Pediatric emergency medicine trisk 2975 2975
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Clinical entity
Symptoms and
signs
Investigations
Treatment
Respiratory
failure
Air hunger,
tachypnea,
cyanosis,
shallow
respiration,
alteration in
mental status
Chest radiograph
Arterial blood gas
Pneumothorax
Chest pain
Breathlessness,
tachypnea,
cyanosis,
diminished
breath sounds,
increased
resonance to
percussion
Chest radiograph
Oxygen
Mechanical ventilatory
support
Corticosteroids and
immunosuppressives,
plasmapheresis
Antibiotics if evidence
of aspiration
pneumonia
Chest tube
Velopalatine
weakness
Pooling of
secretions,
drooling
Nasal voice
Aspiration
pneumonia—
recurrent
Abdominal pain,
nausea, vomiting
Guarding,
diminished
bowel sounds
(may be masked
by
corticosteroids)
Hematemesis,
melena,
hematochezia
Careful barium
Corticosteroids
cineradiographic Nasogastric feedings
study
Tracheostomy
Chest radiograph
Gastrointestinal
hemorrhage
CBC; type and
cross
Abdominal
radiograph: flat
plate and upright
Endoscopy
Angiography
Nuclear scan
NPO, NG tube
Support of circulatory
volume
Antacids
Corticosteroids
Surgical consult
Interventional radiology
