Cases in Pediatric Acute Care presents over 100 real-world pediatric acute care cases, each including a brief patient history, a detailed history of present illness, presenting signs and symptoms, vital signs, and physical examination findings. Ideal for developing a systematic approach to diagnosis, evaluation, and treatment, this resource provides students and advanced practitioners with the tools required to deliver comprehensive care to acute, chronic and critically ill children. The cases encompass a wide range of body systems, medical scenarios, professional issues and general pediatric concerns, and feature laboratory data, radiographic images and information on case study progression and resolution.
Develops the essential skills necessary to provide the best possible pediatric acute care
Discusses the most appropriate differential diagnoses, diagnostic evaluation, and management plans for each case
Presents cases related to pulmonary, cardiac, neurologic, endocrine, metabolic, musculoskeletal, and other body systems
Highlights key points in each case to quickly identify critical information
Cases in Pediatric Acute Care is an excellent resource for advanced practice provider students and pediatric healthcare providers managing acutely ill children.
Table of contents
Preface xi
List of Contributors xiii
1 Complication of Pneumonia 1
Ji-Yeon Kim
2 Infant with Diaphoresis during Feedings 5
Kristen Brown and Kristen Nelson McMillan
3 Hypotension in the Operating Room 7
Ann Marie Felauer
4 Toddler with Vomiting and Diarrhea 11
Kimberly L. DiMaria
5 Infant with Fever and Cold Symptoms 15
Cheryl Bartke
6 Toddler with Pineoblastoma and Bone Marrow Transplant 19
Cathryn Freeman
7 A 5-Year-Old with Altered Mental Status 23
Yu-shan Tseng and Richard Garcia
8 An 8-Year-Old with Abdominal Trauma 29
Julie Resler
9 Child with Left Eye Swelling 33
Amy Graf
10 Billing and Coding 37
Dawn M. Silverman
11 Language Delay 47
Jolene Dickerson
12 A 6-Month-Old Infant with RSV and Respiratory Failure 51
Catherine M. Haut
13 Adolescent Abdominal Pain after Cardiac Surgery 55
Cathy Woodward
14 Young Infant with Vomiting 57
Sarah Martin
15 School-age Child with Bruising 61
Lisa Hovingh and Candie Ritsema
16 Infant with Shunted Hydrocephalus 65
Mark Weber
17 Newborn with Poor Oral Intake and Irritability 69
Elaine Geary
18 An 8-Week-Old Infant with a Cough 73
Sarah Jane Garraty
19 Desaturation in Postoperative Cardiac Surgery Infant 77
Lisa Kohr
20 Pre-school Child with Seizures 81
Heather Herrera and Rachel Luthen
21 Child with Blood in Stool 85
Brittany Cook and Darby Tozer
22 Osteomyelitis Case Study 89
Kim Steanson
23 A 2-Year-Old with Liver Transplant and Fever 93
Louise Flynn
24 Respiratory Decompensation in Trached Infant 97
Jennifer Helman
25 Neonatal Hypoglycemia 101
Janice L. Wilson
26 Chronic Otitis Media 105
Kimberly Young-Conner
27 Complex Patient with Recurrent Lower Respiratory Tract Infection 109
Ann Marie Ramsey
28 Child with Racing Heart 115
Bradley Goettl
29 Teen with Headache and Seizure 119
Valarie Eichler
30 A 4-Year-Old with Bloody Diarrhea 125
Tamara Hill
31 Child with Persistent Fever 129
Misty Ellis
32 Quality Improvement Case Study 133
Peggy Dorr
33 Newborn Immediately Post Delivery 139
Heather Schniepp
34 A 5-Year-Old with Poor Weight Gain and Dehydration 143
Kimberly Young-Conner
35 Toddler with Complex Chronic Condition 147
Jennifer Wright
36 Pre-adolescent with Knee Pain 151
Katelyn Hamann and Shannon Konieczki
37 Infant with Increased Fussiness and Decreased Oral Intake 155
Stephanie Haughey
38 Infant with Prolonged Jaundice 161
Aimee Bucci
39 Child with Rash and Drooling 165
Mark Weber
40 Child with Fever and Sore Throat 169
Stephanie Robell and Danielle Van Damme
41 Teenager with Sickle Cell Disease and Fever 173
Shannon Konieczki and Katelyn Hamann
42 Ethical Case Study 177
Jamie Tumulty
43 Infant with Neurologic Changes and Respiratory Failure 183
Blythe Pollack and Stacey Sears
44 Acute Hyperglycemia 191
Jeanne Little
45 Infant with Progressive Lethargy and Poor Feeding 195
Kathleen P. Thompson
46 Neonatal Tachypnea 199
Janet Dutcher
47 Diplopia and Esotropia 203
