Hypovolemic Shock in a Child as a Consequence of Corporal Punishment

PEDIATRICS ◽  
1991 ◽  
Vol 87 (4) ◽  
pp. 570-571
Author(s):  
SCOTT P. EICHELBERGER ◽  
DOUGLAS W. BEAL ◽  
RONALD B. MAY
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Corporal Punishment ◽  
Hypovolemic Shock ◽  
Health Problems ◽  
Black Girl ◽  
Local Emergency Department ◽  
Home And School ◽  
Progressive Weakness ◽  
Accepted Form

Corporal punishment is an accepted form of discipline in the American home and school despite numerous publications in various fields reporting concerns.1-7 We describe a case of paddling associated with hypovolemic shock. CASE REPORT The patient, a 5-year-old black girl with no known underlying health problems, was seen at a local emergency department for complaints of progressive weakness. The previous day she had been paddled by her mother for disciplinary reasons. Her mother had used a wooden paddle, spanking her on the buttocks and upper thighs. Neither mother nor daughter could recall the number of blows administered. Shortly after being spanked, the child complained of generalized soreness over the area of injury.

scholarly journals Case Report: Pediatric POCUS: 4 month old infant with a timely diagnosis

POCUS Journal ◽  
2017 ◽  
Vol 2 (2) ◽  
pp. 13-14
Author(s):  
Victor Istasy MD, FRCPC ◽  
Tim Lynch MD, FRCPC ◽  
Rodrick Lim, MD, FRCPC
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Female Infant ◽  
Telephone Consultation ◽  
Timely Diagnosis ◽  
Bilious Vomiting ◽  
History Of ◽  
Local Emergency Department

A healthy, four month-old female infant presented to a local emergency department with a 12-hour history of decreased activity, non-bilious vomiting and one episode of dark red blood in the stools. There was no history of fever. Telephone consultation was completed and the patient was transferred to a tertiary, pediatric centre for further evaluation. On arrival, the infant appeared pale and was lethargic during the exam.

Corporal Punishment

PEDIATRICS ◽  
1991 ◽  
Vol 88 (6) ◽  
pp. 1289-1290
Author(s):  
JAMES L. FLETCHER
Keyword(s):  
Case Report ◽  
Corporal Punishment ◽  
Academic Medicine ◽  
Hypovolemic Shock ◽  
Public Morality

To the Editor.— Expecting the worst, I read with interest the article, "Hypovolemic Shock in a Child as a Consequence of Corporal Punishment," in the April issue of Pediatrics.1 My concern was not disappointed. I rejoiced, of course, that the little girl in the case report recovered from the effects of her severe paddling (ie, beating). The article raises in a biased fashion very troublesome issues, however. Hardly anyone in organized or academic medicine speaks of public morality anymore.

scholarly journals Metronidazole, an Uncommon Cause of Dizziness and Ataxia in the Emergency Department: A Case Report

2021 ◽  
Vol 2 (5) ◽  
pp. 239-241
Author(s):  
Mary Starrs ◽  
Onur Yenigun
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Adverse Reactions ◽  
Clinical Presentation ◽  
Use Case ◽  
Resonance Imaging ◽  
Cerebellar Dysfunction ◽  
History Of ◽  
The Central Nervous System ◽  
Local Emergency Department

Introduction: Metronidazole, a nitroimidazole antibiotic, is a well-known antibacterial and antiprotozoal agent that is generally well tolerated without many serious side effects. Most adverse reactions affect the gastrointestinal or genitourinary system, but the central nervous system may also be afflicted. In addition to headache and dizziness, cerebellar dysfunction can occur with metronidazole use. Case Report: We discuss the clinical presentation and imaging findings of metronidazole-induced encephalopathy in a 12-year-old male. The patient had a history of Crohn’s disease and chronic Clostridium difficile infection for which he had received metronidazole for approximately 75 days prior to arrival to a local emergency department (ED). He presented with five days of progressive vertigo, nausea, vomiting, and ataxia. Subsequent magnetic resonance imaging showed symmetric hyperintense dentate nuclei lesions, characteristic of metronidazole-induced encephalopathy. The patient’s symptoms improved rapidly after cessation of metronidazole, and his symptoms had completely resolved by discharge on hospital day two. Conclusion: Metronidazole-induced encephalopathy is a rare cause of vertigo and ataxia that can lead to permanent sequela if not identified and treated promptly. Thus, it is important for physicians to keep this diagnosis in mind when evaluating patients on metronidazole who present to the ED with new neurologic complaints.

