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Approach to the inconsolable infant

  Case: Parents bring a 2-month-old male infant to the emergency department for evaluation. Parents state the child “has been crying excessively over the past 24 hours and has been at times inconsolable.” Is this crying normal? The definition of normal crying originates from a 1962 article by T. Berry Brazelton, who determined …

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BRUE is the new ALTE

    The term ALTE in pediatrics had previously referred to apparent life-threatening event. This event was characterized by some combination of apnea, color change, change in muscle tone, choking or gagging and was also witnessed by and distressing to a caregiver. This was the definition from the National Institute of …

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Umbilical Vein Catheterization

  During the resuscitation of a critically-ill newborn who requires vascular access, umbilical vein catheterization can be a life-saving procedure. The umbilical vein can remain patent for approximately 1 week after birth and when catheterized, allows the administration of fluids and medications. Contraindications to the procedure include necrotizing enterocolitis, omphalitis, …

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Pediatric Radiology Quiz #1

  A 10 year old female presents to the emergency department with complaints of left-sided hip pain over the past 2 weeks. The pain had been intermittent initially, but has gotten much worse over the past 2 days. Neither the child, nor her parents, can recall any trauma or recent …

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Foreign Body

    A 2 year-old child is brought to the ED after opening a drawer containing coins and batteries.         [mlw_quizmaster quiz=3]      

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