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EM Clerkship

Peds T- Tummy and Non-Accidental Trauma

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5795 Ratings

🗓️ 18 February 2018

⏱️ 9 minutes

🧾️ Download transcript

Summary

Non-Accidental Trauma Estimated 10% of pediatric patients are victims of abuse Sexual abuse Physical abuse Neglect Common red flags Changing story Story that doesn’t make since Delays in seeking care Unusual bruising locations Torso Ears Neck Common tests if non-accidental trauma suspected Skeletal survey x-rays Head CT Especially if altered mental status Abdominal CT Especially […]

Transcript

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0:00.0

Hello, med students.

0:02.7

My name is Zach Olson, and thank you for downloading this week's episode of the EM Clerkship

0:07.6

Podcast.

0:09.0

Let's repeat our case one more time.

0:19.0

Okay, everybody, this is Dakota. He's a three-and-a-half a half year old male is awoken with diffuse

0:23.8

abdominal pain according to mom he vominated about five times some of that was productive

0:28.1

has a rash on the interior chest he was lethargic when we got there since we've been

0:33.4

there with him and through the transport now crying as you can see long sounds

0:38.2

were clear as far as we can tell we then noticed O2 sats dropping and had

0:43.1

sinusis around the lips so he put him on O2 he's one of he had no previous fever

0:49.0

now 102.3 rectal mom and extended family are out here so just FYI GCS at 10 BP 100 over 60

0:56.7

Pulse 20 97% on the O2 and no allergies no meds had not been sick for the past

1:03.0

couple days any questions anybody I know it's a lot he's kind of crunking on us okay

1:07.7

thank you on us. Okay? Thank you. Over the last several weeks, we've been going through our

1:18.1

fallback panic mnemonic for the undifferentiated sick child, sick baby. It's been a long road,

1:25.3

but you've been sticking with me because I promise this

1:28.0

would be really high yield, and it is. You've got to know this. We've covered oxygen and respiratory

1:34.1

disorders. We checked that finger stick blood sugar, and we considered sepsis and heart problems

1:40.4

and inborners of metabolism and endocrinology. And our final week, this week, T, tummy, with a brief comment about non-accidental trauma.

1:50.3

All very high yield for your test and the USMLE.

1:53.3

These are big hitting topics.

1:56.1

Let's start with the most important topic today and get trauma, specifically non-accidental trauma, out of the way.

...

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