Comminuted lumbar vertebral fracture with spinal cord compromise in an adolescent female after a minor fall.

Abstract:

:A 17-year-old adolescent girl with no past medical history presented to the emergency department with a chief complaint of lower back pain after sustaining a minor fall several hours earlier. Physical examination revealed mild to moderate back tenderness, and the result of review of systems was negative. Laboratory evaluation was within reference limits, and plain radiograph of the thoracolumbar spine revealed mild scoliosis and irregularity at L1 vertebra. Subsequent imaging studies revealed a comminuted, burst fracture of L1 with 90% spinal canal compromise. Her management consisted of early surgical treatment, and she had a quick recovery. Her postoperative course was unremarkable. We present this case to emphasize the importance of a comprehensive history taking in young patients with complaints of back pain and to highlight the role of imaging studies in the evaluation of back pain and in the assessment for surgical or nonoperative management.

journal_name

Pediatr Emerg Care

journal_title

Pediatric emergency care

authors

Arhinful E,Rosenthal A

doi

10.1097/PEC.0b013e3181bec953

subject

Has Abstract

pub_date

2009-11-01 00:00:00

pages

764-8

issue

11

eissn

0749-5161

issn

1535-1815

pii

00006565-200911000-00012

journal_volume

25

pub_type

杂志文章
  • Teaching Point-of-Care Lung Ultrasound to Novice Pediatric Learners: Web-Based E-Learning Versus Traditional Classroom Didactic.

    abstract:OBJECTIVE:To assess whether Web-based teaching is at least as effective as traditional classroom didactic in improving the proficiency of pediatric novice learners in the image acquisition and interpretation of pneumothorax and pleural effusion using point-of-care ultrasound (POCUS). METHODS:We conducted a randomized ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001482

    authors: Soon AW,Toney AG,Stidham T,Kendall J,Roosevelt G

    更新日期:2020-07-01 00:00:00

  • Honeycomb gallbladder: a very rare cause of right upper quadrant pain.

    abstract::Honeycomb gallbladder is a rare congenital malformation of the gallbladder. In some cases, it may be asymptomatic, whereas in others, it may lead to symptoms consistent with biliary colic even in the absence of cholelithiasis. We present the clinical and imaging findings of a case of a 10-year-old boy who was admitted...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000030

    authors: Aydin R,Bilgici MC,Polat AV,Aslan K,Kalayci AG

    更新日期:2013-12-01 00:00:00

  • Spontaneous bilateral pneumothorax in an infant with bronchiolitis.

    abstract::Spontaneous pneumothorax is an uncommon complication of bronchiolitis due to respiratory syncytial virus. Bilateral spontaneous pneumothorax in an infant with respiratory syncytial virus bronchiolitis has not been previously reported. We report the case of a four-month-old infant who presented in respiratory distress ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-198703000-00010

    authors: Pollack J

    更新日期:1987-03-01 00:00:00

  • Observation medicine: the expanded role of the nurse practitioner in a pediatric emergency department extended care unit.

    abstract:BACKGROUND:The use of observational units (OUs) in pediatric emergency departments (EDs) has become an important adjunct to emergency care. An extended observation period (4 to 23 hours) in the ED has decreased both the number of admissions and prolonged use of acute ED beds. This serves to increase patient satisfactio...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:

    authors: Silvestri A,McDaniel-Yakscoe N,O'Neill K,Bradley D,Hawkins H,Holleran R,Burke P,Hohenhaus S,Howard PK

    更新日期:2005-03-01 00:00:00

  • Association of Delay in Appendectomy With Perforation in Children With Appendicitis.

    abstract:OBJECTIVE:The aim of this study was to assess whether increased time from emergency department (ED) triage to appendectomy is associated with a greater risk of children developing appendiceal perforation. METHODS:We performed a multicenter retrospective cohort study of children younger than 18 years hospitalized with ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,多中心研究

    doi:10.1097/PEC.0000000000000850

    authors: Meltzer JA,Kunkov S,Chao JH,Tay ET,George JP,Borukhov D,Alerhand S,Harrison PA,Hom J,Crain EF

