When a funduscopic examination is the clue of maltreatment diagnostic.

Abstract:

OBJECTIVE:: To report a case of unexpected shaken baby syndrome, the diagnosis of which was possible after an incidental funduscopic examination. METHODS:: Observational case report. An infant was to be sent back home with an apparent unprovoked seizure diagnosis when a funduscopic examination was made because of an incidental research study changing the diagnostic orientation. RESULTS:: Extensive bilateral subretinal hemorrhages in the funduscopic examination allowed shaken baby syndrome unexpected diagnosis. A funduscopic examination is not usually included in the first seizure diagnosis management, even when a retinal bleeding could be present and be the clue for its causative diagnosis. CONCLUSION:: We recommend having in mind the practice of a funduscopic examination in all children with a first apparently unprovoked seizure.

journal_name

Pediatr Emerg Care

journal_title

Pediatric emergency care

authors

Barcenilla AI,de la Maza VT,Cuevas NC,Ballús MM,Castanera AS,Fernández JP

doi

10.1097/01.pec.0000227385.46143.20

subject

Has Abstract

pub_date

2006-07-01 00:00:00

pages

495-6

issue

7

eissn

0749-5161

issn

1535-1815

pii

00006565-200607000-00008

journal_volume

22

pub_type

杂志文章
  • Esophageal coin with an unusual radiographic appearance.

    abstract::Esophageal coins are typically seen as radiopaque disks on anteroposterior chest radiographs. This radiographic finding is generally considered classic for identifying "swallowed" coins as being in the esophagus. We report the case of an 11-year-old girl with an esophageal coin seen end-on on an anteroposterior chest ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/01.pec.0000181421.94847.60

    authors: Conners GP,Hadley JA

    更新日期:2005-10-01 00:00:00

  • The Use of PECARN and CATCH Rules in Children With Minor Head Trauma Presenting to Emergency Department 24 Hours After Injury.

    abstract:OBJECTIVE:Major studies (PECARN [Pediatric Emergency Care Applied Research Network], CATCH [Canadian Assessment of Childhood Head Injury]) that regulate the use of computed tomography (CT) algorithms in children with minor head trauma (MHT) have been conducted among children presenting in 24 hours after injury. In this...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000002011

    authors: Sert ET,Mutlu H,Kokulu K

    更新日期:2020-01-10 00:00:00

  • Simulated pediatric trauma team management: assessment of an educational intervention.

    abstract:OBJECTIVES:Trauma is the leading cause of death in children. The quality of initial medical care received by injured children contributes to outcomes. Our objective was to assess effectiveness of an educational intervention on performance of emergency department (ED) teams during simulated pediatric trauma resuscitatio...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,多中心研究

    doi:10.1097/PEC.0b013e31815a0653

    authors: Hunt EA,Heine M,Hohenhaus SM,Luo X,Frush KS

    更新日期:2007-11-01 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

  • Acute hearing loss, dysarthria, dysphagia, and a rubbery intraoral mass in an 18-year-old woman.

    abstract::Rhabdomyosarcoma is the most common soft tissue tumor of childhood, frequently presenting in the head and neck, genitourinary tract, or extremities. We present a case of rhabdomyosarcoma in which an 18-year-old woman presented with abrupt onset unilateral hearing loss, tinnitus, dysarthria, dysphagia, and a new painle...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3181b0a482

    authors: Aitken L,Levin D,Blau A,Lewin MR

    更新日期:2009-08-01 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

  • Acute liver failure, autoimmune hepatitis, and leptospirosis: a case report.

    abstract::The etiology of acute liver failure varies widely in children, but the most common causes are viral hepatitis, drugs, and toxins. We report herein a case of autoimmune hepatitis and acute liver failure caused by leptospirosis, which is involved rarely in etiology. ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3182309e79

    authors: Urganci N,Kalyoncu D,Cayonu N,Erdem E,Yildirmak Y,Yilmaz B

    更新日期:2011-10-01 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

  • Epidemiology of Headache in Children in a Community Emergency Department: A Scoping Study.

    abstract:OBJECTIVE:This study aimed to describe the epidemiology of headache in children attending a community mixed adult-pediatric emergency department (ED) in Australia with a view to providing scoping data for future headache-related projects for the pediatric ED research networks. METHODS:This is a retrospective cohort st...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000002000

    authors: Klim S,Kelly AM,Krieser D

    更新日期:2020-01-21 00:00:00

  • Pediatric rapid sequence intubation: a review.

    abstract::Pediatric rapid sequence intubation is a skill of great importance to emergency medicine physicians. Developing a systematic strategy for approaching an emergent airway aids in the proper handling of this event. This paper is a review of the current recommendations for pediatric rapid sequence intubation including cur...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审

    doi:10.1097/01.pec.0000125667.58561.62

    authors: Bledsoe GH,Schexnayder SM

    更新日期:2004-05-01 00:00:00

  • Two unusual pediatric cases of dilutional hyponatremia.

