Things Are Not Always What They Seem: Two Cases of Child Maltreatment Presenting With Common Pediatric Chief Complaints.


:We describe 2 cases of child maltreatment who presented as common pediatric conditions: preseptal cellulitis and gastroenteritis. The first case is an 8-year-old girl who presented with progressive right eye pain, swelling, and discharge. She was initially treated for preseptal cellulitis, but eye cultures ultimately grew Neisseria gonorrhoeae. Further investigation revealed sexual abuse by a male family member. The second case is a 2-year-old previously healthy girl who presented with 6 hours of emesis, lethargy, and abdominal pain. Initially attributed to viral gastroenteritis, her serum blood urea nitrogen and creatinine were above what was expected for her clinical course, and she later developed signs of peritonitis. She was ultimately found to have a large bladder wall defect secondary to inflicted blunt abdominal trauma. These cases are presented to emphasize the need for pediatricians to consider child abuse even when patients present with common pediatric complaints.


Pediatr Emerg Care


Pediatric emergency care


Vukovic AA,Poole MD,Hoehn EF,Caldwell AK,Schondelmeyer AC




Has Abstract


2019-06-01 00:00:00












  • Physician Assistant Management of Pediatric Patients in a General Community Emergency Department: A Real-World Analysis.

    abstract:PURPOSE:Multiple studies have documented the nonclinical characteristics of physician assistant (PA) practices in the emergency department (ED). This study examines the clinical care PAs provide to younger pediatric patients in a general community ED. METHODS:The electronic medical record database of an urban communit...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Pavlik D,Sacchetti A,Seymour A,Blass B

    更新日期:2017-01-01 00:00:00

  • An Unusual Pediatric Case of Seronegative Systemic Lupus Erythematosus Presented With Acute Abdominal Pain and Gross Hematuria.

    abstract:ABSTRACT:A child with acute abdomen with gross hematuria occasionally visits the emergency department (ED). Usually, such a condition is subject to differential diagnosis for stones, injuries, or sometimes malignancies in the urinary tract. Here we introduce an unusual case of a 9-year-old girl who presented to ED with...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Lee E,Yeo MK,You SK,Kim YK,Ryu S,Lee JM

    更新日期:2021-01-01 00:00:00

  • Long-Term Follow-Up of Infants After a Brief Resolved Unexplained Event-Related Hospitalization.

    abstract:OBJECTIVE:A brief resolved unexplained event (BRUE) in infancy is a common reason for visiting the emergency department. However, little is known about the long-term outcomes of such an event. This study evaluates future mortality, morbidity, and/or developmental outcome after a BRUE. METHODS:A single-center retrospec...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Ari A,Atias Y,Amir J

    更新日期:2019-11-01 00:00:00

  • Frequency of and Factors Associated With Prescription Medication Sharing Within Families.

    abstract:OBJECTIVES:Limited literature has investigated caregiver sharing of prescription medications with children. Our primary aim was to determine the frequency of and factors associated with prescription medication sharing within families. Our secondary aim was to determine the source and type of medications shared. METHOD...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Renny MH,Thaker RH,Dayan PS

    更新日期:2019-04-30 00:00:00

  • Intravenous midazolam for sedation of children undergoing procedures: an analysis of age- and procedure-related factors.

    abstract:OBJECTIVE:This study was performed to determine the doses of midazolam used for sedation during procedures in children, and the frequency of adverse events. METHODS:We performed a retrospective analysis of data collected for a prospective study of flumazenil in children who had received midazolam for a procedure (n = ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Karl HW,Coté CJ,McCubbin MM,Kelley M,Liebelt E,Kaufman S,Burkhart K,Albers G,Wasserman G

    更新日期:1999-06-01 00:00:00

  • Emergency department management of blunt cervical tracheal trauma in children.

    abstract::A case history of a young girl who sustained a small posterior laceration of her cervical trachea after blunt trauma is presented. She was brought to the emergency department (ED) by her parents roughly two hours after the incident with only minor symptoms. While in the ED, she developed significant airway compromise ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Humar A,Pitters C

    更新日期:1991-10-01 00:00:00

  • A Mild Laryngeal Cleft Causes Severe Symptoms.

