Hypovolemic shock in a child as a consequence of corporal punishment.
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Biomedical subjects
Publications and source records attributed to R B May.
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A 3-year-old child presented to the emergency department (ED) with the sudden onset of shortness of breath and wheezing. The child had previously been in good health and had no problems during the neonatal period. Chest x-ray performed in the ED was consistent with a Bochdalek diaphragmatic hernia. Subsequently, the child had surgery. The diagnosis was confirmed, and recovery was uneventful. The differential diagnosis of late onset congenital diaphragmatic hernia is discussed with an emphasis on both early recognition and differential diagnosis of this rare but correctable entity.
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A 17-month-old boy presented with 10% to 12% first- and second-degree burns secondary to scald injury. He rapidly developed hyponatremia secondary to inappropriate antidiuretic hormone secretion, manifested by the occurrence of seizures. After appropriate therapy was instituted, the child had an uneventful recovery. To the best of the authors' knowledge, this problem has not been reported previously in a child with a relatively mild burn.
A 3-week-old child arrived at the emergency room with the concurrent onset of sepsis and methemoglobinemia associated with diarrhea. Subsequently, the child had two recurrent episodes of methemoglobinemia with re-exacerbations of his diarrhea. Possible causes and associations of methemoglobinemia are presented: particular emphasis is placed on the early recognition and rapid diagnosis of this life-threatening condition.
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