Pediatric emergency medicine trisk 2975 2975

Clinical entity Symptoms and signs Investigations Treatment Respiratory failure Air hunger, tachypnea, cyanosis, shallow respiration, alteration in mental status Chest radiograph Arterial blood gas Pneumothorax Chest pain Breathlessness, tachypnea, cyanosis, diminished breath sounds, increased resonance to percussion Chest radiograph Oxygen Mechanical ventilatory support Corticosteroids and immunosuppressives, plasmapheresis Antibiotics if evidence of aspiration pneumonia Chest tube Velopalatine weakness Pooling of secretions, drooling Nasal voice Aspiration pneumonia— recurrent Abdominal pain, nausea, vomiting Guarding, diminished bowel sounds (may be masked by corticosteroids) Hematemesis, melena, hematochezia Careful barium Corticosteroids cineradiographic Nasogastric feedings study Tracheostomy Chest radiograph Gastrointestinal hemorrhage CBC; type and cross Abdominal radiograph: flat plate and upright Endoscopy Angiography Nuclear scan NPO, NG tube Support of circulatory volume Antacids Corticosteroids Surgical consult Interventional radiology