    abstract::Diagnosis and treatment of laryngeal clefts (LCs) particularly type I pose a challenge. Although rare, type I LCs are becoming increasingly identified in recent years, and this is perhaps due to both an increased awareness and better diagnostic modalities. We report a young infant presenting with feeding difficulty an...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审


    authors: Mandadi AR,Saeed W,Suneja U,Waseem M

    更新日期:2019-03-01 00:00:00

  • Improving Timeliness of β-Agonist and Corticosteroid Administration in Patients With Acute Wheezing.

    abstract:OBJECTIVE:Timely delivery of β-agonists and steroids to patients with acute recurrent wheezing is a key component of the National Heart, Lung, and Blood Institute recommended emergency department (ED) asthma care. We conducted an ED improvement initiative to standardize asthma care and improve time to treatments. METH...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: McIver M,Stoudemire W,Smith-Ramsey C,Panigrahi M,Walsh-Kelly C,Rutman LE

    更新日期:2017-09-01 00:00:00

  • Fever determination in young infants: prevalence and accuracy of parental palpation.

    abstract:OBJECTIVES:Pediatricians routinely advise parents to seek immediate medical attention if their young infant develops a fever. Many parents rely on palpation to assess their child's temperature. Our objective was to determine the prevalence and accuracy of parental palpation for fever in young infants. METHODS:We enrol...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Katz-Sidlow RJ,Rowberry JP,Ho M

    更新日期:2009-01-01 00:00:00

  • Importance of Urine Dipstick in Evaluation of Young Febrile Infants With Positive Urine Culture: A Spanish Pediatric Emergency Research Group Study.

    abstract:BACKGROUND AND OBJECTIVES:Guidelines from the American Academy of Pediatrics define urinary tract infection (UTI) as the growth of greater than 50,000 ufc/mL of a single bacterium in a urine culture with a positive urine dipstick or with a urinalysis associated. Our objective was to evaluate the adequacy of this cutoff...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,多中心研究


    authors: Velasco R,Benito H,Mozun R,Trujillo JE,Merino PA,de la Torre M,Gomez B,Mintegi S,Group for the Study of Febrile Infant of the RiSEUP-SPERG Network.

    更新日期:2016-12-01 00:00:00

  • Nonfatal Pediatric Injuries Associated With Consumer Products and Sports and Recreational Activities in the United States.

    abstract:OBJECTIVE:The aim of this study was to investigate the epidemiology of nonfatal consumer product- and sports and recreational activity-related injuries among US children. METHODS:National Electronic Injury Surveillance System data regarding children younger than 18 years who were treated in US emergency departments (E...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Kamboj AK,Chounthirath T,Hodges NL,Smith GA

    更新日期:2020-09-01 00:00:00

  • Invasive Bacterial Infections in Infants Younger Than 60 Days With Skin and Soft Tissue Infections.

    abstract:OBJECTIVE:The objective of this study was to describe the frequency of invasive bacterial infections (IBIs) in young infants with skin and soft tissue infections (SSTIs) and the impact of IBI evaluation on disposition, length of stay (LOS), and cost. METHODS:This retrospective (2009-2014) cohort study used data from 3...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Foradori DM,Lopez MA,Hall M,Cruz AT,Markham JL,Colvin JD,Nead JA,Queen MA,Raphael JL,Wallace SS

    更新日期:2018-08-20 00:00:00

  • Poor compliance with universal precautions: a universal phenomenon?

    abstract::An anonymous survey was conducted in order to examine compliance with universal precautions in the Department of Pediatrics at Loyola University Medical Center in Maywood, Illinois. Completed questionnaires were returned by 23 faculty members, 29 residents, and 22 medical students. Gloves were worn consistently during...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Ros SP,Cabrera-Ros BL

    更新日期:1990-09-01 00:00:00

  • Children in methamphetamine homes: a survey of physicians practicing in southeast Tennessee.

    abstract:OBJECTIVES:Methamphetamine (meth) abuse in the rural South has increased greatly in the last decade. This addiction harms meth abusers and producers and endangers children who live with them. Appropriate medical evaluation and treatment of these exposed children are largely undefined. The objective of this research was...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Bratcher L,Clayton EW,Greeley C

    更新日期:2007-10-01 00:00:00

  • The wheezer that wasn't.

