Pediatric emergency medicine trisk 2962 2962
Bạn đang xem bản rút gọn của tài liệu. Xem và tải ngay bản đầy đủ của tài liệu tại đây (102.33 KB, 1 trang )
Clinical entity
Renal failure
Symptoms and
signs
Investigations
Treatment
Usually insidious; Urinalysis (serial); Fluid, electrolyte
no symptoms
BUN; creatinine;
management
until uremia sets
creatinine
Treatment of
in
clearance; serum
hypertension
electrolytes
Peritoneal dialysis
Hemodialysis
Renal infarction Flank pain
Urinalysis; BUN;
Management of renal
creatinine
failure as given
High blood
above, hemodialysis
pressure
Renal arteriogram
Renal artery
Severe, sudden
Serial hematocrit
Management of shock
aneurysm with
flank pain; gross Renal arteriogram Surgical consult
hemorrhage
hematuria;
shock; palpable
abdominal mass
Hypertension
Asymptomatic or Serial measurement Diuretics
headache; retinal of BP; BUN;
Antihypertensive
changes;
creatinine,
agents
encephalopathy
creatinine
clearance; IVP
(or) renal
arteriogram
Pericarditis
Chest pain;
EKG; radiograph
Rest, steroids, removal
pericardial rub;
chest;
of fluid (if
pulsus
echocardiogram;
tamponade)
paradoxus (if
removal of fluid Caution: If tamponade
tamponade)
for analysis
is sudden, it may be
caused by ruptured
aneurysm with blood
in pericardium
Myocardial
Sudden chest pain; EKG (continuous
Pain relief; oxygen
infarction
shock;
monitor);
Circulatory support
arrhythmia;
echocardiogram; Heparin, thrombolytic
dyspnea;
thallium scan;
agents
congestive
coronary
failure
arteriography
Gastrointestinal
Abdominal pain;
Plain radiograph
Treat shock; block