    更新日期:2019-01-01 00:00:00

  • Current variability of clinical practice management of pediatric diabetic ketoacidosis in Illinois pediatric emergency departments.

    abstract:OBJECTIVE:This study aimed to investigate the management of pediatric patients with diabetic ketoacidosis (DKA) presenting to emergency departments (EDs) participating in the Illinois Emergency Medical Services for Children (EMSC) Facility Recognition program. METHODS:In 2010, Illinois EMSC conducted a survey (includi...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3182768bfc

    authors: Barrios EK,Hageman J,Lyons E,Janies K,Leonard D,Duck S,Fuchs S

    更新日期:2012-12-01 00:00:00

  • Clonidine Overdose in a Toddler Due to Accidental Ingestion of a Compounding Cream.

    abstract::A 22-month-old girl without any significant medical history accidentally consumed a small amount of a therapeutic compounding cream that contained camphor, gabapentin, clonidine, ketoprofen, and lidocaine. Upon presentation to the emergency department, the child exhibited immediate onset of altered mental status with ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000790

    authors: Cates AL,Wheatley SM,Katz KD

    更新日期:2018-04-01 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

    doi:10.1097/PEC.0000000000000835

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

    更新日期:2018-10-01 00:00:00

  • Roller Coaster-Induced Subdural Hematoma in a Previously Healthy Teenager.

    abstract::Of the multitude of neurologic injuries related to roller-coaster rides, a majority of them are reported about adults. In this case, we present a patient who presented to the pediatric emergency department with new-onset seizure and hemiplegia 2 days after a roller-coaster ride. She was ultimately diagnosed with a sub...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001802

    authors: Tseng P,Kearl YL,Ansari A

    更新日期:2019-04-01 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

    doi:10.1097/PEC.0000000000001778

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

    更新日期:2020-09-01 00:00:00

  • Pediatric Spontaneous Pneumomediastinum: Narrative Literature Review.

    abstract:INTRODUCTION:Described since 1939 in the adult population, spontaneous pneumomediastinum is less known in children. Because of its symptoms and a generally benign evolution, it is probably an underestimated diagnosis. However, it has to be considered in the differential diagnosis of acute thoracic pain. METHODS:The in...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审

    doi:10.1097/PEC.0000000000000625

    authors: Gasser CR,Pellaton R,Rochat CP

    更新日期:2017-05-01 00:00:00

  • Impact of a health literacy intervention on pediatric emergency department use.

    abstract:OBJECTIVE:The aim of this study was to measure the impact of a simple parent health literacy intervention on emergency department and primary care clinic usage patterns. METHODS:Study participants consisted of parents who brought their children to the Harbor-UCLA Medical Center pediatric emergency department for nonur...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3181ab78c7

    authors: Herman A,Young KD,Espitia D,Fu N,Farshidi A

    更新日期:2009-07-01 00:00:00

  • Deep vein thrombosis in an adolescent.

    abstract::We report an unusual case of deep vein thrombosis following minor trauma in an adolescent who presented with a swollen, tender, lower extremity. Work-up consisted of a venogram which demonstrated occlusion of the deep venous system in the proximal leg. The patient was hospitalized for intravenous heparin followed by o...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-198906000-00008

    authors: Berman DA,Norris RL,Crow T,Scatamacchia S

    更新日期:1989-06-01 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

    doi:10.1097/PEC.0000000000001816

    authors: Ari A,Atias Y,Amir J

    更新日期:2019-11-01 00:00:00

  • Sepsis workup in febrile infants 0-90 days of age with respiratory syncytial virus infection.

