. We present the case of a 3-year-old girl who had recurrent episodes of abdominal pain requiring more than 13 visits to the emergency department. ⋯ Urea cycle disorders often present beyond the neonatal period with frequent vomiting episodes; however, recurrent abdominal pain as a presenting symptom is unusual. Unnecessary invasive investigations of recurrent abdominal pain in childhood can be avoided by considering inborn errors of metabolism earlier in the differential diagnosis.