Cholera. Severely dehydrated child during an outbreak in Uganda

Slides:

Advertisements

Similar presentations

Copyright © 2016 McGraw-Hill Education. All rights reserved.

Advertisements

Erythematous maculopapular and urticarial edematous plaques are seen on the thighs (A). (B) in a patient 2 weeks after receiving Bactrim. Fever, arthralgia,

(A, B) An 8-year-old girl with abdominal pain and cystic mass arising from the right ovary on sonography. Notice fat plug (white arrow). (C) MRI showing.

A dorsal view of the brain shows severe brain swelling with flattened gyri and effaced sulci. Evidence of brain swelling with herniation was seen on the.

A child presenting with high fever, refusal to eat, and sores in the mouth. (Photo contributor: Binita R. Shah, MD.) Source: Chapter 3. Infectious Diseases,

(A) Conjunctivitis due to Chlamydia trachomatis is the most common infectious cause of ophthalmia neonatorum. This 10-day-old neonate presented with lid.

A-C: A lateral view of the left knee shows that the patella is too distally positioned or “low-lying.” Hence, the term “patella baja.” There is extensive.

Curved multiplanar maximal intensity projection of the left main coronary artery and left anterior descending artery demonstrates calcific atherosclerotic.

(A) Extrapyramidal signs seen here such as torticollis, inability to speak, and trismus were the presenting complaints in this girl who was brought to.

A-D: PA, oblique, lateral, and scaphoid views of the right wrist show a subtle fracture through the scaphoid waist. The fracture is seen best on the scaphoid.

(A) The most commonly aspirated food products by infants and children include peanuts, chunky peanut butter, hot dogs, popcorn, seeds, grapes, raisins,

A-C: AP mortise and lateral views of the right ankle show a subtle nondisplaced fracture of the lateral malleolus. The fracture is best seen on the mortise.

Cellulitis spreads more slowly and extends more deeply into the subcutaneous tissues; hence, the borders of cellulitis are ill-defined (in contrast to.

(A) This child dislocated the MCP joint of his thumb as a result of hyperextension force while falling on an outstretched hand. Gentle traction along with.

(A) An axial CT scan demonstrates a grade II splenic laceration with a small amount of hemoperitoneum. (B) An axial CT scan demonstrates a grade III splenic.

The LifeStat system is an example of a piston compression device

Classic Metaphyseal Lesion (CML)

A-C: Precontrast sagittal and axial T1 and sagittal STIR sequences show a large, somewhat lobulated dorsal epidural collection that is slightly hyperintense.

Umbilical artery catheter insertion. (A) Artery dilation

(A) A 12-year-old child presented with a painless, rubbery, firm cervical lymphadenopathy of 3 months’ duration. Enlarged lymph nodes extended over both.

Retropharyngeal Abscess

Lateral view of the neck shows a goat bone (arrow) in the cervical esophagus in a patient presenting with throat pain that began while eating curry goat.

Cross-table lateral radiograph of the cervical spine shows a flexion teardrop injury at the C5 level. In addition to the fracture of the anterior, inferior.

An AP view of the proximal right femur shows a healing stress fracture in the lateral cortex of the proximal right femoral diaphysis (arrowhead). This.

A cystoscopic image shows a stone in the urethra that was pushed in the bladder and subsequently fragmented with laser. This 8 year-old child presented.

(A) Longitudinal image of pelvis shows ectopic gestation (EG) outside of the uterus (U). B is bladder. (B) Longitudinal image of EG in left adnexal region,

This currant-jelly stool was passed by an 8-month-old infant brought to the ED with complaints of vomiting, lethargy, and intermittent episodes of crying.

Coral Snake (Close-Up)

Obstructive sleep apnea resulting in significant oxygen desaturation occurred in this child who had a long history of snoring. A nasopharyngeal airway.

Traumatic exophthalmos

A 15-month-old infant with periorbital/facial edema is seen in this photo, which was taken soon after he woke up in the morning. Facial edema is usually.

AML Blast Cells. Wright stained peripheral blood smear, ×1000

Lateral view of the c-spine show traumatic spondylolisthesis of C2 upon C3. This “hangman’s” fracture (arrow) resulted from a high-speed MVA where the.

Copperhead Snake. The Copperhead is frequently encountered in wooded mountains, abandoned buildings, and damp, grassy areas. It is able to climb low bushes.

Lichen Sclerosus—Chronic

Clavicle Fracture. This 12-year-old boy complains of pain, tenderness, and deformity over the mid left clavicle after an injury incurred during football.

Single high-resolution CT image of a patient with pulmonary fibrosis from sarcoidosis. Note the interlobular and intralobular septal lines along with traction.

(A) The coral snake can be identified by the yellow and red bands that touch while red and black bands do not. The coral snake is a member of the Elapidae.

