Pediatric emergency medicine trisk 1466 1466

Physical findings

Diagnoses to consider

Specific tests

Cardiovascular
abnormalities

Congenital heart disease

Echocardiogram, ECG

Kawasaki disease

ECG, erythrocyte
sedimentation rate
Supraventricular tachycardia ECG
Myocarditis
Echocardiogram, ECG,
troponin, cardiac MRI
Myocardial infarction
ECG, cardiac MRI, troponin
Methemoglobinemia
Pao2 methemoglobin level
Neurologic
abnormalities

Meningitis

Lumbar puncture

Infant botulism
Child abuse

Stool for toxin identification
Long bone films, CT scan,
or MRI
CT scan, or MRI
Long bone films, CT scan,
or MRI
Coagulation profile
PCR, electroencephalogram,
CT scan, or MRI
Blood for 17hydroxyprogesterone,
renin, aldosterone,
cortisol
PCR

Shunt malfunction
Skin abnormalities Child abuse
Coagulopathy
Herpes simplex
Genitalia
abnormalities

Congenital adrenal
hyperplasia

Pulmonary
abnormalities

Pertussis
Pneumonia
Bronchiolitis

Renal
abnormalities

Metabolic acidosis
Posterior urethral valves

Chest radiograph
Respiratory syncytial virus
tests
Arterial blood gas
Abdominal, renal
ultrasound, voiding