Description
You are working at Clerkship General when the next patient is put into your rack. It is an 8 year-old male with vomiting
Initial Vitals:
HR: 119
BP: 104/63
Temp: 98.0F
RR: 20
O2: 99% (Room Air)
Critical Actions:
* Finger Stick Blood Glucose
* Treat Patient’s Pain
* Diagnose Testicular Torsion
* Immediate Urology Consult
* Perform Manual Detorsion
References:
Mellick LB, Sinex JE, Gibson RW, Mears K. A Systematic Review of Testicle Survival Time After a Torsion Event. Pediatr Emerg Care. 2019 Dec;35(12):821-825. doi: 10.1097/PEC.0000000000001287. PMID: 28953100.
You are working at Clerkship General when one of the nurses comes and grabs you. “Hey doc, we need you in bed 10. I think this patient is having a stroke.”
Initial Vitals:
HR: 51
BP: 201/98
Temp: 98.0F
RR: 18
O2: 99% (Room Air)
Critical...
Published 05/01/24
* Common during the first year of life as well as during puberty
* Presents with nausea/vomiting, abdominal pain, and/or testicular pain
* ALWAYS examine a child for signs of torsion who presents with abdominal pain (especially lower abdominal pain)
* Look for tenderness,...
Published 04/16/24