Titlebook: Children with Medical Complexity in the Emergency Department; A Case-Based Guide Audrey Kamzan,Deepa Kulkarni,Charles A. Newcomer Book 2024

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Fever in a Patient with Short Bowel Syndrome,tions and mandates a high index of suspicion for this entity. D-lactic acidosis is a rare finding in patients with SBS due to challenges in measuring D-lactate in most clinical settings, and it requires a high index of clinical suspicion to render a timely diagnosis.

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A Dislodged Gastrostomy Tube,arrier cream to prevent skin irritation. Placing a larger G-tube into the stoma will only cause further enlargement and leakage..Hypergranulation tissue that is red, beefy, and raised can be managed with either silver nitrate or triamcinolone cream.

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A Renal Transplant Recipient with Elevated Blood Pressure and Loose Stool,ot needed on first-pass evaluation unless there is specific concern for urinary obstruction. Initial management should include aggressive fluid resuscitation with normal saline and avoidance of medications that may worsen acute kidney injuries such as NSAIDs and potassium-containing solutions.

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Vomiting in a Child with a Metabolic Disorder,ients follow specialized diets and use medications to supplement missing substrates or bypass the affected pathway; however, they often require emergency care for the management of metabolic derangements. This chapter reviews the major pathophysiologic principles of metabolic crisis, the initial management, and the complications that can occur.

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An Infant Born at Extreme Prematurity Presenting in Respiratory Distress,the effect of extreme prematurity on lung parenchyma, acute management of respiratory failure in patients born at extreme prematurity, and pulmonary hypertension pathophysiology and pulmonary hypertensive crisis management.