    abstract:OBJECTIVES:To ascertain the incidence, determinants, and outcome of sepsis workup in febrile infants aged 0-90 days with respiratory syncytial virus (RSV) infection. DESIGN:Retrospective chart review. RESULTS:191 infants with RSV, 21.5% younger than 28 days, were identified; 101 (52.9%) were febrile and 90 were afebr...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审

    doi:10.1097/01.pec.0000092576.40174.28

    authors: Oray-Schrom P,Phoenix C,St Martin D,Amoateng-Adjepong Y

    更新日期:2003-10-01 00:00:00

  • Pediatric prehospital evaluation of NYC respiratory arrest survival (PHENYCS).

    abstract:OBJECTIVE:The objective of this study was to describe the demographics, epidemiology, and characteristics associated with survival of children younger than 18 years who had an out-of-hospital respiratory arrest (OOHRA) during a 1-year period in a large urban area. METHODS:A prospective observational cohort of consecut...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3182675b61

    authors: Tunik MG,Richmond N,Treiber M,Skomorowsky A,Galea S,Vlahov D,Blaney S,Kusick M,Silverman R,Foltin GL

    更新日期:2012-09-01 00:00:00

  • Charges and complications associated with the medical evaluation of febrile young infants.

    abstract:BACKGROUND:Since 1983, no study has evaluated the costs and complications involved in the inpatient evaluation of antibiotic therapy for febrile infants aged 29 to 60 days. METHODS:A prospective quality indicator/quality assurance study of low-risk febrile young infants (FYIs) was conducted during a 16-month period af...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3181d1e180

    authors: Condra CS,Parbhu B,Lorenz D,Herr SM

    更新日期:2010-03-01 00:00:00

  • Patients at High Risk of Intervention for Pediatric Traumatic Liver Injury.

    abstract:OBJECTIVES:Nonoperative management of hemodynamically stable liver lacerations in pediatric trauma patients is a safe and effective management strategy for pediatric patients; approximately 90% will be successfully managed nonoperatively. No study has specifically identified risk criteria for the need for intervention ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001538

    authors: Donnelly KA,Breslin K,OʼConnell KJ

    更新日期:2020-07-01 00:00:00

  • The Effects of Pediatric Advanced Life Support Guidelines on Pediatric Trauma Airway Management.

    abstract:OBJECTIVE:Recent Pediatric Advanced Life Support (PALS) guidelines have deemphasized the use of advanced airways in short transport. It is unclear if guideline recommendations have altered practice. We sought to determine if a temporal change exists in the number of prehospital pediatric trauma intubations since the 20...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000759

    authors: Sperka J,Hanson SJ,Hoffmann RG,Dasgupta M,Meyer MT

    更新日期:2016-08-01 00:00:00

  • Update on antidotes for pediatric poisoning.

    abstract::Antidotes are playing an increasing role in therapy for pediatric poisonings. Although initial response to all pediatric poisonings begins with basic stabilization, knowledge of specific antidotes, their mechanisms of action, safety profile in pediatrics, and dosing regimens can be life-saving for pediatric victims of...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审

    doi:10.1097/01.pec.0000245174.21041.bc

    authors: White ML,Liebelt EL

    更新日期:2006-11-01 00:00:00

  • Computed Tomography Diagnostic Abilities for Open-Globe Injuries in Pediatric Versus Adult Patients.

    abstract:OBJECTIVES:The aim of this study was to compare the role of computed tomography (CT) in the diagnosis of open-globe trauma and intraocular foreign body (IOFB) in pediatric and adult age groups. METHODS:Medical records of cases with open-globe trauma at Inonu University Hospital's Ophthalmology Emergency Service were r...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001747

    authors: Dikci S,Yildirim İO,Firat M,Firat PG,Demirel S,Yilmaz T,Tuncer İ,Genç O

    更新日期:2019-01-29 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

    doi:10.1097/PEC.0000000000001804

    authors: Renny MH,Thaker RH,Dayan PS

    更新日期:2019-04-30 00:00:00

  • Delirium Upon Presentation to the Pediatric Emergency Department: A Case Series.

