Pediatric emergency medicine trisk 4729 4729
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from CNS infections, 119
common causes of, 118 t
from CSF shunts, 120
definition, 117
differential diagnosis, 117 , 119
primary central nervous system disorders, 119 –120
systemic abnormalities, 120 –121
etiology of acute-onset, 118 t
evaluation and decision, 121 –126 , 122 f
abnormal breathing patterns, 123
of airway, breathing, and circulatory, 123 –124
airway, breathing, and circulatory, treatment of, 123 –124
blood gas analysis, 125
CSF analysis, 125
errors in, 126 t
fever, 125
focal neurologic deficits, 125
head trauma, history of, 124
history and physical examination, 121 –123
increased ICP, 124 –125
laboratory and radiologic studies, 123
limb movement and postural changes, 123
metabolic abnormalities, 125 –126
neurologic examination and scoring, 123
ocular signs, 123
renal and hepatic functions, 126
seizures, history of, 124
toxic ingestions, history of, 124 –125
vital sign abnormalities, 123 –124
hypertension in, 124
hypoxic, 120
life-threatening causes of, 118 t
metabolic alterations and, 121
pathophysiology, 117
from seizure activity, 119
thermoregulation disorders and, 120
from toxic ingestions, 120 –121
