13 results
The Febrile Child - some diagnostic clues to evaluating the febrile child.

#Febrile #Fever #Evaluation #Assessment #Signs
some diagnostic clues ... Evaluation #Assessment #Signs ... #Symptoms #PhysicalExam ... #Diagnosis #Peds
Brudzinski’s Sign in Meningitis (first described in 19th century by Dr. Josef Brudzinski)

Brudzinski's sign is characterized
in Meningitis ( ... Passive neck flexion causes ... patients with meningitis ... #Video #PhysicalExam ... #Pediatrics #Peds
Clinical features of shock from dehydration in an infant

Decreased level of consciousness 
Sunken fontanelle 
Dry mucous
loss Reduced urine ... Extremities #PhysicalExam ... #Signs #Symptoms ... #Dehydration #Peds
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
no respiratory cause ... , sepsis, PNA, meningitis ... ingestion/exposure Symptoms ... Resuscitation 2) Urine ... diagnosis #management #Treatment
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Coltivirus Symptoms ... Photophobia • Nausea ... influenzae Symptoms ... Acute meningeal signs ... established by CSF or urine
Syphilitic gummas in Tertiary syphilis
Tertiary syphilitic gummas may mimic basal cell carcinoma. The gummatous tumors are
treated, in most cases ... Without treatment ... though there are no signs ... or symptoms. ... syphilis #clinical #photo
Acute Dacryocystitis- A 4-week-old boy was brought to the emergency department after having drainage from both
, abscess, and meningitis ... the first day of treatment ... Cultures of urine ... NEJM #clinical #photo ... #peds #acute #dacryocystitis
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy
1) 100 ml bolus of 3% NaCl over 10 min.
Hypertonic Saline for Treatment ... Symptoms improve ... improved headache and nausea ... L. 5) Monitor urine ... output for signs
21-Hydroxylase Deficiency (21-OHD): Pathogenesis and Clinical Findings
Autosomal recessive mutation in CYP21A2 coding for the enzyme 21-OHase
enzyme 21-OHase causes ... Signs/Symptoms/Complications ... non-arousable, decr urine ... endocrinology #peds
Pituitary Mass Effects - Pathogenesis and Clinical Findings
 • Pituitary turnors are almost always a benign
adenomas that require treatment ... For pituitary masses ... Signs / Symptoms ... Headaches • Nausea ... Post-nasal drip • Meningitis