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Pediatric Emergency Medicine illustrated clinical cases Pediatric Emergency Medicine Second edition EDITED BY ALISA MCQUEEN The University of Chicago Medicine Comer Children’s Hospital Chicago, Illinois, USA S. MARGARET PAIK The University of Chicago Medicine Comer Children’s Hospital Chicago, Illinois, USA CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 2019 by Taylor & Francis Group, LLC CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works Printed on acid-free paper International Standard Book Number-13: 978-1-4822-3029-1 (Paperback) 978-1-138-34649-9 (Hardback) This book contains information obtained from authentic and highly regarded sources. While all reasonable efforts have been made to publish reliable data and information, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made. The publishers wish to make clear that any views or opinions expressed in this book by individual editors, authors or contributors are personal to them and do not necessarily reflect the views/opinions of the publishers. The information or guidance contained in this book is intended for use by medical, scientific or health-care professionals and is provided strictly as a supplement to the medical or other professional’s own judgement, their knowledge of the patient’s medical history, relevant manu- facturer’s instructions and the appropriate best practice guidelines. Because of the rapid advances in medical sci- ence, any information or advice on dosages, procedures or diagnoses should be independently verified. The reader is strongly urged to consult the relevant national drug formulary and the drug companies’ and device or material manufacturers’ printed instructions, and their websites, before administering or utilizing any of the drugs, devices or materials mentioned in this book. This book does not indicate whether a particular treatment is appropriate or suitable for a particular individual. Ultimately it is the sole responsibility of the medical professional to make his or her own professional judgements, so as to advise and treat patients appropriately. The authors and publishers have also attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permission to publish in this form has not been obtained. If any copyright material has not been acknowledged please write and let us know so we may rectify in any future reprint. Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying, microfilming, and recording, or in any information storage or retrieval system, without written permission from the publishers. For permission to photocopy or use material electronically from this work, please access www.copyright.com (http://www.copyright.com/) or contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Dan- vers, MA 01923, 978-750-8400. CCC is a not-for-profit organization that provides licenses and registration for a variety of users. For organizations that have been granted a photocopy license by the CCC, a separate system of payment has been arranged. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the CRC Press Web site at http://www.crcpress.com CONTENTS Preface xi Case 20 39 Editors xiii Michael Gottlieb Contributors xv Case 21 41 Alisa McQueen Broad classification of cases xvii Case 22 43 Abbreviations xix Emily Obringer Case 1 1 Case 23 45 Timothy Ketterhagen Michael Farnham and Timothy Ketterhagen Case 2 3 Case 24 47 Timothy Ketterhagen S. Margaret Paik Case 3 5 Case 25 49 Timothy Ketterhagen Timothy Ketterhagen Case 4 7 Case 26 53 S. Margaret Paik Victoria Rodriguez Case 5 9 