Fatal Intentional Salt Poisoning Associated with a Radiopaque Mass

PEDIATRICS ◽  
1992 ◽  
Vol 89 (5) ◽  
pp. 964-965
Author(s):  
W. KEITH DOCKERY
Keyword(s):  
Emergency Department ◽  
Child Abuse ◽  
Case Report ◽  
Sodium Chloride ◽  
Young Children ◽  
Table Salt ◽  
Local Emergency Department ◽  
Salt Poisoning

Intentional poisoning has become recognized more widely as a form of child abuse in recent years.1 Many substances have been reported as the agents used, including common table salt (sodium chloride).2-5 However, there is very little published information on the manifestations of salt poisoning when it is administered in large quantities in the undissolved, crystallized form. A case of fatal salt poisoning is reported which emphasizes two characteristics of crystallized salt that have not been described previously and which emphasizes once again that poisoning in young children may be a form of child abuse. Case Report A 5-year-old girl was brought to a local emergency department with seizures and hypernatremia.

Iatrogenic thoracic aortic injury in esophagectomy – a case report and literature review

2019 ◽  
Vol 98 (6) ◽  
pp. 256-259
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Thoracic Aorta ◽  
Aortic Rupture ◽  
Hypovolemic Shock ◽  
Left Lung ◽  
Aortic Injury ◽  
Thoracoscopic Esophagectomy ◽  
Neoadjuvant Radiochemotherapy ◽  
Thoracic Aortic Injury

Introduction: This case report describes bleeding from an iatrogenic thoracic aortic injury in minimally invasive thoracoscopic esophagectomy. Case report: A 53-year-old man underwent neoadjuvant radiochemotherapy for adenocarcinoma of the esophagus with positive lymph nodes. PET/CT showed only a partial response after neoadjuvant therapy. Minimally invasive thoracoscopic esophagectomy in the semi-prone position with selective intuba- tion of the left lung was performed. However, massive bleeding from the thoracic aorta during separation of the tumor resulted in conversion from minimally invasive to conventional right thoracotomy. The bleeding was caused by a five millimeter rupture of the thoracic aorta. The thoracic aortic rupture was treated by suture with a gore prosthesis in collaboration with a vascular surgeon. Esophagestomy was not completed due to hypovolemic shock. Hybrid transhiatal esophagectomy was performed on the seventh day after the primary operation. Definitive histological examination showed T3N3M0 adenocarcinoma. Conclusion: Esophagectomy for cancer of the esophagus is one of the most difficult operations in general surgery in which surgical bleeding from the surrounding structures cannot be excluded. Aortic hemorrhage is hemodynamically significant in all cases and requires urgent surgical treatment.

Case Report: When all claims that it is necrotizing fasciitis but Point of care ultrasound (POCUS) proves the opposite!

POCUS Journal ◽  
2018 ◽  
Vol 3 (1) ◽  
pp. 13-14
Author(s):  
Hadiel Kaiyasah, MD, MRCS (Glasgow), ABHS-GS ◽  
Maryam Al Ali, MBBS
Keyword(s):  
Emergency Department ◽  
Critical Care ◽  
Case Report ◽  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Soft Tissue Infection ◽  
Critical Care Unit ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Soft Tissue Infections

Soft tissue ultrasound (ST-USS) has been shown to be of utmost importance in assessing patients with soft tissue infections in the emergency department or critical care unit. It aids in guiding the management of soft tissue infection based on the sonographic findings.

