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Tag FEN

Question: FEN

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Question: NAGMA

(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 15 year old girl who presents with acute bilateral lower leg weakness / near-paralysis. She is found to be hypokalemic, which… Continue Reading →

Question: PALS

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Too much milk?

Iron deficiency anemia can be seen in toddlers that have switched to cow’s milk (typically at age 1 yr) from formula. If the child’s diet is nearly exclusively cow’s milk, a severe anemia can slowly develop due to iron deficiency… Continue Reading →

Question: Hypocalcemia

(Click the link to comment and to vote – voting not working through email, sorry!) Last week’s 10 day old patient presented with seizures and jitteriness due to hypocalcemia. In the ED, he has a peripheral 22 gauge IV placed. 

Question: Endocrine

(Click the link to comment and to vote – voting not working through email, sorry!) You are caring for a 12 year old known diabetic who presents in diabetic ketoacidosis. Temperature is 37.5, HR 100, RR 24, BP 96/36, O2… Continue Reading →

Question: FEN

(Click the link to comment and to vote – voting not working through email, sorry!) An 18 month old with history of pseudohypoaldosteronism presents with a K+ level of 9.0 and peaked T waves with mild QRS widening on the… Continue Reading →

Question: fluids

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Question: Metabolic

(Click the link to comment and to vote – voting not working through email, sorry!) You are asked to evaluate a 3 day old male with severe lethargy and hypotonia. He is mildly tachypneic. He is afebrile. As part of… Continue Reading →

Question: Renal

(Click the link to comment and to vote – voting not working through email, sorry!) You have diagnosed a 14 year old boy with likely nephrolithiasis, as evidenced by his colicky flank pain, hematuria, and ultrasound showing mild hydronephrosis.

Question: Normals

(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 4 week old brought in for vomiting with every feed. The vomitus is non-bilious, non-projectile, and non-bloody. The baby is making… Continue Reading →

Question: Diabetic patient

(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 16 year old obese teen with no previous history of diabetes who presents with recent viral URI symptoms and increasing altered… Continue Reading →

ABCDEFG

It’s July, so good time to review the basics. For pediatric resuscitations of any type, the mnemonic ABCDEFG is great – Airway, Breathing, Circulation, Don’t Ever Forget Glucose. Children have lower reserves and become hypoglycemic more easily than adults when… Continue Reading →

Question: FEN

(Click the link to comment and to vote – voting not working through email, sorry!) D5 ¼ NS is no longer recommended for maintenance fluids in hospitalized young infants. Why not?

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