Cases in Pediatric Acute Care. Strengthening Clinical Decision Making

Preface

Contributors

1 Complication of Pneumonia

2 Infant with Diaphoresis during Feedings

3 Hypotension in the Operating Room

4 Toddler with Vomiting and Diarrhea

5 Infant with Fever and Cold Symptoms

6 Toddler with Pineoblastoma and Bone Marrow Transplant

7 A 5 Year Old with Altered Mental Status

8 An 8 Year Old with Abdominal Trauma

9 Child with Left Eye Swelling

10 Billing and Coding

11 Language Delay

12 A 6-Month-Old Infant with RSV and Respiratory Failure

13 Adolescent Abdominal Pain after Cardiac Surgery

14 Young Infant with Vomiting

15 School-age Child with Bruising

16 Infant with Shunted Hydrocephalus

17 Newborn with Poor Oral Intake and Irritability

18 An 8-Week-Old Infant with a Cough

19 Desaturation in Postoperative Cardiac Surgery Infant

20 Pre-school Child with Seizures

21 Child with Blood in Stool

22 Osteomyelitis Case Study

23 A 2 Year Old with Liver Transplant and Fever

24 Respiratory Decompensation in Trached Infant

25 Neonatal Hypoglycemia

26 Chronic Otitis Media

27 Complex Patient with Recurrent Lower Respiratory Tract Infection

28 Child with Racing Heart

29 Teen with Headache and Seizure

30 A 4 Year Old with Bloody Diarrhea

31 Child with Persistent Fever

32 Quality Improvement Case Study

33 Newborn Immediately Post Delivery

34 A 5 Year Old with Poor Weight Gain and Dehydration

35 Toddler with Complex Chronic Condition

36 Pre-Adolescent with Knee Pain

37 Infant with Increased Fussiness and Decreased Oral Intake

38 Infant with Prolonged Jaundice

39 Child with Rash and Drooling

40 Child with Fever and Sore Throat

41 Teenager with Sickle Cell Disease and Fever

42 Ethical Case Study

43 Infant with Neurologic Changes and Respiratory Failure

44 Acute Hyperglycemia

45 Infant with Progressive Lethargy and Poor Feeding

46 Neonatal Tachypnea

47 Diplopia and Esotropia

48 Acetaminophen Ingestion

49 A 3 Year Old with Sudden Onset of Breathing Difficulty

50 A 2 Month Old with Acute Abdomen

51 Henoch–Schönlein Purpura Nephritis

52 Toddler with Tachypnea and Cool Extremities

53 Teen with Intractable Headache

54 Seizures in School-age Child

55 An 18 Year Old with Upper Respiratory Symptoms, Headache and Fever

56 Testicular Torsion

57 Teen with Fever and Rash

58 Preterm Infant Unable to Wean from Mechanical Ventilation

59 Toddler with Acute Respiratory Failure

60 Adolescent with Head Injury

61 Newborn with Ambiguous Genitalia

62 Anemia in a Toddler

63 A 2 Year Old with Fever and Cough

64 Research Review

65 Toddler with Fever and Redness Behind Ear

66 A 5 Year Old with Right-Sided Weakness

67 Postoperative Heart Block

68 Recognizing Human Trafficking

69 A Toddler With Stridor

70 Delirium in a 9-Year-Old Boy

71 Feeding Challenge in a Child with SMA

72 A 5 Year Old with Osteomyelitis, Electrolyte Disturbance and Headaches

73 Child with Scald Burn Injury

74 Parvovirus Requiring Blood Transfusion

75 A Teen With High Fever, Rash and Lethargy

76 A 9 Year Old With Scoliosis

77 An Unresponsive Infant

78 A Toddler With Abdominal Pain, Diarrhea and Lethargy

79 Sore Throat and Shortness of Breath

80 Oral Presentation and Communication

81 A 7 Year Old with Migratory Joint Pain

82 Adolescent with Murmur and Chest Flutter

83 Outpatient Management of Asthma

84 A Newborn with Abnormal Movements

85 Postoperative Infant with Tachycardia

86 Brain Death

87 Postoperative Spinal Fusion with Complications

88 Orthopnea in a 10 Year Old

89 Complication of Traumatic Brain Injury

90 Newborn with Hypothermia

91 Back Pain in an Active Teenager

92 Teen with Fever and Abdominal Pain

93 Complication in a 6 Year Old with a Kidney Transplant

94 Acute Hypertension and Seizures in a 17-year-old Male

95 Jittery 2-Week-Old Infant

96 Child with Leg and Back Pain

97 Fussy, Tired Infant

98 Tics and Something More

99 Lightheaded Adolescent

100 Infant with Hyponatremia

101 Bone Marrow Transplant in Sickle Cell Disease

102 Child with Respiratory Failure and Transaminitis

103 A Serious Football Injury

104 Infant with Generalized Weakness

105 A 3 Day Old with Irritability

106 Child with Fever and Rash

107 A Teen With Vomiting and Diarrhea

108 Acute Jaundice in a 7-Year-Old Child

109 Idiopathic Nephrotic Syndrome

110 School-age Child with Hives and Lip Swelling

111 A 10 Year Old with Asthma in the PICU

112 Skin Wound in Post-Operative Neonate

113 Provider Burnout and Resiliency

114 Kidney Transplant Complication

115 Infant with Influenza A and New Fever

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.

ANDREA KLINE-TILFORD, PHD, CPNP-AC/PC, FCCM, FAAN is the Nurse Practitioner Manager at C.S. Mott Children's Hospital, University of Michigan Health System, Ann Arbor, MI, USA.

CATHERINE M. HAUT, DNP, CPNP-AC/PC, FAANP, CCRN is the Coordinator of Research and Evidence-Based Practice at Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE, USA; also practices in a Pediatric Intensive Care Unit, employed by Mednax Pediatrix Medical Group, Baltimore, MD, USA.