A common cause of altered mental status occurring at an uncommon age.

Abstract:

:Wernicke's encephalopathy is a neurologic disorder due to a nutritional deficiency of thiamine, characterized by ocular palsies, ataxia, and altered mental activity. While Wernicke's encephalopathy is commonly attributed to alcoholism in the adult population, it has been described in children receiving prolonged parenteral nutrition and those with malignancies and AIDS. The disease, however, is rarely diagnosed in the pediatric population during life. We report a case of Wernicke's encephalopathy in a child with prolonged starvation and aim to improve awareness of a potentially fatal but treatable disease.

journal_name

Pediatr Emerg Care

journal_title

Pediatric emergency care

authors

Decker MJ,Isaacman DJ

doi

10.1097/00006565-200004000-00007

subject

Has Abstract

pub_date

2000-04-01 00:00:00

pages

94-6

issue

2

eissn

0749-5161

issn

1535-1815

journal_volume

16

pub_type

杂志文章
  • Diagnosis of Ingested Foreign Body in the Stomach by Point-of-Care Ultrasound in the Upright and Slightly Forward Tilting Position (Bowing Position).

    abstract::We report a case involving accidental ingestion of a marble that was detected by point-of-care ultrasonography of the abdomen with the patient in the upright and slightly forward tilting position, which we term the "bowing position." Using this position for abdominal ultrasonography may be more useful than the usual s...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001125

    authors: Yamamoto M,Koyama T,Agata M,Ouchi K,Kotoku T,Mizuno Y

    更新日期:2017-05-01 00:00:00

  • Diaphragmatic hernia in a pediatric emergency department.

    abstract::Diaphragmatic hernia in pediatric emergency department poses a diagnostic challenge because of the acute or subtle timing of onset and the wide variety of clinical features. We describe 3 different late presentations of Bochdalek diaphragmatic hernia in a pediatric emergency department. These reports may help physicia...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000425

    authors: Comberiati P,Giacomello L,Camoglio FS,Peroni DG

    更新日期:2015-05-01 00:00:00

  • Pediatric Dog Bite Prevention: Are We Barking Up the Wrong Tree or Just Not Barking Loud Enough?

    abstract:OBJECTIVES:The objectives of this study were (1) to evaluate dog bite-related injuries and associated medical documentation and (2) to compare these results with a study of dog bites from the same institution 10 years prior. METHODS:Data were retrospectively collected from a pediatric emergency department from July 20...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001132

    authors: Bykowski MR,Shakir S,Naran S,Smith DM,Goldstein JA,Grunwaldt L,Saladino RA,Losee JE

    更新日期:2019-09-01 00:00:00

  • Deadly proposal: a case of catecholaminergic polymorphic ventricular tachycardia.

    abstract::Catecholaminergic polymorphic ventricular tachycardia (CPVT) is a rare adrenergically mediated arrhythmogenic disorder classically induced by exercise or emotional stress and found in structurally normal hearts. It is an important cause of cardiac syncope and sudden death in childhood. Catecholaminergic polymorphic ve...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3182360606

    authors: Heiner JD,Bullard-Berent JH,Inbar S

    更新日期:2011-11-01 00:00:00

  • Anti-N-Methyl-D-Aspartate Receptor Encephalitis: A Challenging Diagnosis in the Emergency Department.

    abstract::Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is an underdiagnosed disease that has been described thus far only in case series. Patients, the majority of which are females, develop neuropsychiatric symptoms that can often be misdiagnosed as purely psychiatric illness. Although teratomas are nearly pathognom...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001853

    authors: Zhao B,Nelson DG

    更新日期:2019-09-01 00:00:00

  • Evaluation of Predictors of Mortality Associated With Childhood Heart Failure in Nigeria: A 2-Center Study.

    abstract:OBJECTIVE:The aim of this study was to evaluate the predictors of mortality in childhood heart failure (HF) in 2 tertiary hospitals. METHODS:A 51-month retrospective review of case notes of children with HF admitted into children's emergency rooms of 2 tertiary centers in Southern Nigeria was done. Bio-data and certai...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,多中心研究

    doi:10.1097/PEC.0000000000001427

    authors: Sadoh WE,Okperi B,Ikhurionan P,Monday P,Sadoh AE

    更新日期:2020-05-01 00:00:00

  • Education in the Waiting Room: Description of a Pediatric Emergency Department Educational Initiative.

    abstract:OBJECTIVE:The aim of this study was to understand parents' awareness of and reactions to a slide presentation based waiting-room educational initiative. METHODS:This was a prospective observational study at a Canadian tertiary-care pediatric emergency department (ED) with an annual census of 68,000 visits. An anonymou...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001140

    authors: Reid S,Neto G,Tse S,Farion KJ,Marvizi A,Smith L,Clarkin C,Rohde K,Moreau K

