PEM Source

Your source for all things Pediatric Emergency Medicine

All posts with tag: "metabolic"

PEM Questions

(Click the link to comment and to vote - voting not working through email, sorry!)

You are seeing a 3yo girl brought in by ambulance after a new-onset seizure. The patient has no past medical history, but has been having an acute viral gastroenteritis for the last 24 hours, as have several family members. She has had decreased oral intake, vomited 3 times non-bloody non-bilious, and had 3 episodes of watery non-bloody diarrhea. She is afebrile. She went to bed at 9:30pm, sleeping next to her parent, and the parent was awakened by her having a generalized tonic-clonic seizure at 6am. Per EMS, seizure had resolved on their arrival but she was lethargic; point-of-care blood glucose was 40 mg/dL in the field, and she was given 5 mL/kg of D10W IV with patient becoming more alert. In the ED, her urine dip is positive for ketones.

[yop_poll id="189"]
(Click the link to comment and to vote - voting not working through email, sorry!) You are seeing a 10 day old infant born via midwife-assisted water birth at home, brought in for lethargy and vomiting. Physical exam is significant for lethargy, jaundice, and fever to 38.5. He is exclusively breastfeeding. Labs include pH 7.34, ammonia 80, point of care glucose 80, urine trace ketones. [yop_poll id="172"]
(Click the link to comment and to vote - voting not working through email, sorry!) [yop_poll id="161"]
(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 your work-up, you evaluate him for inborn errors of metabolism. Which of the following is false about urea cycle disorder as a diagnosis for his findings? [yop_poll id="127"]
(Click the link to comment and to vote - voting not working through email, sorry!)   Match the classic serum electrolyte / acid-base findings with the pediatric condition: 1) hypochloremic hypokalemic metabolic alkalosis 2) hyponatremic hyperkalemic metabolic acidosis 3) hyponatremic normokalemic metabolic acidosis 4) hypercalcemic metabolic alkalosis A) DKA B) pyloric stenosis C) milk alkali syndrome D) congenital adrenal hyperplasia [yop_poll id="63"]

Oops! We detected that you are on mobile and in portrait mode.


Please turn your phone to landscape mode to view this website. If you are not on mobile, extend your browser window.