Cases in Pediatric Acute Care

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