    更新日期:2017-10-01 00:00:00

  • Aeromedical Transport in Children: A Descriptive Analysis of 96 Cases.

    abstract:OBJECTIVE:Pediatric aeromedical transport (AT) is highly challenging. We aim to describe a series of 96 cases of children requiring medical transport in terms of the indication, modalities, and related adverse events. METHODS:In this single-center retrospective study, we included air-transported patients less than 18 ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001308

    authors: Mortamet G,Harrington K,Raffin H,Menat Y,Oualha M,Renolleau S

    更新日期:2020-01-01 00:00:00

  • Emergency Department Management of Bronchiolitis in the United States.

    abstract:OBJECTIVE:The aim of this study was to examine differences between general and pediatric emergency departments (PEDs) in adherence to the American Academy of Pediatrics bronchiolitis management guidelines. METHODS:We conducted a nationally representative study of ED visits by infants younger than 24 months with bronch...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001145

    authors: Gong C,Byczkowski T,McAneney C,Goyal MK,Florin TA

    更新日期:2019-05-01 00:00:00

  • The effect of image quality on the assessment of child abuse photographs.

    abstract:OBJECTIVES:Although child abuse pediatricians are frequently asked to evaluate risk of abuse based on photographs, the effect of photographic quality on this process is presently unknown. Photographs of abused children are often taken by professionals without photographic training, and quality varies widely. This artic...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e31828e848e

    authors: Melville JD,Lukefahr JL,Cornell J,Kellogg ND,Lancaster JL

    更新日期:2013-05-01 00:00:00

  • Ketamine Saves the Day: Priapism in a Pediatric Psychiatric Patient.

    abstract::Priapism is an adverse effect of medications used to treat psychiatric disorders. Often, this condition is self-limiting but may require urologic intervention involving aspiration and injection to induce detumescence. A case of a 15-year-old patient with priapism secondary to a long-acting stimulant is presented to de...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000485

    authors: Park DB,Hayden GE

    更新日期:2015-07-01 00:00:00

  • Validation of a decision rule identifying febrile young girls at high risk for urinary tract infection.

    abstract:OBJECTIVE:To validate a previously published clinical decision rule to predict risk of urinary tract infection in febrile young girls. METHODS:We performed a retrospective case-control study at a children's hospital emergency department in a different city than that in which the original derivation study took place. G...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/01.pec.0000081238.98249.40

    authors: Gorelick MH,Hoberman A,Kearney D,Wald E,Shaw KN

    更新日期:2003-06-01 00:00:00

  • A trauma series in the injured child: do we really need it?

    abstract:BACKGROUND:To study the use of trauma series radiographs in children that required activation of a trauma call. METHODS:A retrospective review of patients younger than 16 years who presented to The Children's Hospital at Westmead between January and December 2004 with an injury that required activation of the trauma t...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/01.pec.0000236833.62065.85

    authors: Soundappan S,Smith NF,Lam LT,Holland AJ,McCaskill M,Cass DT

    更新日期:2006-10-01 00:00:00

  • Appendicitis: an unusual cause of pneumonia and impending shock in a toddler.

    abstract::Owing to its lower incidence in young children, appendicitis is not as often thought of as a common cause of abdominal pain and vomiting in this age group. However, because of its higher incidence of morbidity (perforation and peritonitis), it should be considered in any young child with either significant abdominal p...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199710000-00012

    authors: Bechtel K

    更新日期:1997-10-01 00:00:00

  • Hip pain and fever: when it's not a septic joint, what's next?

    abstract::Hip pain and fever in children include a broad differential. Most concerning is the possible diagnosis of a septic joint, which carries significant morbidity. We describe the case of a 13-year-old boy with fever and hip pain who was referred to the emergency department with concern for septic hip. The etiology was lat...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000328

    authors: Leuthauser A,Paul A

    更新日期:2015-01-01 00:00:00

  • Hypokalemia in an asthmatic child from abuse of albuterol metered dose inhaler.

    abstract::A case of albuterol abuse by a pediatric patient with the development of hypokalemia with electrocardiographic changes is presented. The hypokalemic effects of beta2-agonists are discussed in regard to the production of significant cardiac symptoms. Additionally, guidance regarding the evaluation of similar patients p...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199804000-00015

    authors: Rakhmanina NY,Kearns GL,Farrar HC 3rd

    更新日期:1998-04-01 00:00:00

  • The Use of Routine Blood Cultures in Pediatric Appendicitis.

