RESUMO
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.
Assuntos
Deficiências do Desenvolvimento/etiologia , Leucodistrofia de Células Globoides/diagnóstico , Desenvolvimento Infantil , Serviço Hospitalar de Emergência , Transtornos da Alimentação e da Ingestão de Alimentos/etiologia , Feminino , Humanos , Lactente , Humor Irritável , Leucodistrofia de Células Globoides/complicações , Leucodistrofia de Células Globoides/fisiopatologia , Leucodistrofia de Células Globoides/psicologia , Anamnese , PediatriaRESUMO
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.
Assuntos
Abscesso/diagnóstico , Doenças Faríngeas/diagnóstico , Infecções Estreptocócicas/diagnóstico , Streptococcus pyogenes , Abscesso/microbiologia , Criança , Emergências , Feminino , Humanos , Doenças Faríngeas/microbiologia , Tomografia Computadorizada por Raios XRESUMO
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.
