Archives of pediatrics & adolescent medicine
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To evaluate whether hypoalbuminemia on admission is a predictor of adverse outcome in critically ill children. ⋯ Admission hypoalbuminemia is a significant marker of morbidity and mortality in critically ill children.
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A 2½year-old boy had the onset of pain and swelling of his penis during the past 3 days. The swelling and pain increased significantly within the past 24 hours. The child's penis is shown in the Figure. ⋯ The constricting ring created causes a tension greater than the lymphatic pressure and results in edema of the prepuce, the penile shaft, and the glans penis distal to the incarcerated foreskin.1,2As lymphatic drainage is impaired and tissue swelling increases, reduction of the foreskin becomes more difficult. Pain occurs as a result of swelling, and, eventually, as a result of vascular compromise. If.