Clinical pediatrics
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Clinical pediatrics · Dec 1987
Letter Comparative StudyShould the mobile intensive care unit respond to pediatric emergencies?
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A 16-year-old male presenting with anticholinergic symptoms was found to have hematuria and oliguria. Evaluation of the patient revealed a serum creatinine of 2.2 mg/dl, myoglobinuria, and a creatine phosphokinase (CPK) level of 78, 750 IU/l with 99 percent fraction 3 isoenzyme. ⋯ The extremely high CPK level with the doxylamine overdose suggests that doxylamine may be associated with nontraumatic rhabdomyolysis. This is the first case report of rhabdomyolysis being associated with an antihistamine overdose.
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Clinical pediatrics · Oct 1987
Case ReportsProptosis, skull infarction, and retro-orbital and epidural hematomas in a child with sickle cell disease.
A Saudi child with homozygous sickle cell disease (SS) presented with bilateral periorbital swelling, right-sided proptosis, skull bone infarcts, and retro-orbital and epidural hematomas. The findings of skull bone infarcts, retro-orbital and epidural hematomas are rare in patients with sickle cell disease.
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Clinical pediatrics · Sep 1987
Review Comparative StudyBacterial meningitis in children: diagnosis and therapy. A review of recent developments.
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Clinical pediatrics · Jan 1987
Case ReportsMonitoring the resuscitation of preterm infants in the delivery room using pulse oximetry.
The first few minutes after birth are a critical time of adaptation of the newborn infant to extrauterine life. The adequacy of that adaptation has been evaluated by means of the summed Apgar score. ⋯ Measurement of arterial oxygen saturation by means of pulse oximetry offers a physiologic, real time method of monitoring the progress of cardiopulmonary adaptation by which the clinician can evaluate the need for and success of resuscitative efforts. Four preterm infants are reported in whom pulse oximetry was useful in assessing the changes in oxygen saturation during resuscitation.