    abstract:OBJECTIVES:To determine the proportion of true-positive blood culture results in children presenting to the ED with suspected appendicitis. To describe the current practice of obtaining blood cultures in children with suspected appendicitis. METHODS:We performed a 2-year retrospective health record review of all child...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000877

    authors: Thompson GC,Morrison E,Ross M,Liu H,Vanderkooi OG,Eccles R

    更新日期:2017-12-01 00:00:00

  • Corneal abrasion in infancy as a cause of inconsolable crying.

    abstract::Inconsolable crying is a disturbing symptom in young infants. The following is a case report of an infant who presented with inconsolable crying caused by a corneal abrasion. Corneal abrasion should be considered when inconsolable crying appears in an otherwise asymptomatic infant. ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-198912000-00012

    authors: Harkness MJ

    更新日期:1989-12-01 00:00:00

  • 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

  • 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

  • Two-Thumb Encircling Technique Over the Head of Patients in the Setting of Lone Rescuer Infant CPR Occurred During Ambulance Transfer: A Crossover Simulation Study.

    abstract:OBJECTIVE:The purpose of this study was to determine if the over-the-head 2-thumb encircling technique (OTTT) provides better overall quality of cardiopulmonary resuscitation compared with conventional 2-finger technique (TFT) for a lone rescuer in the setting of infant cardiac arrest in ambulance. METHODS:Fifty medic...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000833

    authors: Jo CH,Cho GC,Lee CH

    更新日期:2017-07-01 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

  • Point-of-Care Ultrasound Diagnosis of Perforated Appendicitis in the Pediatric Emergency Department: A Case Series.

    abstract::Point-of-care ultrasound (POCUS) is being used for clinical decision making with increasing frequency across a broad range of indications in pediatric emergency medicine (PEM). We present a series of 4 patients in whom POCUS was used to facilitate a diagnosis of perforated appendicitis. ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000002082

    authors: Azhdam DB,Marin JR

    更新日期:2020-12-01 00:00:00

  • Is Serum Bicarbonate Level Associated With Negative Outcomes in Pediatric Patients?: A Retrospective Cohort Study.

    abstract:OBJECTIVES:Early identification of children at risk for adverse outcomes is important. Serum bicarbonate is easily collected and widely available. We described the relationship between bicarbonate and adverse outcomes in children presenting to the emergency department (ED). METHODS:We conducted a retrospective cohort ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000937

    authors: Poonai N,Mainprize D,Travers C,Vivas LLY,Tryphonopoulos P,Sangha G,Arbeau R,Seabrook J,Miller M,Sarpal A,Lim R

    更新日期:2017-11-01 00:00:00

  • Holiday hazards.

    abstract::Presented is a selective review of the toxicities of various plants, decorations, and miscellaneous items popularly used during the holiday season. Particularly hazardous agents include mistletoe, holly, bubble lights, fireplace flame colors, alkaline batteries, and mothballs. Specific questions regarding management o...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-198512000-00011

    authors: Baker MD

    更新日期:1985-12-01 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

  • Examining the Appropriateness and Motivations Behind Low-Acuity Pediatric Emergency Department Visits.

    abstract:OBJECTIVES:High patient volumes have a deleterious effect on care in the pediatric emergency department (PED). Our study assessed the motivation for PED visits that could have been assessed by a primary care physician. METHODS:We identified a convenience sample of patients presenting to the SickKids Hospital PED in Ju...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001598

    authors: Haasz M,Ostro D,Scolnik D

    更新日期:2018-09-01 00:00:00

  • Changing epidemiology of injury-related pediatric mortality in a rural state: implications for injury control.

    abstract:STUDY OBJECTIVE:To document the current epidemiology of pediatric injury-related deaths in a rural state and evaluate changes over time. DESIGN:Retrospective review of injury-related deaths in children less than 15 years of age. Data were obtained from death certificates and coroner, autopsy, prehospital, and hospital...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199812000-00002

    authors: Rausch TK,Sanddal ND,Sanddal TL,Esposito TJ

    更新日期:1998-12-01 00:00:00

  • Failure of technetium-99m hexamethylpropylene amine oxime leukocyte scintigraphy in the evaluation of children with suspected appendicitis.

    abstract::To determine the accuracy and reliability of a labeled leukocyte imaging technique in the early diagnosis of pediatric appendicitis, we prospectively studied patients presenting to the pediatric emergency department with abdominal pain suggestive of appendicitis. Patients scheduled for urgent laparotomy were excluded,...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199510000-00005

    authors: Kanegaye JT,Vance CW,Parisi M,Miller JH,Mahour GH,Chan LS,Schonfeld N

    更新日期:1995-10-01 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

    doi:10.1097/PEC.0000000000000645

    authors: Chu AS,Harkness J

    更新日期:2017-07-01 00:00:00