Pediatric emergency care
-
Pediatric emergency care · Dec 2021
Factors Associated With Increased Risk of Pediatric Orbital Cellulitis-Who Should Be Scanned?
Evaluation of a child with POC/OC is complicated due difficulties in physical examination and risks of imaging by computed tomography. ⋯ Differentiation between POC/OC is cardinal. This study highlights the importance of ancillary laboratory tests especially C-reactive protein in the assessment of infections of the eye.
-
Pediatric emergency care · Dec 2021
Multicenter StudyMulticenter Retrospective Review of Adult Patients Presenting to Pediatric Emergency Departments: Impact of Interfacility Distance.
This descriptive study aimed at evaluating the impact of distance between a general and pediatric emergency department (PED) on adults seeking care at PEDs. ⋯ Statistically significant differences were seen in the adult population presenting to PEDs based on the interfacility distance between a pediatric and general ED. These data can help PEDs prepare for the adult patients they are more likely to treat.
-
Pediatric emergency care · Dec 2021
Case ReportsChromhidrosis: An Unusual Cause of Skin Discoloration.
Chromhidrosis is a rare condition characterized by the secretion of colored sweat. We report a case of a preadolescent healthy girl presenting with acute, recurrent blue discoloration of her armpits. The blue discoloration can be wiped off but recurs. As providers, it is useful to be familiar with this diagnosis and course of disease.
-
Pediatric emergency care · Dec 2021
Case ReportsCoarctation of the Aorta in Adolescence: Significance of Detailed Cardiac Examination in Pediatric Hypertension.
Although coarctation of the aorta (CoAo) is a congenital anomaly, it can pose a diagnostic challenge in those presenting beyond neonatal period, as some patients can remain asymptomatic until complications of hypertension develop later in life. Careful physical examination can play an important role in timely diagnosis and prevention of complications. We present 2 cases of adolescents with undiagnosed CoAo who both presented with nonspecific headaches and hypertension. ⋯ These findings raised the clinical suspicion of CoAo, which was confirmed on further investigations. Our cases highlight the importance of considering CoAo in the differential diagnosis of hypertension in adolescents. These cases also stress the significance of detailed cardiac examination including 4-limb blood pressure and femoral pulses in a patient presenting to the emergency department with high blood pressure irrespective of the primary complaint.
-
Pediatric emergency care · Dec 2021
Point-of-Care Ultrasound Training Programs Across Italian Pediatric Residency Schools: A National Survey.
The role of point-of-care ultrasound (POCUS) in routine clinical practice is rapidly growing, whereas adult specialties have already included training programs regarding this topic; pediatric residency schools are still late on this topic, particularly in Italy. ⋯ Our results demonstrate that POCUS training is still missing in Italy. Given the growing number of evidences of the benefits from including POCUS in clinical practice and patient evaluation, efforts are needed to fill this gap, in Italy and, probably, in most European countries. Such a training will definitely help the new generation of pediatricians improve their curriculum and, therefore, child health.