    abstract::The following cases describe children who presented to the emergency department (ED) with a constellation of symptoms consistent with delirium. In each case, there was no identified inciting cause (eg, fever, medications) other than the presence of influenza. All children had variable workups, with 2 children undergoi...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001175

    authors: Augenstein JA,Klein EJ,Traube C

    更新日期:2018-08-01 00:00:00

  • Sudden Collapse of a Preschool-Aged Child on the Playground.

    abstract:PURPOSE:Primary cardiac events are rare in children. There is little information in the literature regarding the most appropriate emergency department (ED) management of this type of pediatric patient, especially with regard to medication use. SUMMARY:This case highlights the pediatric ED evaluation and treatment of s...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000547

    authors: Scheller RL,Johnson LH,Caruso MC,Lorts A

    更新日期:2017-02-01 00:00:00

  • Outpatient Emergency Preparedness: A Survey of Pediatricians.

    abstract:OBJECTIVE:To determine outpatient pediatricians' self-reported experience with and preparation for patient emergencies, and their awareness of the American Academy of Pediatrics (AAP) policy statement on outpatient emergency preparedness. METHODS:A 34-question cross-sectional survey of outpatient pediatric faculty and...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000310

    authors: Pendleton AL,Stevenson MD

    更新日期:2015-07-01 00:00:00

  • Abusive head trauma in young children: a population-based study.

    abstract:OBJECTIVE:The objectives of this study were to provide population-based incidence estimate of abusive head trauma (AHT) in children aged 0 to 5 years from inpatient and emergency department (ED) and identify risk characteristics for recognizing high-risk children to improve public health surveillance. METHODS:This was...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e31828503ea

    authors: Selassie AW,Borg K,Busch C,Russell WS

    更新日期:2013-03-01 00:00:00

  • Pediatric Exposures Reported to the Toxicology Investigators Consortium, 2010-2015.

    abstract:BACKGROUND AND OBJECTIVE:Poisoning is the leading cause of injury death in pediatric patients. Hospital and provider readiness, including pharmacy stocking, depends on reliable surveillance data describing local patterns of age-specific clinically significant exposures and the therapeutic modalities employed in their t...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001893

    authors: Desai NM,Mistry RD,Brou L,Boehnke ME,Lee JS,Wang GS,Toxicology Investigators Consortium.

    更新日期:2019-08-23 00:00:00

  • Unusual cause of abdominal pain in pediatric emergency medicine.

    abstract::Atypical manifestations of acute hepatitis A virus (HAV) infection include ascites, pleural effusion, acute renal failure, aplastic anemia, and neurological manifestations. Although association of HAV and acute cholecystitis is known, presentation of hepatitis A infection with acute cholecystitis has not been reported...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e318258bdda

    authors: Prashanth GP,Angadi BH,Joshi SN,Bagalkot PS,Maralihalli MB

    更新日期:2012-06-01 00:00:00

  • Hair-thread tourniquet syndrome of the hypertrophic clitoris in a 6-year-old girl.

    abstract::Hair-thread tourniquet syndrome is defined as the ischemic strangulation of hair resulting in edema and severe pain and may cause amputation of organs. Strangulation of the external genitalia (clitoris, labia minora) has rarely been described in girls. Here, we present a case of hypertrophic clitoris injury secondary ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000341

    authors: Parlak M,Karakaya AE

    更新日期:2015-05-01 00:00:00

  • Dextromethorphan abuse.

    abstract::Dextromethorphan is an over-the-counter dissociative agent of increasing popularity as a drug of abuse among younger adolescents. The drug produces a range of toxicities depending upon either the dose or the components of the specific formulation that was ingested. Most cases improve with supportive care alone, but se...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审

    doi:10.1097/01.pec.0000148039.14588.d0

    authors: Boyer EW

    更新日期:2004-12-01 00:00:00