ABSTRACT
Emergency physicians often deal with diagnostically elusive cases that may present repeatedly over the course of illness. The infant presented here had a chronic history, prompting multiple physician contacts for initially seemingly common problems. Assessing the patient's progression of symptoms over time and eliciting a brief developmental history in the emergency department (ED) helped guide decision-making toward admission and appropriate diagnostic workup.
Subject(s)
Developmental Disabilities/etiology , Leukodystrophy, Globoid Cell/diagnosis , Child Development , Emergency Service, Hospital , Feeding and Eating Disorders/etiology , Female , Humans , Infant , Irritable Mood , Leukodystrophy, Globoid Cell/complications , Leukodystrophy, Globoid Cell/physiopathology , Leukodystrophy, Globoid Cell/psychology , Medical History Taking , PediatricsABSTRACT
A case of retropharyngeal abscess in a child is reported. The patient was nontoxic appearing, afebrile, and had minimal symptoms. The case is used to highlight the high index of suspicion that may be necessary to diagnose the condition. Diagnostic approaches, emergency treatment, and disposition of patients are discussed.
Subject(s)
Abscess/diagnosis , Pharyngeal Diseases/diagnosis , Streptococcal Infections/diagnosis , Streptococcus pyogenes , Abscess/microbiology , Child , Emergencies , Female , Humans , Pharyngeal Diseases/microbiology , Tomography, X-Ray ComputedABSTRACT
A pediatric trauma patient whose initial management was assisted by antishock trousers is presented along with a discussion of the usage and cautions of this device.