    abstract::Dilutional hyponatremia, although not uncommon, is an underestimated problem in the pediatric population. In most cases, it results from excessive hydration or water retention, also described as the so-called water intoxication. One of the most known causes is the use of desmopressin in enuretic children. This drug en...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3181e5bf9e

    authors: Boetzkes S,Van Hoeck K,Verbrugghe W,Ramet J,Wojciechowski M,Jorens PG

    更新日期:2010-07-01 00:00:00

  • Inability to walk, disequilibrium, incoherent speech, disorientation following the instillation of 1% cyclopentolate eyedrops: case report.

    abstract::A 4-year-old boy, who had no prior history of convulsions, presented with inability to walk, disequilibrium, dysarthria (incoherent speech), and impaired cognition (disorientation) following the instillation of 1% cyclopentolate, a commonly used mydriatic in pediatric practice. This case demonstrates the uncommon, alt...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3182417a63

    authors: Derinoz O,Er A

    更新日期:2012-01-01 00:00:00

  • Validation and development of a clinical prediction rule in clinically suspected community-acquired pneumonia.

    abstract:OBJECTIVES:To develop a mathematical model to predict the probability of having community-acquired pneumonia and to evaluate an already developed prediction rule that has not been validated in a clinical scenario. METHODS:Children who presented with fever and had presumptive clinical diagnosis of pneumonia were evalua...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,多中心研究

    doi:10.1097/PEC.0b013e3181e05779

    authors: Bilkis MD,Gorgal N,Carbone M,Vazquez M,Albanese P,Branda MC,Alterman E,Rodriguez D,Orellana L,Pedrosa OB

    更新日期:2010-06-01 00:00:00

  • Toxicological Emergencies in the Resuscitation Area of a Pediatric Emergency Department: A 12-Month Review.

    abstract:OBJECTIVE:Few studies of children with toxicological emergencies describe those undergoing acute resuscitation, and most describe exposures to single agents. We describe a 12-month sample of patients evaluated in the resuscitation area of a pediatric emergency department (ED) for a toxicological emergency. METHODS:We ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000858

    authors: Beauchamp GA,Kerrey BT,Mittiga MR,Rinderknecht AS,Yin S

    更新日期:2017-10-01 00:00:00

  • Use of topical lidocaine in pediatric laceration repair: a review of topical anesthetics.

    abstract:OBJECTIVE:To determine whether application of topical aqueous lidocaine to a laceration attenuates the pain from the subsequent lidocaine injection in children. DESIGN:Prospective, double-blind study. SETTING:A large, urban, tertiary care children's hospital emergency department. PATIENTS:A convenience sample of 100...

    journal_title:Pediatric emergency care

    pub_type: 临床试验,杂志文章,随机对照试验,评审

    doi:10.1097/00006565-199812000-00012

    authors: Stewart GM,Simpson P,Rosenberg NM

    更新日期:1998-12-01 00:00:00

  • The Impact of Behavioral Health Patients on a Pediatric Emergency Department's Length of Stay and Left Without Being Seen.

    abstract:OBJECTIVE:Emergency department (ED) boarding of admitted patients negatively impacts ED length of stay (LOS). Behavioral health (BH) patients are often challenging to safely discharge. We examined the association between daily BH census and non-BH LOS and left without being seen (LWBS) rates. METHODS:Retrospective ana...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001565

    authors: Conrad HB,Hollenbach KA,Gehlbach DL,Ferran KL,Barham TA,Carstairs KL

    更新日期:2018-08-01 00:00:00

  • Calling 911! What role does the pediatrician play?

    abstract:OBJECTIVE:The objective of this study was to compare admission rates and medical interventions among children whose caregivers called their child's primary care provider (PCP) before taking an ambulance to the pediatric emergency department (PED) versus those who did not. METHODS:This was a prospective cohort study of...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e318294dd98

    authors: Grossman D,Kunkov S,Kaplan C,Crain EF

    更新日期:2013-06-01 00:00:00

  • Curanderismo: consequences of folk medicine.

    abstract::Curanderismo, folk medicine, is an important and common aspect of Hispanic culture. Its use is not well understood by US medical physicians and is often overlooked when Hispanic patients present to US hospitals. We present a case of isopropyl alcohol toxicity in a 4-year-old child due to the use of a curanderismo trea...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e31816b7a92

    authors: DeBellonia RR,Marcus S,Shih R,Kashani J,Rella JG,Ruck B

    更新日期:2008-04-01 00:00:00

  • Intussusception: a supplement to the mnemonic for coma.