Case 27 55 Leah Finkel Emily Obringer Case 6 11 Case 28 57 Alisa McQueen Emily Obringer Case 7 13 Case 29 59 Timothy Ketterhagen Emily Obringer Case 8 15 Case 30 61 Timothy Ketterhagen Michael Farnham and Timothy Ketterhagen Case 9 17 Case 31 63 Timothy Ketterhagen Emily Obringer Case 10 19 Case 32 65 Michael Gottlieb Emily Obringer Case 11 21 Case 33 67 Timothy Ketterhagen Nina Mbadiwe Case 12 23 Case 34 69 Timothy Ketterhagen Alisa McQueen Case 13 25 Case 35 71 Barbara Pawel Nina Mbadiwe Case 14 27 Case 36 73 Michael Farnham and Timothy Ketterhagen Nina Mbadiwe Case 15 29 Case 37 75 Barbara Pawel Timothy Ketterhagen Case 16 31 Case 38 77 Barbara Pawel Leah Finkel Case 17 33 Case 39 79 Emily Obringer Michael Gottlieb Case 18 35 Case 40 81 Emily Obringer Michael Gottlieb Case 19 37 Case 41 85 Emily Obringer Michael Gottlieb v Case 42 87 Case 66 135 Emily Obringer Lauren Allister Case 43 89 Case 67 137 Timothy Ketterhagen Lauren Allister Case 44 91 Case 68 139 Diana Yan Kevin R. Schwartz Case 45 93 Case 69 141 Diana Yan Kevin R. Schwartz Case 46 95 Case 70 143 Timothy Ketterhagen Kevin R. Schwartz Case 47 97 Case 71 145 Michael Gottlieb Kevin R. Schwartz Case 48 99 Case 72 147 Michael Gottlieb Kevin R. Schwartz Case 49 101 Case 73 149 Diana Yan Kevin R. Schwartz Case 50 103 Case 74 151 Michael Gottlieb Lauren Allister Case 51 105 Case 75 153 Michael Gottlieb Michael Gottlieb Case 52 107 Case 76 155 Kevin R. Schwartz Barbara Pawel Case 53 109 Case 77 157 Alisa McQueen Lauren Allister Case 54 111 Case 78 159 Veena Ramaiah Lauren Allister Case 55 113 Case 79 161 Kevin R. Schwartz Emily Obringer Case 56 115 Case 80 163 Lauren Allister Michael Gottlieb Case 57 117 Case 81 165 Kevin R. Schwartz Michael Gottlieb Case 58 119 Case 82 167 Lauren Allister Timothy Ketterhagen Case 59 121 Case 83 169 Kevin R. Schwartz Emily Obringer Case 60 123 Case 84 171 Kevin R. Schwartz Timothy Ketterhagen Case 61 125 Case 85 173 S. Margaret Paik Emily Obringer Case 62 127 Case 86 175 Lauren Allister Emily Obringer Case 63 129 Case 87 177 Lauren Allister Veena Ramaiah Case 64 131 Case 88 179 Lauren Allister Justin Triemstra Case 65 133 Case 89 181 Lauren Allister Timothy Ketterhagen vi Case 90 183 Case 114 233 Michael Gottlieb Michael Gottlieb Case 91 185 Case 115 235 Leah Finkel S. Margaret Paik Case 92 187 Case 116 237 Timothy Ketterhagen Nina Mbadiwe Case 93 189 Case 117 239 Timothy Ketterhagen Catherine H. Chung Case 94 191 Case 118 241 Diana Yan Diana Yan Case 95 193 Case 119 245 Michael Gottlieb Timothy Ketterhagen Case 96 195 Case 120 247 Leah Finkel Nina Mbadiwe Case 97 197 Case 121 249 Michael Gottlieb Diana Yan Case 98 199 Case 122 251 Catherine H. Chung Michael Gottlieb Case 99 201 Case 123 253 Emily Obringer Jaimee Holbrook Case 100 203 Case 124 255 Michael Gottlieb Michael Gottlieb Case 101 205 Case 125 257 Diana Yan Veena Ramaiah Case 102 209 Case 126 259 Emily Obringer Veena Ramaiah Case 103 211 Case 127 261 Michael Gottlieb Veena Ramaiah Case 104 213 Case 128 263 Catherine H. Chung Veena Ramaiah Case 105 215 Case 129 265 Catherine H. Chung Barbara Pawel Case 106 217 Case 130 267 Catherine H. Chung Veena Ramaiah Case 107 219 Case 131 269 Catherine H. Chung Veena Ramaiah Case 108 221 Case 132 273 Alisa McQueen Veena Ramaiah Case 109 223 Case 133 275 Nina Mbadiwe Timothy Ketterhagen Case 110 225 Case 134 277 Michael Gottlieb Michael Gottlieb Case 111 227 Case 135 279 Emily Obringer Timothy Ketterhagen Case 112 229 Case 136 283 Emily Obringer Leah Finkel Case 113 231 Case 137 285 Michael Gottlieb Timothy Ketterhagen vii Case 138 287 Case 162 339 Veena