Pediatric emergency medicine trisk 1179

Benign congenital hypotonia, 560
Benign hypermobility syndrome, 304
Benign intraductal papillomatosis, 112
Benign nocturnal limb pain of childhood, 305
Benign paroxysmal positional vertigo (BPPV), 159
Benign paroxysmal torticollis of infancy, 330
Benign paroxysmal vertigo, 896 –897
Benzodiazepines, 39 , 39 t, 496 , 885 , 1049 , 1076 , 1078 , 1444
ataxia from, 108 , 108 t
for coma-producing toxic ingestions, 125
for vertigo, 161
Berlin edema, 190
Beta-human chorionic gonadotropin (bHCG) levels, 1419
Bilateral isolated deficiency of adduction, 180
Bilateral ptosis, 895
Bilevel positive airway support (BPAP), 35
Biliary atresia (BA), 289 , 292 , 734 –736
Biliary tract disease, 734 –735
Bilirubin
direct bilirubin reference intervals, 289
measurement, 296
end-tidal carbon monoxide concentration, 296
laboratory studies, 296
physiology, 289 , 294
transporter defects, 289
Bilirubin-induced neurologic dysfunction (BIND), 294
Biological and chemical terrorism, 1e –24e
biologic agents, 1e –14e
characteristics of, C132 e132.1t
chemical agents, 10e –14e
emergency care, goals of, 1e

pediatric vulnerabilities to, C132 e132.2t
Biot, 486
Bismuth, iodoform, paraffin paste (BIPP), 1315
Bismuth subsalicylate, 156
Bites, 624 –625
Black Box warning, 1438


Black dot poison ivy, 434
Bladder injuries, 1136
assessment/diagnostic testing, 1137
bladder neck injuries, 1137
clinical recognition, 1137
discharge/admission, clinical indications, 1137
evidences, 1137
management, 1137
treatment goal, 1136 –1137
Bladder thermometry, 194
Blastomycosis, 444
Blepharitis, 173 , 173 f
Bloating, 87
Blood loss
in GI bleeding, 213
in pallor, 421
Blount disease, 304
Blow-out fracture
clinical recognition, 1268
evidences, 1267
management, 1268
treatment goals, 1267

triage considerations, 1268
Blunt abdominal trauma, 1089 –1091
abdominal wall contusions, 1089
hollow abdominal viscera injuries, 1091
intra-abdominal trauma, late presentations of, 1091
pancreatic injuries, 1090 –1091
solid organ injuries, 1089
treatment goals, 1089
Blunt cardiac injuries, 1279 –1280
algorithm for evaluation/diagnosis of, 1281 f
clinical recognition, 1280
disposition, 1281
evidences, 1279
initial assessment, 1280
management, 1280 –1281


pericardial effusion, 1280 f
pericardiocentesis, 1281 f
triage, 1280
Blunt cardiac trauma, 616
Blunt head injury, 1254 –1258
clinical recognition, 1255 –1256
diagnostic imaging, 1256
epidural hematoma, 1257 f
evidences, 1254 –1255
Glasgow Coma Scale vs. pediatric Glasgow Coma Scale, 1255 t
increased intracranial pressure (ICP), 1254
management, 1256 –1257
traumatic subdural hemorrhage, 1257 f

treatment goal, 1254
Blunt neck trauma
clinical assessment, 1229
clinical recognition, 1229
discharge/admission, clinical indications, 1229
evidences, 1226 –1229
management, 1229
mechanisms of, 1214 t
subcutaneous emphysema, 1228 f
treatment goals, 1226
triage considerations, 1229
Blunt penile trauma, 1140
Blunt trauma to eye, 188
Bochdalek hernia, 1421 f
Body surface area (BSA), 1095
Bone injection gun (BIG), 53
Bone marrow hyperplasia, 419
Bone tumors, 302
Bordetella pertussis , 501
Borrelia burgdorferi , 1363
Borrelia vincentii , 1315
Botulism, 558 –559
Bowel distension, 87 , 91 f
Bowing fractures, 1173 , 1173 f, 1192 –1193


Bradycardia, 58 , 66 , 271 , 341 , 505
Bradypnea, 485 , 505
Brain injury patterns, 1257 –1258
Brain tumors, 908

Branchial cleft anomalies, 320 , 1350
Branchial cleft sinuses, 320
Branchio-Oto-Renal (BOR) syndrome, 222
Breast
abnormal nipple secretions, 112 –113
abscesses, 110
benign cysts and masses of, 111 –112
engorgement, 113
enlargement, 111
malignant masses of, 112
trauma to, 112
tumors, 112
Breast enlargement/masses, 111 t
Breast infections, 110 –111
clinical presentation of neonatal, 110
incidence of, 110
organisms commonly implicated in, 110
in postpubertal females, 110
signs and symptoms of, 110
Breast lesions
approach for
prepubertal children, 115 , 115 f
pubertal/postpubertal female, 115 –116 , 116 f
pubertal/postpubertal male, 115 , 115 f
approach to breast complaints, 115 –116 , 115 f–116 f
associated with pregnancy and lactation, 113
common, 111 t
congenital, 113
differential diagnosis, 110 –114
evaluation and decision, 114 –115

breast ultrasonography, 114
chest radiography, 114
diagnostic testing, 114 –115