Cases in Pediatric Acute Care E-Book

• Herausgeber: John Wiley & Sons
• Kategorie: Fachliteratur
• Sprache: Englisch

Seitenzahl: 1065

Veröffentlichungsjahr: 2020

Beschreibung

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.

Leseprobe

Table of Contents

Cover

Preface

List of Contributors

1 Complication of Pneumonia

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

2 Infant with Diaphoresis during Feedings

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

3 Hypotension in the Operating Room

History of Present Illness

Past Medical History/Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

4 Toddler with Vomiting and Diarrhea

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

5 Infant with Fever and Cold Symptoms

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

6 Toddler with Pineoblastoma and Bone Marrow Transplant

History of Present Illness

Past Medical History

Past Surgical History

Family History

Social History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Case Resolution

Further Reading

7 A 5‐Year‐Old with Altered Mental Status

History of Present Illness

Past Medical History

Past Surgical History

Social History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Case Resolution

Further Reading

8 An 8‐Year‐Old with Abdominal Trauma

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

9 Child with Left Eye Swelling

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

10 Billing and Coding

Questions

Rationale and Evidence‐based Practice Explanation

Outpatient Case Documentation Example

Questions

Rationale and Evidence‐based Practice Explanation

PICU Case Study

Questions

Rationale and Evidence‐based Practice Explanation

References

Further Reading

11 Language Delay

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Case Resolution

References

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

History of Present Illness

Past Medical History

Past Surgical History

Family History

Questions

Rationale and Evidence‐based Practice Explanation

References

Further Reading

13 Adolescent Abdominal Pain after Cardiac Surgery

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidenced‐based Practice Explanation

Case Resolution

Further Reading

14 Young Infant with Vomiting

History of Present Illness

Past Medical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

References

15 School‐age Child with Bruising

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

16 Infant with Shunted Hydrocephalus

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Case Resolution

Further Reading

17 Newborn with Poor Oral Intake and Irritability

History of Present Illness

Past Medical History

Family and Social History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

18 An 8‐Week‐Old Infant with a Cough

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Case Progression and Resolution

Reference

Further Reading

19 Desaturation in Postoperative Cardiac Surgery Infant

History of Present Illness

Past Medical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Case Resolution

References

20 Pre‐school Child with Seizures

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Case Resolution

Further Reading

21 Child with Blood in Stool

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Case Resolution

Further Reading

22 Osteomyelitis Case Study

History of Present Illness

Past Medical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Case Progression and Resolution

Further Reading

23 A 2‐Year‐Old with Liver Transplant and Fever

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Reference

Further Reading

24 Respiratory Decompensation in Trached Infant

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

25 Neonatal Hypoglycemia

History of Present Illness

Past Medical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

26 Chronic Otitis Media

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

References

Further Reading

27 Complex Patient with Recurrent Lower Respiratory Tract Infection

History of Present Illness

Past Medical History

Family History

Social History

Current Status

Questions

Rational and Evidence‐based Practice Explanation

Case Resolution

References

Further Reading

28 Child with Racing Heart

History of Present Illness

Past Medical History

Past Surgical History

Family History

Social History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

29 Teen with Headache and Seizure

History of Present Illness

Past Medical History

Past Surgical History

Family History

Social History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Case Resolution

Further Reading

30 A 4‐Year‐Old with Bloody Diarrhea

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Additional Questions and Evidence‐based Rationale

Further Reading

31 Child with Persistent Fever

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

32 Quality Improvement Case Study

Questions

Rationale and Evidence‐based Practice Evaluation

References

Further Reading

33 Newborn Immediately Post Delivery

History of Present Illness

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

34 A 5‐Year‐Old with Poor Weight Gain and Dehydration

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

35 Toddler with Complex Chronic Condition

History of Present Illness

Past Medical History

Past Surgical History

Family History

Social History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

36 Pre‐adolescent with Knee Pain

History of Present Illness

Past Medical History

Family History

Social History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Case Resolution

Reference

Further reading

37 Infant with Increased Fussiness and Decreased Oral Intake

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Reference

Further Reading

38 Infant with Prolonged Jaundice

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

References

39 Child with Rash and Drooling

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

40 Child with Fever and Sore Throat

History of Present Illness

Past Medical History

Past Surgical History

Family History

Social History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

41 Teenager with Sickle Cell Disease and Fever

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Case Resolution

Further Reading

42 Ethical Case Study

History of Present Illness

Past Medical and Surgical History

Family History

Social History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

References

Further Reading

43 Infant with Neurologic Changes and Respiratory Failure

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Case Resolution

Further Reading

44 Acute Hyperglycemia

History of Present Illness

Past Medical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Reference

Further Reading

45 Infant with Progressive Lethargy and Poor Feeding

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

46 Neonatal Tachypnea

History of Present Illness

Past Medical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Case Resolution

Reference

Further Reading

47 Diplopia and Esotropia

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Case Resolution

Further Reading

48 Acetaminophen Ingestion

History of Present Illness

Past Medical History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

References

49 A 3-Year-Old with Sudden Onset of Breathing Difficulty

History of Present Illness

Past Medical History

Family History/Social History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