Ramaiah Barbara Pawel Case 139 291 Case 163 341 James Bistolarides Diana Yan Case 140 293 Case 164 343 Veena Ramaiah Nina Mbadiwe Case 141 297 Case 165 345 Michael Gottlieb Nina Mbadiwe Case 142 299 Case 166 347 Emily Obringer Catherine H. Chung Case 143 301 Case 167 349 Diana Yan S. Margaret Paik Case 144 303 Case 168 351 Michael Gottlieb S. Margaret Paik Case 145 305 Case 169 353 Michael Gottlieb Nina Mbadiwe Case 146 307 Case 170 355 Michael Gottlieb Barbara Pawel Case 147 309 Case 171 357 Leah Finkel S. Margaret Paik Case 148 311 Case 172 359 Timothy Ketterhagen S. Margaret Paik Case 149 313 Case 173 361 Diana Yan S. Margaret Paik Case 150 315 Case 174 363 Diana Yan S. Margaret Paik Case 151 317 Case 175 365 James Bistolarides S. Margaret Paik Case 152 319 Case 176 367 Michael Gottlieb S. Margaret Paik Case 153 321 Case 177 369 Michael Gottlieb S. Margaret Paik Case 154 323 Case 178 371 Diana Yan S. Margaret Paik Case 155 325 Case 179 373 Veena Ramaiah Barbara Pawel Case 156 327 Case 180 375 Nina Mbadiwe Barbara Pawel Case 157 329 Case 181 377 James Bistolarides S. Margaret Paik Case 158 331 Case 182 379 Nina Mbadiwe Barbara Pawel Case 159 333 Case 183 381 Diana Yan S. Margaret Paik Case 160 335 Case 184 383 S. Margaret Paik Nina Mbadiwe Case 161 337 Case 185 385 S. Margaret Paik Barbara Pawel viii Case 186 387 Case 194 405 S. Margaret Paik Barbara Pawel Case 187 391 Case 195 407 S. Margaret Paik S. Margaret Paik Case 188 393 Case 196 409 S. Margaret Paik S. Margaret Paik Case 189 395 Case 197 413 Barbara Pawel S. Margaret Paik Case 190 397 Case 198 415 S. Margaret Paik Barbara Pawel Case 191 399 Case 199 417 S. Margaret Paik S. Margaret Paik Case 192 401 Case 200 419 S. Margaret Paik Barbara Pawel Case 193 403 S. Margaret Paik Index 423 ix

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Pediatric Emergency Medicine illustrated clinical cases Pediatric Emergency Medicine Second edition EDITED BY ALISA MCQUEEN The University of Chicago Medicine Comer Children’s Hospital Chicago, Illinois, USA S. MARGARET PAIK The University of Chicago Medicine Comer Children’s Hospital Chicago, Illinois, USA CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 2019 by Taylor & Francis Group, LLC CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works Printed on acid-free paper International Standard Book Number-13: 978-1-4822-3029-1 (Paperback) 978-1-138-34649-9 (Hardback) This book contains information obtained from authentic and highly regarded sources. While all reasonable efforts have been made to publish reliable data and information, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made. The publishers wish to make clear that any views or opinions expressed in this book by individual editors, authors or contributors are personal to them and do not necessarily reflect the views/opinions of the publishers. The information or guidance contained in this book is intended for use by medical, scientific or health-care professionals and is provided strictly as a supplement to the medical or other professional’s own judgement, their knowledge of the patient’s medical history, relevant manu- facturer’s instructions and the appropriate best practice guidelines. Because of the rapid advances in medical sci- ence, any information or advice on dosages, procedures or diagnoses should be independently verified. The reader is strongly urged to consult the relevant national drug formulary and the drug companies’ and device or material manufacturers’ printed instructions, and their websites, before administering or utilizing any of the drugs, devices