    abstract::The expression of cardiac dysfunction in pediatric patients with myocarditis may not be conspicuous. While older children with myocarditis may abruptly present with pleuritic or angina-like pain, infants and toddlers with fulminant disease are unable to verbalize such complaints. Cardiac compromise in preverbal childr...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Singer JI,Isaacman DJ,Bell LM

    更新日期:1992-04-01 00:00:00

  • Closing the Loop: Program Description and Qualitative Analysis of a Pediatric Posttransfer Follow-up and Feedback Program.

    abstract:OBJECTIVES:Follow-up and feedback foster improvement. General emergency medicine providers working in community hospitals desire follow-up and feedback on pediatric patients transferred to children's hospitals. We implemented a novel program to provide these data to our colleagues. The objective of this study was to ex...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Goldman MP,Query LA,Wong AH,Gross IT,Emerson BL,Auerbach MA,Tiyyagura GK

    更新日期:2020-10-01 00:00:00

  • Lower-Dose Propofol Use for MRI: A Retrospective Review of a Pediatric Sedation Team's Experience.

    abstract:OBJECTIVE:The aim of the study was to evaluate, in children undergoing procedural sedation for magnetic resonance imaging (MRI) scans, whether lower doses of propofol than previously published permitted a high rate of successful MRI completion, whether lower dosages result in a more rapid recovery, and whether age or b...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Johnson KL,Cochran J,Webb S

    更新日期:2020-11-11 00:00:00

  • Assessing the Utility of Urine Testing in Febrile Infants 2 to 12 Months of Age With Bronchiolitis.

    abstract:BACKGROUND:The utility of testing for urinary tract infection (UTI) in febrile infants with bronchiolitis is indeterminate. OBJECTIVE:The objective of this study was to investigate if the incidence of UTIs in febrile infants 2 to 12 months of age with bronchiolitis is higher than the presumed incidence of asymptomatic...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Elkhunovich MA,Wang VJ,Pham P,Arpilleda JC,Clingenpeel JM,Mansour K,Riech T,Yen K,Liu DR

    更新日期:2019-12-03 00:00:00

  • Accidental isopropanol ingestion in children.

    abstract:OBJECTIVE:To describe the clinical course and determine the minimal observation period required following isopropanol ingestion in children. METHODS:The emergency department records of children less than 6 years of age with isopropanol ingestion who presented between June 1992 and December 1998 were identified. Demogr...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Stremski E,Hennes H

    更新日期:2000-08-01 00:00:00

  • Acute renal failure in a child with thrombocytopenic purpura caused by acute Epstein-Barr virus infection after treatment with anti-D immunoglobulin.

    abstract::Immune thrombocytopenia (ITP) in children is usually a benign, self-limiting disorder. An acute Epstein-Barr virus (EBV) infection usually causes atypical lymphocytosis and mild decrease in platelets. Severe thrombocytopenia is an extremely rare complication. Anti-D immunoglobulin has been used for treatment of ITP in...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Kossiva L,Kyriakou D,Mitsioni A,Garoufi A

    更新日期:2013-06-01 00:00:00

  • Single-Use Detergent Sacs: A Retrospective Multicenter Canadian Review of Emergency Department Cases.

    abstract:BACKGROUND:Single-use detergent sacs (SUDS) are widely used in North America and Europe with emerging literature on their toxicity. This is the first Canadian multicenter study aimed to quantify and compare SUDS exposures to traditional detergent exposures. METHODS:A retrospective review of the Canadian Hospitals Inju...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,多中心研究


    authors: Rosenfield D,Eltorki M,VandenBerg S,Allain D,Freedman SB,Beno S

    更新日期:2018-10-01 00:00:00

  • Diagnosis and guided reduction of forearm fractures in children using bedside ultrasound.

    abstract:BACKGROUND:Forearm fractures are common injuries in children. Displaced and angulated fractures usually require reduction. Ultrasound diagnosis and guided reduction offer several potential advantages: (1) the procedure does not involve ionizing radiation; (2) compared with fluoroscopy units, the newer ultrasound units ...

    journal_title:Pediatric emergency care

    pub_type: 临床试验,杂志文章


    authors: Chen L,Kim Y,Moore CL

    更新日期:2007-08-01 00:00:00

  • Methodology and Demographics of a Brief Adolescent Alcohol Screen Validation Study.

    abstract:OBJECTIVE:The aim of this study was to determine the psychometric properties of the National Institute on Alcohol Abuse and Alcoholism (NIAAA) 2-question alcohol screen within 16 Pediatric Emergency Care Applied Research Network pediatric emergency departments. This article describes the study methodology, sample chara...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,多中心研究


    authors: Bromberg JR,Spirito A,Chun T,Mello MJ,Casper TC,Ahmad F,Bajaj L,Brown KM,Chernick LS,Cohen DM,Fein J,Horeczko T,Levas MN,McAninch B,Monuteaux M,Mull CC,Grupp-Phelan J,Powell EC,Rogers A,Shenoi RP,Suffoletto B,Va

    更新日期:2019-11-01 00:00:00

  • Severe Respiratory Distress in a Neonate due to Bilateral Dacryocystoceles.

    abstract::Nasal passage contributes up to 50% of total resistance in normal breathing especially in neonates who are obligatory nose breathers. Any further increase in airway resistance may lead to severe respiratory distress. Dacryocystoceles are a rare cause of nasal obstruction in neonates. We present the case of a full-term...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Klotz D,Schönlaub J,Hackenberg S,Wirbelauer J

    更新日期:2017-07-01 00:00:00

  • Pediatric laryngoscope blade size selection using facial landmarks.

    abstract:OBJECTIVES:The study evaluates whether facial landmarks can be used to estimate an appropriate laryngoscope blade length for oral endotracheal intubation in children. We tested the hypothesis that the laryngoscope blade measuring 10 mm or less distal or proximal to the angle of the mandible (when the flat portion of th...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Mellick LB,Edholm T,Corbett SW

    更新日期:2006-04-01 00:00:00

  • Treatment of children with migraine in the emergency department: a qualitative systematic review.

    abstract:OBJECTIVE:To evaluate which treatment could be effective in the emergency department (ED) for children with migraine and status migrainosus, we carried out a qualitative systematic review of randomized controlled trials (RCTs) that evaluated treatment that could be used for those conditions. METHODS:Databases (Cochran...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审


    authors: Bailey B,McManus BC

    更新日期:2008-05-01 00:00:00

  • Alcaligenes faecalis Cellulitis After a Dog Bite: Case Report and Literature Review.

    abstract::Alcaligenes faecalis is a gram-negative organism that is commonly found in the environment and may also be a part of normal fecal flora in humans. Although various infections with this bacteria have been described in the pediatric population, it has not been previously identified in infections as the pathogen after a ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审


    authors: Chu AS,Harkness J

    更新日期:2017-07-01 00:00:00

  • HIV-infected children in the pediatric emergency department.

    abstract::Forty-three nonhemophiliac, confirmed HIV-positive children followed by the Children's Hospital AIDS Program made 184 visits to the children's Emergency Department (ED) during 1988 and 1989. The mean age was 30 +/- 28 months with a median of 25 months, a mode of 10 months, and a range from two days to 19 years. CD4 co...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Pinkert H,Harper MB,Cooper T,Fleisher GR

    更新日期:1993-10-01 00:00:00

  • Pediatric Conditions Requiring Interfacility Transport From Emergency Departments: A Statewide Study of Regionalization.

    abstract:OBJECTIVES:Pediatric care is increasingly regionalized, increasing rates of interfacility transport (IFT). However, it is unknown what conditions most frequently require IFT. This study's objective was to identify high-frequency pediatric conditions requiring IFT. METHODS:This is a statewide retrospective observationa...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Aledhaim A,Fishe JN,Hirshon JM,Anders JF

    更新日期:2018-09-11 00:00:00

  • Poor Agreement but Good Predictive Value Between Automated and Manual QTc Intervals in Pediatric Emergency Department Electrocardiograms.

    abstract:OBJECTIVES:QTc interval is significant because prolongation may lead to ventricular dysrhythmia. Computerized electrocardiogram machines typically measure QT interval length and, using an algorithm assessment of multiple leads, calculate a QTc value. Manual measurement of the QT interval used to calculate the QTc value...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Hoffman RJ,Alansari K

    更新日期:2020-06-01 00:00:00