References

50 A 2-Month-Old with Acute Abdomen

History of Present Illness

Past Medical History

Past Surgical History

Family History

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

51 Henoch–Schönlein Purpura Nephritis

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

52 Toddler with Tachypnea and Cool Extremities

History of Present Illness

Past Medical History

Current Status

Rationale and Evidence‐based Practice Explanation

Case Resolution

Further Reading

53 Teen with Intractable Headache

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Case Resolution

Further Reading

54 Seizures in School‐age Child

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

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

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Reference

Further Reading

56 Testicular Torsion

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

57 Teen with Fever and Rash

History of Present Illness

Past Medical History

Past Surgical History

Family History

Social History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

58 Preterm Infant Unable to Wean from Mechanical Ventilation

History of Present Illness

Past Medical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

59 Toddler with Acute Respiratory Failure

History of Present Illness

Past Medical History

Past Surgical History

Social History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

60 Adolescent with Head Injury

History of Present Illness

Past Medical History

Past Surgical History

Family History

Social History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

61 Newborn with Ambiguous Genitalia

History of Present Illness

Past Medical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

62 Anemia in a Toddler

History of Present Illness

Past Medical History

Past Surgical History

Family History

Social History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

63 A 2-Year-Old with Fever and Cough

History of Present Illness

Past Medical and Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Additional Questions and Evidence‐based Rationale

References

Further Reading

64 Research Review

Questions

Rationale and Evidence‐based Practice Explanation

References

Further Reading

65 Toddler with Fever and Redness Behind Ear

History of Present Illness

Past Medical History

Past Surgical History

Family History

Social History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Additional Questions and Evidence‐based Rationale

Further Reading

66 A 5-Year-Old with Right‐Sided Weakness

History of Present Illness

Past Medical History

Past Surgical History

Family History

Social History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Additional Questions and Evidence‐based Rationale

Case Resolution

Further Reading

67 Postoperative Heart Block

History of Present Illness

Past Medical History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Additional Information

Case Resolution

Further Reading

68 Recognizing Human Trafficking

History of Present Illness

Past Medical History

Past Surgical History

Family History

Social History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

References

Further Reading

69 A Toddler With Stridor

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Additional Question and Evidence‐based Rationale

References

Further Reading

70 Delirium in a 9‐Year‐Old Boy

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Case Resolution

References

Further Reading

71 Feeding Challenge in a Child with Spinal Muscular Atrophy

History of Present Illness

Past Medical History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Reference

Further Reading

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

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

73 Child with Scald Burn Injury

History of Present Illness

Past Medical History

Past Surgical History

Family History

Social History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Case Resolution

Further Reading

74 Parvovirus Requiring Blood Transfusion

History of Present Illness

Past Medical History

Family History

Social History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Case Resolution

Further Reading

75 A Teen With High Fever, Rash and Lethargy

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Additional Questions and Evidence‐based Rationale

References

Further Reading

76 A 9-Year-Old With Scoliosis

History of Present Illness

Past Medical History

Past Surgical History

Family History

Social History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Reference

Further Reading

77 An Unresponsive Infant

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Additional Questions and Evidence‐based Rationale

Reference

Further Reading

78 A Toddler With Abdominal Pain, Diarrhea and Lethargy

History of Present Illness

Past Medical History

Past Surgical History

Family History

Social History

Current Status

Question

Rationale and Evidence‐based Practice Explanation

Additional Questions and Evidence‐based Rationale

References

Further Reading

79 Sore Throat and Shortness of Breath

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Question

Rationale and Evidence‐based Practice Explanation

Additional Questions and Evidence‐based Rationale

Further Reading

80 Oral Presentation and Communication

Case Presentation

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

References

81 A 7-Year-Old with Migratory Joint Pain

History of Present Illness

Past Medical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Additional Questions and Evidence‐based Rationale

What is the most likely diagnosis?

What additional therapies would you initiate?