or materials mentioned in this book. This book does not indicate whether a particular treatment is appropriate or suitable for a particular individual. Ultimately it is the sole responsibility of the medical professional to make his or her own professional judgements, so as to advise and treat patients appropriately. The authors and publishers have also attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permission to publish in this form has not been obtained. If any copyright material has not been acknowledged please write and let us know so we may rectify in any future reprint. Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying, microfilming, and recording, or in any information storage or retrieval system, without written permission from the publishers. For permission to photocopy or use material electronically from this work, please access www.copyright.com (http://www.copyright.com/) or contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Dan- vers, MA 01923, 978-750-8400. CCC is a not-for-profit organization that provides licenses and registration for a variety of users. For organizations that have been granted a photocopy license by the CCC, a separate system of payment has been arranged. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the CRC Press Web site at http://www.crcpress.com CONTENTS Preface xi Case 20 39 Editors xiii Michael Gottlieb Contributors xv Case 21 41 Alisa McQueen Broad classification of cases xvii Case 22 43 Abbreviations xix Emily Obringer Case 1 1 Case 23 45 Timothy Ketterhagen Michael Farnham and Timothy Ketterhagen Case 2 3 Case 24 47 Timothy Ketterhagen S. Margaret Paik Case 3 5 Case 25 49 Timothy Ketterhagen Timothy Ketterhagen Case 4 7 Case 26 53 S. Margaret Paik Victoria Rodriguez Case 5 9 Case 27 55 Leah Finkel Emily Obringer Case 6 11 Case 28 57 Alisa McQueen Emily Obringer Case 7 13 Case 29 59 Timothy Ketterhagen Emily Obringer Case 8 15 Case 30 61 Timothy Ketterhagen Michael Farnham and Timothy Ketterhagen Case 9 17 Case 31 63 Timothy Ketterhagen Emily Obringer Case 10 19 Case 32 65 Michael Gottlieb Emily Obringer Case 11 21 Case 33 67 Timothy Ketterhagen Nina Mbadiwe Case 12 23 Case 34 69 Timothy Ketterhagen Alisa McQueen Case 13 25 Case 35 71 Barbara Pawel Nina Mbadiwe Case 14 27 Case 36 73 Michael Farnham and Timothy Ketterhagen Nina Mbadiwe Case 15 29 Case 37 75 Barbara Pawel Timothy Ketterhagen Case 16 31 Case 38 77 Barbara Pawel Leah Finkel Case 17 33 Case 39 79 Emily Obringer Michael Gottlieb Case 18 35 Case 40 81 Emily Obringer Michael Gottlieb Case 19 37 Case 41 85 Emily Obringer Michael Gottlieb v Case 42 87 Case 66 135 Emily Obringer Lauren Allister Case 43 89 Case 67 137 Timothy Ketterhagen Lauren Allister Case 44 91 Case 68 139 Diana Yan Kevin R. Schwartz Case 45 93 Case 69 141 Diana Yan Kevin R. Schwartz Case 46 95 Case 70 143 Timothy Ketterhagen Kevin R. Schwartz Case 47 97 Case 71 145 Michael Gottlieb Kevin R. Schwartz Case 48 99 Case 72 147 Michael Gottlieb Kevin R. Schwartz Case 49 101 Case 73 149 Diana Yan Kevin R. Schwartz Case 50 103 Case 74 151 Michael Gottlieb Lauren Allister Case 51 105 Case 75 153 Michael Gottlieb Michael Gottlieb Case 52 107 Case 76 155 Kevin R. Schwartz Barbara Pawel Case 53 109 Case 77 157 Alisa McQueen Lauren Allister Case 54 111 Case 78 159 Veena Ramaiah Lauren Allister Case 55 113 Case 79 161 Kevin R. Schwartz Emily Obringer Case 56 115 Case 80 163 Lauren Allister Michael Gottlieb Case 57 117 Case 81 165 Kevin R. Schwartz Michael Gottlieb Case 58 119 Case 82 167 Lauren Allister Timothy Ketterhagen Case 59 121 Case 83 169 Kevin