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Food Protein Induced Enterocolitis Syndrome (FPIES)

Pediatric EM Morsels

Today we are talking about a rare disease called FPIES (food protein induced enterocolitis syndrome) and how you might encounter these patients in the Pediatric Emergency Department. Patients with FPIES can have marked dehydration due to vomiting and diarrhea, even to the point of hypotension! Volume Status?!

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Rebaked: Inborn Errors of Metabolism presenting in the ED

Pediatric EM Morsels

Dehydration Surgery Pregnancy ( If we don’t ask we don’t know ) Many important IEM are included in the Newborn Screen. Pediatrics. Pediatr Rev (2022) 43 (7): 371–383. link] The post Rebaked: Inborn Errors of Metabolism presenting in the ED appeared first on Pediatric EM Morsels. 2000; 105:e 10. Samantha A.

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Travel-Related Illnesses in Children

Pediatric EM Morsels

Pediatric patients with recent travel and fever of unknown origin should be considered for admission if malaria is a possible diagnosis. Fever in the Returned Pediatric Traveler. Glob Pediatr Health. Curr Probl Pediatr Adolesc Health Care. Malaria requires 3 negative thick and thin smears over 12 hours to fully exclude.

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Cholera: ED presentation, evaluation, and management

EMDocs

The clinical picture of this patient was consistent with hypovolemic shock secondary to acute cholera infection. 10 In non-endemic regions, suspicion arises in patients with severe dehydration or death from acute watery diarrhea. 11 The presentation of cholera on physical examination depends on the patient’s level of dehydration.

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Episode 36 - Diagnosis and Management of Acute Gastroenteritis in the Emergency Department

EB Medicine

Literature Review: There is abundant literature on pediatric AGE but sparse research on AGE in adults. Therefore, many recommendations are extrapolated from the pediatric literature. Laboratory Testing and Imaging: Dehydration is the biggest contributor to mortality, especially in the very young and elderly. No data in AGE.

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Neonatal Jaundice

Pediatric Emergency Playbook

They may get a little dehydrated, especially if mother’s milk is late to come in. Pediatrics. Pediatrics. Home care The neonate who is safe to go home is well appearing, and not dehydrated. Most babies with hyperbilirubinemia are dehydrated, which just exacerbates the problem. Their livers are immature.

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Maintenance Fluids in Critical Illness

Don't Forget the Bubbles

She had septic shock on presentation and was resuscitated with 60ml/kg of balanced crystalloid solution and escalating vasoactive medications. If the fractional excretion of sodium is <1%, you agree with your consultant that you will also ask the nurses to account for the replacement of 5% dehydration (900ml) over 48h (≈ 19ml/h).