Pediatric emergency medicine trisk 1185

enhancing excretion, 1039
gastric emptying, 1036
GI, 1035 –1039
naloxone therapy, 1037 –1039
renal replacement therapy, 1040 , 1040 t
supportive care, 1040
using activated charcoal, 1036 , 1040
using cathartics, 1036
by whole bowel irrigation (WBI), 1036 –1037
Decorticate rigidity, 123
Deep cervical nodes, 307
Deep fungal infections, 444
Deep space neck infections, 323
Deep venous thrombosis, 164
Defecation, normal, 127
Defibrillation, 57 –58
Defibrillators, 51
Dehydration, 502 , 552 , 966 –969
altered mental status and, 153
differential diagnosis, 147
evaluation and decision, 147 –151
degree of, 153 , 155 f
determining the severity of, 153
diagnostic approach, 149
history, 147
initial management, 149
laboratory tests, 149
physical examination, 147 –149
hypernatremic, 1036
hypertonic, 149
hypotonic, 149

indicators for, 149
isotonic, 149
moderate state, 149
oral rehydration therapy (ORT), 149 –150 , 150 f
glucose-to-sodium ratio, 149
parenteral rehydration therapy, 150 –151 , 151 f


pathophysiology, 146 –147
scales, 155 f
severe, 149
signs of, 148 –149
suspected, 148 f
Dehydroepiandrosterone sulfate, 339
Delayed cord clamping (DCC), 65
Delirium, 94
clinical disturbances of, 96 t
medical conditions that lead to, 95 t
Delta-9-tetrahydrocannabinol (THC), 337
Dental–alveolar abscesses, 350
Dental emergencies, 1313 –1318
abscess, 1313 –1314
dentoalveolar infection, 1313 –1314
goals of therapy, 1313 –1314
odontalgia (toothaches), 1313
oral mucosal soft tissue pathology, 1316 –1318
aphthous stomatitis, 1317
eruption cysts, 1317
mucocele, 1317
neonatal cysts, 1318

pyogenic granuloma, 1317 –1318
Riga–Fede disease, 1318
treatment goals, 1316
periodontal soft tissue pathology, 1315 –1316
acute necrotizing ulcerative gingivitis (ANUG), 1315 –1316 , 1315 f
dental lamina cyst, 1318 f
eruption cyst, 1317 f
eruption hematoma, 1317 f
eruption schedule, for teeth, 1315 t
gingivostomatitis, crusted extraoral lesions, 1316 f
herpes simplex virus type 1, 1316
mucocele, associated with minor salivary gland, 1318 f
pericoronitis, 1315
primary herpetic gingivostomatitis, 1316
treatment goals, 1315


trench mouth, 1315 –1316
postextraction complications
alveolar osteitis, 1314 –1315
hemorrhage, 1314
infection, 1314
treatment goals, 1314
pus perforates bone, 1313
Dental fractures. See Dental emergencies
Dental infection, 1313 –1314
Dental lamina cysts, 347 , 1318
Dental trauma, 1104 –1111
assessment of, 1104 –1105
clinical assessment

extraoral examination, 1104 –1105
intraoral examination, 1105
radiographic examination, 1105
emergency care, goals of, 1104
evidences, 1104
jaw. See Jaw fractures
primary dentition lettering system, 1107
soft tissue. See soft tissue injury
tooth, anatomy of, 1107 f
traumatic dental. See Traumatic dental injuries
treatment goals, 1104
types of, 1108 f
vermilion border injuries, 1105
Dentoalveolar infection, 1313 –1314
Deoxygenated Hb, 141
Depersonalization, 1074
Depigmentation, 465
Depression, 95 –96 , 131
clinical considerations, 1438
management, 1438 –1439
selective serotonin reuptake inhibitors (SSRIs), 1438
“SIGECAPS” mnemonic for, 96 t
symptoms, 1438
treatment goals, 1438


Dermacentor andersoni, 559
Dermacentor variabilis, 559
Dermal melanocytosis, 466
Dermatitis

allergic contact, 434
asteatotic eczema, 433
atopic, 431
autoeczematization, 435
chronic, 431
contact, 434
dyshidrotic eczema, 433
herpetiformis, 448 –449
irritant contact, 435
lichen simplex chronicus, 433
nummular eczema, 432
Dermatitis herpetiformis (DH), 448 –449
Dermatologic urgencies and emergencies
evaluation and decision, 641 –642
nodules, 640 –641
papules, 634 –639
papulosquamous eruptions, 649 –650
plaques, 639 –640
urticaria, 650
vascular lesions, 650
Dermatomyositis, 302 , 560
Dermatophytes, 443 , 461
Dermatophytid, 435
Dermoid cysts, 347
face and scalp lesions, 1345 , 1346 f
midline neck lesions, 1347 –1348
Desmarres lid retractors, 1394 f, 1400
Desmarres retractor, 1394
Desmoglein 1 (DGS1), 439 –440
Desmoglein 3 (DSG3), 440

Desmoids, 350
Desmopressin (DDAVP), 430
Developmental disabilities, 97 –98