R. Schwartz Emily Obringer Case 60 123 Case 84 171 Kevin R. Schwartz Timothy Ketterhagen Case 61 125 Case 85 173 S. Margaret Paik Emily Obringer Case 62 127 Case 86 175 Lauren Allister Emily Obringer Case 63 129 Case 87 177 Lauren Allister Veena Ramaiah Case 64 131 Case 88 179 Lauren Allister Justin Triemstra Case 65 133 Case 89 181 Lauren Allister Timothy Ketterhagen vi Case 90 183 Case 114 233 Michael Gottlieb Michael Gottlieb Case 91 185 Case 115 235 Leah Finkel S. Margaret Paik Case 92 187 Case 116 237 Timothy Ketterhagen Nina Mbadiwe Case 93 189 Case 117 239 Timothy Ketterhagen Catherine H. Chung Case 94 191 Case 118 241 Diana Yan Diana Yan Case 95 193 Case 119 245 Michael Gottlieb Timothy Ketterhagen Case 96 195 Case 120 247 Leah Finkel Nina Mbadiwe Case 97 197 Case 121 249 Michael Gottlieb Diana Yan Case 98 199 Case 122 251 Catherine H. Chung Michael Gottlieb Case 99 201 Case 123 253 Emily Obringer Jaimee Holbrook Case 100 203 Case 124 255 Michael Gottlieb Michael Gottlieb Case 101 205 Case 125 257 Diana Yan Veena Ramaiah Case 102 209 Case 126 259 Emily Obringer Veena Ramaiah Case 103 211 Case 127 261 Michael Gottlieb Veena Ramaiah Case 104 213 Case 128 263 Catherine H. Chung Veena Ramaiah Case 105 215 Case 129 265 Catherine H. Chung Barbara Pawel Case 106 217 Case 130 267 Catherine H. Chung Veena Ramaiah Case 107 219 Case 131 269 Catherine H. Chung Veena Ramaiah Case 108 221 Case 132 273 Alisa McQueen Veena Ramaiah Case 109 223 Case 133 275 Nina Mbadiwe Timothy Ketterhagen Case 110 225 Case 134 277 Michael Gottlieb Michael Gottlieb Case 111 227 Case 135 279 Emily Obringer Timothy Ketterhagen Case 112 229 Case 136 283 Emily Obringer Leah Finkel Case 113 231 Case 137 285 Michael Gottlieb Timothy Ketterhagen vii Case 138 287 Case 162 339 Veena Ramaiah Barbara Pawel Case 139 291 Case 163 341 James Bistolarides Diana Yan Case 140 293 Case 164 343 Veena Ramaiah Nina Mbadiwe Case 141 297 Case 165 345 Michael Gottlieb Nina Mbadiwe Case 142 299 Case 166 347 Emily Obringer Catherine H. Chung Case 143 301 Case 167 349 Diana Yan S. Margaret Paik Case 144 303 Case 168 351 Michael Gottlieb S. Margaret Paik Case 145 305 Case 169 353 Michael Gottlieb Nina Mbadiwe Case 146 307 Case 170 355 Michael Gottlieb Barbara Pawel Case 147 309 Case 171 357 Leah Finkel S. Margaret Paik Case 148 311 Case 172 359 Timothy Ketterhagen S. Margaret Paik Case 149 313 Case 173 361 Diana Yan S. Margaret Paik Case 150 315 Case 174 363 Diana Yan S. Margaret Paik Case 151 317 Case 175 365 James Bistolarides S. Margaret Paik Case 152 319 Case 176 367 Michael Gottlieb S. Margaret Paik Case 153 321 Case 177 369 Michael Gottlieb S. Margaret Paik Case 154 323 Case 178 371 Diana Yan S. Margaret Paik Case 155 325 Case 179 373 Veena Ramaiah Barbara Pawel Case 156 327 Case 180 375 Nina Mbadiwe Barbara Pawel Case 157 329 Case 181 377 James Bistolarides S. Margaret Paik Case 158 331 Case 182 379 Nina Mbadiwe Barbara Pawel Case 159 333 Case 183 381 Diana Yan S. Margaret Paik Case 160 335 Case 184 383 S. Margaret Paik Nina Mbadiwe Case 161 337 Case 185 385 S. Margaret Paik Barbara Pawel viii Case 186 387 Case 194 405 S. Margaret Paik Barbara Pawel Case 187 391 Case 195 407 S. Margaret Paik S. Margaret Paik Case 188 393 Case 196 409 S. Margaret Paik S. Margaret Paik Case 189 395 Case 197 413 Barbara Pawel S. Margaret Paik Case 190 397 Case 198 415 S. Margaret Paik Barbara Pawel Case 191 399 Case 199 417 S. Margaret Paik S. Margaret Paik Case 192 401 Case 200 419 S. Margaret Paik Barbara Pawel Case 193 403 S. Margaret Paik Index 423 ix

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