One Liner 2
For the lip laceration through vermillion border the  first stitch
should be at vermillion border.

Child with recurrent fevers and parotid swelling could have HIV.

The Emergency Medical Treatment and Labor Act (EMTALA) is a
federal law that requires anyone coming to an emergency
department to be stabilized and treated, regardless of their
insurance status or ability to pay. Medical Screening Exam is
required prior to patient transfer to another facility.

Child with bilious vomit needs - UGI study with follow through.

Iridocyclitis or Uveitis - associated with Oligoarticular JIA. ANA
levels correlate with Uveitis.

Children with facial trauma and epistaxis should get OG instead of
NG tube.

Neuroblastoma as compared to Wilm's has more calcifications,
smaller children, more systemic involvement, crosses the mid line.

One Important cause of mediestinal mass in children is - Hodgkins.

Supraclavicular nodes are malignant and should be biopsied.

Baby presenting with failure in first few weeks require

If injestion is suspected in child with hypoglycemia and seizure -
ethanol and oral hypoglycemics.

Kid punched another person on the teeth causing bleeding
knuckles, tetanus UTD. not hep b. He will need - Hep B IG and

Substance not absorbed by charcoal - Alcohol, metals, mineral
acid or bases, hydrocorbons and cyanide.

Pediatric poisonings for which repetitive charcoal dosing may be
considered include phenobarbital, carbamazepine, phenytoin,
digoxin, theophylline and salicylate.

In herpangina, ulcers/vesicles are usually isolated to the soft
palate and anterior pillar of the mouth as compared to herpes in
which lesion are on lips and mouth anteriorly.

Bradycradia - commence CPR in a person with HR < 60, poor
perfusion despite oxygenation and ventilation, if bradycardia
persists use epinehperine, atropine for inc vagal tone or AV block,
or pacing.

An obese teenage with headache and vomiting would need -
Opening pressure.

IVH can cause obstructive acquired hydrocephalaus.

Flumazenil should not be ordered for TCA overdose, it will cause

Bacterial tracheitis should be considered in a child with croup
and toxic appearance.

Warm shock use Norepinepherine and Cold Shock use
Epinepherine. Both can be used at (0.1 - 1 mcg/kg/minute )

Contraindication for Heliox is severe hypoxemia, pneumothorax,
pneumopericardium, or pneumoperitoneum, therefore a chest
radiograph (CXR) should be obtained prior to initiation.

Laryngomalacia - Neonates present around 2 to 4 weeks of age
with noisy breathing or coarse inspiratory stridor that is
accentuated by agitation, crying, and being in a supine position.
Improves in prone position.

A decompensated child after house fire and failed ET attempts
should get Cricothyroidotomy.

V - Tach with pulse - adenosine could be tried first, followed by
Amiodarone and Procainamide.

One of the most common cause of rhabdomyolysis is Illicit drug

Cannabis effects include - There is an increased sense of well-
being or euphoria accompanied by feelings of relaxation or
sleepiness, short-term memory is impaired, and the capacity to
carry out tasks that require multiple mental steps to reach a
specific goal deteriorates, ( temporal disintigration) tendency to
confuse past, present, and future, depersonalization, voracious
appetite, keener sense of hearing, frank hallucinations, delusions,
and paranoid feelings, anxiety that reaches panic proportions.

SIADH - increased urinary sodium.  

FTT of a child with 16 yr old mum needs admission.

Transvaginal US can detect intrauterine gestational sac in a
patient with a β-hCG level of 1,000–2,000 mIU/mL or who is at
approximately 4–6 weeks’ gestation, whereas a transabdominal
US requires a level of at least 6,500 mIU/mL.

C Diff. causes watery diarrhea, fever, nausea, and abdominal
pain, pseudomembranous colitis, toxic megacolon, perforation of
the colon, and sepsis.