A Week in Review Aug 28th - Sept 1st
Mostly benign causes, not all children need Chest xrays and EKGS.
Focus on the history and physical to look out for dangerous causes:
HOCM, WPW, PTX, Aspirated FB, Sickle cell/Acute Chest syndrome
Feeling red and flushed after dinner? Ate some fish?
Scombroid Poisoning - caused by build up of histadine during stroage, gets converted to histamine.
Tx = supportive, anti-histamines, generally self limiting in 24-48 hours
Remeber the UDS can have many false negatives and false postive.
Check out these tables to see some of the false (+)s and False (-)s
T = Tilt 30-45 on Left Lateral Decuib to release compression of IVC from the uterus
O = Oxygen, pregnant patients often desaturate much quicker!
L = Lines, place early and above the diaphragm
D = Dates/Delivery (call L&D). Use dates to think about fetal viability. Get L&D involved early especially if fetus is viable (20-24 weeks)
Do you know the best way to determine CSF from snot/tears?
It might not be what you think