Lindsay Chapman
48 Acetaminophen Ingestion 207
Aaron Carpenter
49 A 3-Year-Old with Sudden Onset of Breathing Difficulty 211
Judy Verger
50 A 2-Month-Old with Acute Abdomen 215
Christyne Kyper
51 Henoch–Schönlein Purpura Nephritis 219
Tamara Hill
52 Toddler with Tachypnea and Cool Extremities 223
Cathy Woodward
53 Teen with Intractable Headache 227
Tara Pezzuto
54 Seizures in School-age Child 231
Ann Marie Felauer
55 An 18-Year-Old with Upper Respiratory Symptoms, Headache and Fever 235
Misty Evans
56 Testicular Torsion 239
Amanda Mandel
57 Teen with Fever and Rash 243
Christine Renke and Elizabeth Hoppe
58 Preterm Infant Unable to Wean from Mechanical Ventilation 247
Michelle Dokas
59 Toddler with Acute Respiratory Failure 251
Ahmed Aly and Bradley Tilford
60 Adolescent with Head Injury 255
Jennette Firlein
61 Newborn with Ambiguous Genitalia 261
Barbara Wise
62 Anemia in a Toddler 265
Dyane Bunnell
63 A 2-Year-Old with Fever and Cough 269
Jessica Strohm Farber
64 Research Review 273
Lauren R. Sorce
65 Toddler with Fever and Redness Behind Ear 277
Amanda Lewis Weir
66 A 5-Year-Old with Right-Sided Weakness 281
Suzette Meinke and Jessica Spruit
67 Postoperative Heart Block 285
Cathy Woodward
68 Recognizing Human Trafficking 287
Christine DiPaolo
69 A Toddler With Stridor 291
Mari Welch
70 Delirium in a 9-Year-Old Boy 295
Heather Herrera
71 Feeding Challenge in a Child with Spinal Muscular Atrophy 299
Nicole Fragale
72 A 5-Year-Old with Osteomyelitis, Electrolyte Disturbance and Headaches 303
Kimberly L. DiMaria
73 Child with Scald Burn Injury 307
Amarilis Martin and Bradley Tilford
74 Parvovirus Requiring Blood Transfusion 313
Ashley Thibodeau
75 A Teen With High Fever, Rash and Lethargy 317
Jessica Strohm Farber
76 A 9-Year-Old With Scoliosis 321
Alicia McCarthy
77 An Unresponsive Infant 325
Charlene Pringle
78 A Toddler With Abdominal Pain, Diarrhea and Lethargy 331
Jessica Pech
79 Sore Throat and Shortness of Breath 335
Amy Manion
80 Oral Presentation and Communication 339
Jill Siegrist Thomas
81 A 7-Year-Old with Migratory Joint Pain 345
Christin Diller
82 Adolescent with Murmur and Chest Flutter 349
Natalie Hecht
83 Outpatient Management of Asthma 353
Jolene Dickerson
84 A Newborn with Abnormal Movements 357
Maura Bernardo
85 Postoperative Infant with Tachycardia 361
Cathy Woodward
86 Brain Death 363
Maria C. Woosley
87 Postoperative Spinal Fusion with Complications 367
Jaime Panton and Melissa C. Varrone
88 Orthopnea in a 10-Year-Old 371
Max Pizzo
89 Complication of Traumatic Brain Injury 375
Christine Schindler
90 Newborn with Hypothermia 379
Marshay James
91 Back Pain in an Active Teenager 383
Alicia McCarthy
92 Teen with Fever and Abdominal Pain 387
Sarah Martin
93 Complication in a 6-Year-Old with a Kidney Transplant 391
Alison Hewitt Torres
94 Acute Hypertension and Seizures in a 17-Year-Old Male 395
Alison Hewitt Torres
95 Jittery 2-Week-Old Infant 399
Christopher D. Newman
96 Child with Leg and Back Pain 403
Jill Marks
97 Fussy, Tired Infant 407
Charlene Pringle
98 Tics and Something More 411
Judy Adelizzi-DeLany
99 Lightheaded Adolescent 415
Cathy Woodward
100 Infant with Hyponatremia 419
Sarah Pihl
101 Bone Marrow Transplant in Sickle Cell Disease 423
J. Paige Rieckhoff
102 Child with Respiratory Failure and Transaminitis 427
Kim Steanson
103 A Serious Football Injury 431
Julie Resler
104 Infant with Generalized Weakness 435
Blythe Pollack
105 A 3-Day-Old with Irritability 441
Christopher D. Newman
106 Child with Fever and Rash 445
Misty Evans
107 A Teen With Vomiting and Diarrhea 449
Christyne Kyper
108 Acute Jaundice in a 7-Year-Old Child 453
Roseann Hausmann
109 Idiopathic Nephrotic Syndrome 457
Tamara Hill
110 School-age Child with Hives and Lip Swelling 461
Jay M. Hunter
111 A 10-Year-Old with Asthma in the PICU 463
Catherine M. Haut
112 Skin Wound in Postoperative Neonate 467
Hayley Redmond
113 Provider Burnout and Resiliency 471
Jill Siegrist Thomas
114 Kidney Transplant Complication 475
Cathy C. McAdams
115 Infant with Influenza A and New Fever 479
Lauren Flagg
116 A 3-Year-Old with Fever and Painful Urination 483
Roseann Hausmann
Index 487
