RESUMO
Skin and soft tissue infections are common disease presentations to the pediatric emergency department, and rapid and accurate identification of potentially serious skin and soft tissue infections is critical. In cases of atraumatic musculoskeletal pain with systemic complaints, a bacterial etiology must be ruled out. Point-of-care ultrasonography is increasingly common in the pediatric emergency department and assists in rapid and accurate identification of a variety of disease processes. We present a case of a 14-year-old adolescent boy with atraumatic right knee pain to illustrate the benefits of point-of-care ultrasonography in the timely diagnosis of musculoskeletal and soft tissue pathology. Moreover, we describe the use of ultrasound in procedural guidance of deep-space fluid aspiration, with an eventual diagnosis of femoral osteomyelitis. Ultrasonographic techniques and the emergent work-up and management of osteomyelitis are reviewed.
Assuntos
Abscesso/diagnóstico por imagem , Osteomielite/diagnóstico por imagem , Abscesso/microbiologia , Adolescente , Humanos , Imageamento por Ressonância Magnética/métodos , Masculino , Osteomielite/patologia , Osteomielite/cirurgia , Sistemas Automatizados de Assistência Junto ao Leito , Staphylococcus aureus/isolamento & purificação , Ultrassonografia de Intervenção/métodosRESUMO
During the past decade, awareness of concussions has exploded as both the media and the medical literature have given more focus to this common problem. Concussions after recreational activities, especially athletics, are a frequent complaint in the emergency department. In the past few years, care of these patients has been simplified as grading systems and classifications have been abandoned. However, questions remain as to the best way to rehabilitate these patients to avoid long-term sequelae, especially in children and adolescents. The purpose of this review is to discuss the demographic characteristics, the pathophysiology, definition, clinical characteristics, and management of concussions in children and adolescents.
Assuntos
Traumatismos em Atletas , Concussão Encefálica , Serviço Hospitalar de Emergência , Adolescente , Traumatismos em Atletas/epidemiologia , Traumatismos em Atletas/fisiopatologia , Traumatismos em Atletas/terapia , Concussão Encefálica/epidemiologia , Concussão Encefálica/fisiopatologia , Concussão Encefálica/terapia , Criança , Demografia , HumanosRESUMO
While usually considered in conjunction with obvious ophthalmic trauma, ocular foreign bodies can also present subtly. Early identification of this common complaint is crucial to preserve optimal ocular function, minimize morbidity and reduce discomfort in patients. We review a systemic approach to both the identification and management of foreign bodies in the eye.
