Evaluation And Care Of Pediatric Patients After Sexual Assault

A 15-year-old female presents to your emergency department with her mother. She is tearful and withdrawn. She tells you that she was sexually assaulted by a 20 year old male acquaintance 2 days prior. She reports that she would like to report the assault and would like to have a forensic exam. She is having some vaginal bleeding and pain around her rectum. She admits to using alcohol and some marijuana on the night of the assault. She is unable to remember everything that happened and thinks her assailant may have put a drug in her drink…

Pediatrics, OB/Gyn, LegalHannah ChasonSeptember 24, 2021Sexual assault, Pediatrics, TraumaComment

Utilization of Ultrasound for Diagnosis of Patellar Tendon Rupture in the Emergency Department

…complained of significant superior lateral knee pain and swelling, as well as difficulty moving his leg due to pain. On exam, he had notable swelling and tenderness of the left knee, particularly along the superior aspect of the patella. After controlling his pain with intravenous medications, he was able to flex at the hip but was unable to extend his lower leg at the knee or to perform a straight leg raise….

Ultrasound, Radiology, OrthopedicsKatherine StewartSeptember 17, 2021Ultrasound, Orthopedics, musculoskeletal injuries, patellar tendon ruptureComment

AEM Early Access 53: Racial and Ethnic Disparities in the Delayed Diagnosis of Appendicitis Among Children

“Appendicitis is the most common surgical condition in pediatric emergency department (ED) patients. Prompt diagnosis can reduce morbidity, including appendiceal perforation. The goal of this study was to measure racial/ethnic differences in rates of 1) appendiceal perforation, 2) delayed diagnosis of appendicitis, and 3) diagnostic imaging during prior visit(s).”

AEM Early AccessGita PensaSeptember 14, 2021Comment

A Picture Is Worth a Thousand Words: A Case of Meckel’s Diverticulum

…The mother changed his diaper again around noontime and noted another large maroon stool. His mother brought him to the pediatrician’s office. Upon showing a picture of the stools to the pediatrician, the patient was instructed to present to the emergency department….

Pediatrics, GastroenterologyBrendan InnesSeptember 10, 2021pediatrics, Meckel's Diverticulum, GI bleedingComment

Using POCUS for Ejection Fraction Estimation

…The differential diagnosis included acute coronary syndrome, CHF exacerbation, pneumonia, and cardiac amyloidosis.

EKG showed sinus tachycardia with low voltage. Laboratory evaluation was unremarkable, with a negative troponin and high normal BNP. Chest radiograph showed bilateral infiltrates concerning for mild pulmonary congestion.

POCUS was obtained….

Ultrasound, Radiology, CardiologySean BilodeauSeptember 3, 2021ultrasound, cardiac amyloidosis, left ventricular ejection fraction, LVEF, EPSSComment

Contact

Subscribe