    abstract::Expected clinical manifestations of intussusception include paroxysmal abdominal pain, vomiting, abdominal mass, and with time, rectal bleeding. We report a case where lethargy and vomiting are the presenting complaints. Diagnostic delay was encountered for this infant who had altered sensorium without accompanying pa...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-198706000-00015

    authors: McCabe JB,Singer JI,Love T,Roth R

    更新日期:1987-06-01 00:00:00

  • Maternal somatic symptoms, psychosocial correlates, and subsequent pediatric emergency department use.

    abstract:BACKGROUND:Somatization is associated with increased health care use in adults. Whether mothers with somatic symptoms use more health care resources for their children has not been investigated. OBJECTIVE:This study aimed to explore the association of maternal somatic symptoms and emergency department (ED) use. DESIG...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3182809a10

    authors: Dang AT,Ho M,Kroenke K,Grupp-Phelan J

    更新日期:2013-02-01 00:00:00

  • Scorpion envenomation and antivenom therapy.

    abstract::Scorpion envenomation is a dangerous and common global event that can result in a variety of toxic clinical effects. These are typically managed with supportive care or antivenom. Antivenom use is controversial because of conflicting evidence of effectiveness for adrenergic toxicity. However, both controlled and uncon...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3182228dfa

    authors: Tuuri RE,Reynolds S

    更新日期:2011-07-01 00:00:00

  • An approach to the diagnosis and treatment of membranous laryngotracheobronchitis in infants and children.

    abstract::The purpose of this study is to report 18 cases of membranous laryngotracheobronchitis (MLTB) and to review 143 published cases in order to accurately characterize the epidemiology, presentation, clinical course, treatment, and outcome of patients with this disorder. The male:female ratio was 2:1; mean age was four ye...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199112000-00004

    authors: Gallagher PG,Myer CM 3rd

    更新日期:1991-12-01 00:00:00

  • Occult Pneumothorax Identification on Extended Focused Assessment with Sonography for Trauma Examination in Children.

    abstract:OBJECTIVE:Occult pneumothoraces (OPTXs) are defined by air within the pleural space that is not visible on conventional chest radiographs (CXR). The aim of this study was to understand how frequently the Extended Focused Assessment with Sonography for Trauma (eFAST) examination identifies occult PTX in a pediatric blun...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000002303

    authors: Malek D,Santillanes G,Hsiao V,Mailhot T,Claudius I

    更新日期:2020-12-01 00:00:00

  • Encephalopathy from unintentional donepezil and memantine ingestion.

    abstract::Donepezil and memantine are commonly prescribed antidementia drugs. There is a paucity of literature concerning pediatric ingestions of these drugs. We describe a case of a 2-year-old child who developed encephalopathy after an unintentional ingestion of donepezil and memantine. A 2-year-old girl was found by her fami...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000216

    authors: Thornton SL,Clark RF

    更新日期:2014-09-01 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

  • Emergency department presentation and management of pediatric heart transplant recipients.

    abstract::The object of this study was to review and delineate the presenting complaints, signs, symptoms, and Emergency Department (ED) management of pediatric heart transplant recipients who presented to Loma Linda University Medical Center's (LLUMC) Emergency Department. A retrospective chart review was made of all of the pe...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199512000-00006

    authors: Chinnock R,Sherwin T,Robie S,Baum M,Janner D,Mellick L

    更新日期:1995-12-01 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

  • Sodium channel blockade with QRS widening after an escitalopram overdose.

    abstract:INTRODUCTION:Escitalopram is rarely associated with prolongation of the QTc interval; however, there are no reported cases of QRS complex widening associated with escitalopram overdose. We report a case of a patient who presented with both QRS complex widening and QTc interval prolongation after an escitalopram overdos...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3182a314b7

    authors: Schreffler SM,Marraffa JM,Stork CM,Mackey J

    更新日期:2013-09-01 00:00:00

  • Adherence to Guidelines in the Treatment of Diabetic Ketoacidosis in Children: An Austrian Survey.

    abstract:BACKGROUND:The aim of this study is to assess the adherence of Austrian physicians to International Society for Pediatric and Adolescent Diabetes guidelines 2009 concerning treatment in diabetic ketoacidosis and whether there is a difference between specialty (endocrinologists or intensivists) or clinical experience. ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001551

    authors: Weinberger K,Seick Barbarini D,Simma B

    更新日期:2018-07-24 00:00:00

  • A Survey Assessment of Perceived Importance and Methods of Maintenance of Critical Procedural Skills in Pediatric Emergency Medicine.

    abstract:OBJECTIVE:The aim of this study was to delineate pediatric emergency medicine provider opinions regarding the importance of, and to ascertain existing processes by which practitioners maintain, the following critical procedural skills: oral endotracheal intubation, intraosseous line placement, pharmacologic and electri...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000991

    authors: Mittiga MR,FitzGerald MR,Kerrey BT

    更新日期:2019-08-01 00:00:00