SinaiEMSinaiEMSinaiEMSinaiEM
  • Faculty
  • Faculty

Bonus Peds Pearl

    Home Pearls Bonus Peds Pearl
    NextPrevious

    Bonus Peds Pearl

    By sinaiem | Pearls, pediatrics | Comments are Closed | 10 April, 2013 | 0

    Summer!!

    Nathaniel Water Spout

    I love summer!! Its a beautiful, gorgeous day in the big bad city! Beware the T-storms later tonight!

    Thanks to Dr. Elizabeth Weinstein from Indiana University School of Medicine for a riveting and wonderful lecture on potentially lethal diseases with easy-to-miss signs and symptoms.

    In the same vein, I would like to present a bonus pediatrics pearl. Given that it is so beautiful outside, I’m going to be lazy and provide a link to a pediatrics case that was presented recently in the New York Times Health section in the ‘Think Like a Doctor’ series authored by Lisa Sanders, M.D.

    Please, despite my laziness, I am sure you will not be disappointed in reading this article and besides, I think most of us can always use all the pediatric knowledge that we can get. And if you don’t think you do, then you should have a little something called Humble Pie.

    It is titled, ‘The Baby Who Won’t Eat.’

    http://well.blogs.nytimes.com/2013/04/04/think-like-a-doctor-the-baby-who-wont-eat/?smid=pl-share

     

     

    PS

    For those in our senior core didactics today, the following is to clarify pulsus paradoxus.

    Normally, during the inspiratory phase of breathing, blood pressure falls <10 mmHg due to the drop in intrathoracic pressure. This drop in pressure causes increased venous return, causing increased right heart filling, increasing right heart pressure, increasing pulmonary venous pooling. This in turn causes decreased left heart filling, decreased left heart filling, increased heart rate in response and thereby decrease in output and blood pressure.

    This all becomes exacerbated in the setting of cardiac tamponade and voila! Pulsus paradoxus.

    No tags.
    NextPrevious
    • Resident Login
    • Schedules
      • Qgenda
      • Schedule Request Form (All Sites)
      • Moonlighting Requests
        • Sinai Moonlighting Request Form
        • Elmhurst Moonlighting Request Form
        • BI Moonlighting Request Form
        • PEM Moonlighting Request Form
        • MSBI Urgent Care Moonlighting Request Form
      • Moonlighting Payment Form
    • PEARL PUSHERS
    • Shift Resources
      • Consent Forms
      • Regional Anesthesia Guide
      • Critical Care Protocols
      • Shout Out Form
      • Checklists
        • Start of Shift Checklists
          • General Start of Shift Checklist (EMUpdates)
          • Cardiac
          • Resus Checklist 5.0
          • Resus
          • Trauma
          • RACC Restocking Checklist
        • Intubation Checklist (EMUpdates)
        • PSA Checklist (EMUpdates)
      • PEM Resources
        • CHOP ED Clinical Pathways
        • StatPearls
        • PEM Database
      • Mental Health Resources
    • Resus
      • Resus Checklist 5.0
    • Ultrasound
    • People
      • Residents
      • Faculty
      • Division of Critical Care
      • PEM Fellows
      • Residency Newsletters
        • Summer 2017
        • Winter 2016
        • Summer 2015
      • Alumni Map
    • Applicants
      • EMIG
        • EMIG EMS Ride-Alongs
      • Residency Applicants
      • MS4 Clerkship Applicants
      • Wellness
        • Resiliency Toolbox
        • Mental Health Resources
        • New York City things-to-do
          • Viewing.NYC
        • Free Write May 2017
        • Other Wellness Information
        • Having Children During Residency – Pregnancy tips for new moms and dads
    SinaiEM