Pediatric emergency medicine trisk 2938 2938

nervous
system

Pleural
effusion

Peritonitis

Pancreatitis

Pericarditis

cranial nerve
palsies,
papilledema,
hypertension
psychosis

CSF—opening
pressure, cell
count, Gram and
special stains,
cultures

Fever, chest pain,
Chest radiograph
dyspnea,
Thoracentesis—cell
decreased breath
count, Gram stain,
sounds, splinting

protein, glucose,
culture, cytology
Abdominal pain,
Radiograph
fever, vomiting,
(abdominal flat
diarrhea,
plate, cross-table,
tenderness,
upright and/or
rigidity,
lateral decubitus)
hypoactive bowel Peritoneal aspiration
sounds, melena
—cell count,
special stains,
cultures
CBC, electrolytes,
ESR, ANA
Test for occult blood
in gastric contents
and stool, nuclear
scan
Same
Serum amylase/lipase

Fever, chest pain,
distended neck
veins, decreased
heart sounds,

hepatomegaly

Chest radiograph,
EKG
Echocardiogram-2d
CBC, ESR, blood
culture, ANA

Raynaud
Triple color change CBC, ESR, ANA,
phenomenon
of fingers and/or
cryoglobulins
Doppler flow studies

Prednisone 2
mg/kg/day or pulse
therapy
Plasmapheresis
Cytotoxic agents
Immunosuppressive
agents
Thoracentesis, if
indicated
Oxygen, prednisone,
cytotoxic agents
Surgical consult, NPO,
IV hydration, NG
tube, antacids,
transfusion

Prednisone
Interventional
radiology (if
available)

IV hydration, NPO,
adjust steroid dose,
hyperalimentation
NSAIDs
Prednisone 2
mg/kg/day
Pericardiocentesis as
needed
Protection from cold,
biofeedback,