scholarly journals A141 SPONTANEOUS ESOPHAGEAL PERFORATION: AN UNREPORTED COMPLICATION OF LYMPHOCYTIC ESOPHAGITIS

2021 ◽  
Vol 4 (Supplement_1) ◽  
pp. 128-129
Author(s):  
A LAGROTTERIA ◽  
A W Collins ◽  
A Someili ◽  
N Narula
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Case Report ◽  
Proton Pump Inhibitor ◽  
Proton Pump ◽  
Esophageal Perforation ◽  
Distal Esophagus ◽  
Chest Discomfort ◽  
History Of ◽  
Lymphocytic Esophagitis

Abstract Background Lymphocytic esophagitis is a new and rare clinicopathological entity. It is a histological pattern characterized by lymphocytic infiltrate without granulocytes. Its etiology and clinical significance remains unclear. The clinical manifestations are typically mild, with reflux and dysphagia the most commonly reported symptoms. Aims We describe a case report of spontaneous esophageal perforation associated with lymphocytic esophagitis. Methods Case report Results A previously well 31-year-old male presented to the emergency department with acute food impaction. His antecedent symptoms were acute chest discomfort and continuous odynophagia following his most recent meal, with persistent globus sensation. The patient had no reported history of allergies, atopy, rhinitis, or asthma. A previous history of non-progressive dysphagia was noted after resuscitation. Emergent endoscopy revealed no food bolus, but a deep 6 cm mucosal tear in the upper-mid esophagus extending 24 to 30 cm from the incisors. Chest computed tomography observed small volume pneumoperitoneum consistent with esophageal perforation. The patient’s recovery was uneventful; he was managed conservatively with broad-spectrum antibiotics, proton pump inhibitor therapy, and a soft-textured diet. Endoscopy was repeated 48 hours later and revealed considerable healing with only a residual 3-4cm linear laceration. Histology of biopsies taken from the mid and distal esophagus demonstrated marked infiltration of intraepithelial lymphocytes. There were no eosinophils or neutrophils identified, consistent with a diagnosis of lymphocytic esophagitis. Autoimmune indices including anti-nuclear antibodies and immunoglobulins were normal, ruling out a contributory autoimmune or connective tissue process. The patient was maintained on a proton pump inhibitor (pantoprazole 40 mg once daily) following discharge. Nearly six months following his presentation, the patient had a recurrence of symptoms prompting representation to the emergency department. He described acute onset chest discomfort while eating turkey. Computed tomography of the chest redemonstrated circumferential intramural gas in the distal esophagus and proximal stomach. Conclusions Esophageal perforation is a potentially life-threatening manifestation of what had been considered and described as a relatively benign condition. From isolated dysphagia to transmural perforation, this case significantly expands our current understanding of the clinical spectrum of lymphocytic esophagitis. Funding Agencies None

scholarly journals CO-aVoID: coronavirus outbreak affecting variability of presentations to a local emergency department

CJEM ◽  
2021 ◽  
Author(s):  
Valancy Cole ◽  
Paul Atkinson ◽  
Robert Hanlon ◽  
Daniel J. Dutton ◽  
Tong Liu ◽  
...  
Keyword(s):  
Emergency Department ◽  
Local Emergency Department

scholarly journals Ovarian Torsion in a 5-Year Old: A Case Report and Review

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Matthew F. Ryan ◽  
Bobby K. Desai
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Case Report ◽  
Urinary Tract ◽  
Clinical Suspicion ◽  
Ovarian Torsion ◽  
Surgical Emergencies ◽  
High Clinical Suspicion ◽  
Tract Infections ◽  
Prompt Diagnosis

Ovarian torsion represents a true surgical emergency. Prompt diagnosis is essential to ovarian salvage, and high clinical suspicion is important in this regard. Confounding the diagnosis in general are more commonly encountered abdominal complaints in the Emergency Department (ED) such as constipation, diarrhea, and urinary tract infections and more common surgical emergencies such as appendicitis. Prompt diagnosis can be further complicated in low-risk populations such as young children. Herein, we describe the case of a 5-year-old girl with a seemingly benign presentation of abdominal pain who was diagnosed in the ED and treated for acute ovarian torsion after two prior clinic visits. A brief discussion of evaluation, treatment, and management of ovarian torsion follows.

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