Left orbital cellulitis with subperiosteal abscess and extensive ethmoid and maxillary sinusitis are seen in this postcontrast CT scan. About 75% to 90%

Intense erythema, eyelid edema, and tenderness due to maxillary sinusitis in an adolescent who had normal vision, full range of eye movements without pain,

Swelling of the phalanges of the right thumb and hemorrhagic rash in an adolescent girl. Her blood culture was positive for N. gonorrhea. (Photo contributor:

Jequirity Pea. Jequirity peas are also known as rosary peas, Indian beans, Buddhist’s beads, crab’s eyes, and prayer beads. They are about 5 mm in diameter.

Jequirity Pea. Jequirity peas are also known as rosary peas, Indian beans, Buddhist's beads, crab's eyes, and prayer beads. They are about 5 mm in diameter.

(A) White strawberry tongue (edematous red papillae projecting through white-coated tongue is seen on the second day of illness in a child with scarlet.

Hard corn in a typical location on the dorsum of the fifth digit

(A) Several round identical purpuric lesions are seen on the back because of cupping that was used to relieve back pain. First- or second-degree burns.

(A, B) Compare the close-ups of a battery with a coin from two different patients clearly demonstrating the radiographic differences. Battery has a lucent.

(A) An ultrasound image of an infant with pyloric stenosis

(A) An ultrasound image of an infant with pyloric stenosis

A-C: Axial, coronal, and sagittal CTA images demonstrate a large filling defect in the main right pulmonary artery consistent with a large pulmonary embolism.

Corneal Ulcer. An elliptical ulcer at 5-o’clock position near the limbus is seen. This location is atypical for a bacterial ulcer. The patient presented.

Acute Otitis Externa with marked swelling of the proximal external auditory canal (EAC). Oto wicks can be helpful in stenting the EAC so that otic drops.

Because of their impressive size and the relatively low toxicity of their venom, emperor scorpions are often kept as pets. Found in the wild only in Africa,

A, B: Numerous fibroid tumors alter the normal contours of the uterus

This autopsy photograph shows marked dilation of the ventricular system and prominent thinning of the cerebral mantle in a child who developed hydrocephalus.

A young male child was referred for evaluation of sexual abuse

Nasal Cellulitis. Swelling and erythema of the nose in a middle-aged man. A contrasted CT was done to exclude abscess because of the marked swelling of.

Corneal metallic foreign body (FB) is shown (A) and FB being removed by needle at slit lamp is shown (B). (Photo contributor: Douglas R. Lazzaro, MD.)

Beck Airway Airflow Monitor (BAAM)

(A) Swelling, redness, eye pain, and blurred vision were the presenting complaints following blunt trauma in this patient. (B) Close-up showing severe.

A, B: Avulsions of right and left anterior inferior iliac spines in a skeletally immature boy. A: AP pelvis radiographic image obtained at initial presentation.

A, B: Avulsions of right and left anterior inferior iliac spines in a skeletally immature boy. A: AP pelvis radiographic image obtained at initial presentation.

A, B: Transvaginal images now demonstrate a rounded yolk sac within the gestational sac. Source: Chapter 7. Atraumatic Conditions of the Abdomen, The Atlas.

The nomogram is also not useful if the time of ingestion is uncertain, if ingestion occurred more than 24 hours before presentation, or if repeated ingestion.

Echinoderms like this starfish have sharp toxin-covered spines projecting out from their legs that can easily become imbedded in human skin. (Photo taken.

The dogs that most often bite people are not strays or wild dogs, but rather pets well known to the victim and owned by the family (15%) or neighbors (75%).

Fishhook Removal. Hooks with small superficially embedded barbs may be carefully backed out through the original puncture site (A and B). This may require.

Hip Fracture. Patients with hip fractures often present with the affected extremity shortened, externally rotated, and abducted. Note the rotation and.

Sagittal T2 MRI reveals large abdominal mass (white arrows) with intraspinal extension (red arrow) in a 4-year-old with abdominal distension, vomiting,

(A) Lateral view of the airway shows enlargement of the epiglottis (arrow), thickening of the aryepiglottic folds (A), and amputation of the vallecula.

Presentation transcript:

Cholera. Severely dehydrated child during an outbreak in Uganda Cholera. Severely dehydrated child during an outbreak in Uganda. Lethargy and sunken eyes are typical findings. IV fluids are typically reserved for severe cases. The child is on a typical cholera cot. (Photo contributor: Seth W. Wright, MD.) Source: TROPICAL MEDICINE, The Atlas of Emergency Medicine, 4e Citation: Knoop KJ, Stack LB, Storrow AB, Thurman R. The Atlas of Emergency Medicine, 4e; 2016 Available at: https://accessmedicine.mhmedical.com/DownloadImage.aspx?image=/data/books/1763/atl_ch21_f012.png&sec=125438130&BookID=1763&ChapterSecID=125438067&imagename= Accessed: October 29, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved