Pediatric emergency medicine trisk 4743 4743
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Disseminated disease, 459
Disseminated gonococcal disease, 852
Disseminated intravascular coagulopathy (DIC), 420 , 500 , 997
Disseminated Neisseria gonorrhoeae, 645
Disorders of hemostasis
acquired defects, 794
clinical indications for discharge/admission, 794
inherited bleeding disorders, 792 –793
management
disseminated intravascular coagulopathy (DIC), 794
rare inherited coagulation factor deficiencies, 793 –794
Distal interphalangeal (DIP) joint, 1146 , 1343
Distal radius fractures, 1194 –1196
Distal upper extremity, neurologic examination of, 1186 t
Distension, 87 . See also Abdominal distention
Distention
abdominal, 87 –93
bowel, 87 , 91 f
gastric, 87 , 89
Distraction fractures, 1210 –1211
Distributive shock, 73 , 75
foreign body related, 378
neuromuscular disorders and, 376 –378
pathophysiology, 376
postoperative, 378
treatment, 381 –382 , 382 f
Drowning
cardiovascular effects, 680
clinical manifestations, 681
definition, 680
hypoxemia and, 680
indications for discharge/admission, 682
initial assessment, 681
management, 681 –682 , 681 f
pulmonary edema, 682 f
triage considerations, 681
Dysphonia, 133
