Articles: trauma.
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Pediatric emergency care · Mar 2014
Diagnostic findings in infants presenting to a pediatric emergency department for lethargy or feeding complaints.
Lethargy is a common complaint among infants in the pediatric emergency department (ED), yet there is little data to guide appropriate evaluation. The objectives of the study were (1) to determine the frequency of diagnoses requiring intervention/monitoring and (2) to identify predictors of these diagnoses. ⋯ Infants with lethargy or poor feeding who require an intervention are likely to have conditions that are clinically evident or focal examination findings that lead to the diagnosis. Well-appearing infants with normal findings in examinations are unlikely to have a condition requiring intervention and should receive minimal testing.
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Cardiovascular CasesSESSION TYPE: Case ReportsPRESENTED ON: Saturday, March 22, 2014 at 04:15 PM - 05:15 PMINTRODUCTION: Paroxysmal supraventricular tachycardia (PSVT) following blunt cardiac injury (BCI) is rare but reported in the literature. AV nodal reentrant tachycardia (AVNRT) is the commonest form of PSVT encountered in clinical practice. We present a unique case of AVNRT after a blunt chest trauma with concomitant pulmonary embolism. ⋯ This case illustrates two unusual sequelae of blunt chest trauma-- pulmonary embolus and sustained AV nodal reentrant tachycardia.Reference #1: "Trauma Associated With Cardiac Dysrhythmias: Results Froma Large Matched Case-Control Study." Ismailov et al. The Journal of Trauma Injury, Infection, and Critical Care. 2007;62.Reference #2: "Blunt cardiac injury." Bock et al. Cardiology Clinics. Volume 30, Issue 4, November 2012.Reference #3: "Thromboembolism as a complication of myocardial contusion: a new capricious syndrome." Timberlake et al. Journal of Trauma. 1988 April 28(4)DISCLOSURE: The following authors have nothing to disclose: Joy Victor, Mangalore Amith Shenoy, Sameer Chadha, Felix Yang, Gerald Hollander, Jacob ShaniNo Product/Research Disclosure Information.
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Pleural Case Report PostersSESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Thoracic splenosis should be suspected in a patient with pulmonary nodules and history of splenic trauma. ⋯ In conclusion, thoracic splenosis is considered a benign process, and should be suspected in a patient with any CT or MRI demonstrating left pulmonary nodules with history of splenic trauma. Though new non invasive studies are available and are preferred to the invasive studies, the CT guided biopsy was done to rule out malignancy found on the initial chest CT.Reference #1: Malik U (2010). Parenchymal Thoracic Splenosis: history and nuclear imaging without invasive procedures may provide diagnosis. J Clin Med Res. 2(4),180-184.Reference #2: Mancano A (2012). Thoracic splenosis after thoracoabdominal trauma presenting as pleural nodules. Lung. 190(6), 699-701.Reference #3: Sahin E. (2009). Thoracic splenosis accompanied by diaphragmatic hernia. Can J Surg. 52, E293-294DISCLOSURE: The following authors have nothing to disclose: Ashraf Elsawaf, Jonathan Banibensu, Heather BoakyeNo Product/Research Disclosure Information.
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Cardiovascular Case Report Posters ISESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Central venous catheters (CVC) are placed in large caliber veins, and though relatively safe, complications can occur. When chest radiograph cannot verify proper CVC placement, further assessments are mandated. We present a case of questionable placement of a left-sided CVC. ⋯ The following authors have nothing to disclose: Andrew Oh, Andrew SchaffrinnaNo Product/Research Disclosure Information.
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Surgery Case Report Posters ISESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Chronic expanding thoracic hematoma (CETH) is a rare clinical entity mimicking invasive soft-tissue neoplasms in the thorax. It is reported to occur in patients with a history of trauma or surgery or tuberculosis. It is considered a form of chronic empyema and has also been designated as chronic hemorrhagic empyema. We present a case of a CETH, treated successfully with surgical resection. ⋯ The following authors have nothing to disclose: Danae Delivanis, Vanessa Yap, Daniel Fusco, Debapriya DattaNo Product/Research Disclosure Information.