Reference

Further Reading

82 Adolescent with Murmur and Chest Flutter

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Additional Questions and Evidence‐based Rationale

Further Reading

83 Outpatient Management of Asthma

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Additional Questions and Evidence‐based Rationale

Reference

Further Reading

84 A Newborn with Abnormal Movements

History of Present Illness

Past Medical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

85 Postoperative Infant with Tachycardia

History of Present Illness

Past Medical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

86 Brain Death

History of Present Illness

Past Medical and Surgical History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

References

87 Postoperative Spinal Fusion with Complications

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

88 Orthopnea in a 10-Year-Old

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Case Resolution

Further Reading

89 Complication of Traumatic Brain Injury

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

90 Newborn with Hypothermia

History of Present Illness

Past Medical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

91 Back Pain in an Active Teenager

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

92 Teen with Fever and Abdominal Pain

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

References

93 Complication in a 6-Year-Old with a Kidney Transplant

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

94 Acute Hypertension and Seizures in a 17‐Year‐Old Male

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

95 Jittery 2‐Week‐Old Infant

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

96 Child with Leg and Back Pain

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

97 Fussy, Tired Infant

History of Present Illness

Past Medical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Case Resolution

Further Reading

98 Tics and Something More

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Reference

Further Reading

99 Lightheaded Adolescent

History of Present Illness

Past Medical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

100 Infant with Hyponatremia

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

101 Bone Marrow Transplant in Sickle Cell Disease

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Additional Questions and Evidence‐based Rationale

Further Reading

102 Child with Respiratory Failure and Transaminitis

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Additional Questions and Evidence‐based Rationale

Case Resolution

Further Reading

103 A Serious Football Injury

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Case Progression and Resolution

Further Reading

104 Infant with Generalized Weakness

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Additional Questions and Evidence‐based Rationale

Additional Questions and Evidence‐based Rationale

Case Resolution

Further Reading

105 A 3-Day-Old with Irritability

History of Present Illness

Past Surgical Hisotry

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Additional Questions and Evidence‐based Rationale

Case Progression and Resolution

Further Reading

106 Child with Fever and Rash

History of Present Illness

Past Medical History

Past Surgical History

Family History

Social History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

107 A Teen With Vomiting and Diarrhea

History of Present Illness

Past Medical History

Past Surgical History

Social History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

108 Acute Jaundice in a 7‐Year‐Old Child

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Additional Questions and Evidence‐based Rationale

References

Further Reading

109 Idiopathic Nephrotic Syndrome

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

110 School‐age Child with Hives and Lip Swelling

History of Present Illness

Past Medical and Surgical History

Family and Social History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

111 A 10-Year-Old with Asthma in the PICU

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Additional Questions and Evidence‐based Rationale

Further Reading

112 Skin Wound in Postoperative Neonate

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Additional Question and Evidence‐based Rationale

Further Reading

113 Provider Burnout and Resiliency

Questions

Rationale and Evidence‐based Practice Explanation

References

114 Kidney Transplant Complication

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Additional Question and Evidence‐based Rationale

Case Resolution

Further Reading

115 Infant with Influenza A and New Fever

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Additional Questions and Evidence‐based Rationale

Further Reading

116 A 3‐Year‐Old with Fever and Painful Urination

History of Present Illness

Past Medical History

Past Surgical History

Family History

Current Status

Questions

Rationale and Evidence‐based Practice Explanation

Further Reading

Index

End User License Agreement

List of Tables

Chapter 1

Table 1.1 Complete blood count.

Table 1.2 Basic metabolic profile.

Table 1.3 Pathogens causing pneumonia in infants and children.

Table 1.4 Causes of pleural effusion.

Table 1.5 Characteristics of an exudative effusion (empyema).

Chapter 3

Table 3.1 Basic metabolic panel.

Table 3.2 Complete blood count.

Chapter 4

Table 4.1 Clinical dehydration scale.

Chapter 6

Table 6.1 Basic metabolic profile.

Table 6.2 Complete blood count.

Chapter 7

Table 7.1 Basic metabolic panel (BMP) and arterial blood gas (ABG) analysis.

Chapter 8

Table 8.1 Complete blood count.

Table 8.2 Complete metabolic panel, including amylase and lipase.

Chapter 9

Table 9.1 Complete blood count.

Table 9.2 Additional results.

Chapter 10

Table 10.1 Level of coding by patient type and complexity.

Table 10.2 History component documentation requirements for coding.

Table 10.3 Pediatric critical care codes.

Table 10.4 Time‐based codes.

Table 10.5 Bundled services.

Chapter 14

Table 14.1 Laboratory values.

Chapter 15

Table 15.1 Basic metabolic profile.

Table 15.2 Complete blood count.

Table 15.3 Repeat basic metabolic profile.

Table 15.4 Repeat complete blood count.

Chapter 16

Table 16.1 Basic metabolic profile.

Table 16.2 Complete blood count.

Table 16.3 Cerebrospinal fluid.

Chapter 17

Table 17.1 Basic metabolic profile.

Table 17.2 Complete blood count.

Chapter 19

Table 19.1 Arterial blood gas analysis.

Table 19.2 Hemoglobin/hematocrit.

Chapter 20

Table 20.1 Basic metabolic profile.

Table 20.2 Complete blood count.

Chapter 21

Table 21.1 Complete metabolic profile.

Table 21.2 Complete blood count.

Table 21.3 Urinalysis.

Chapter 22

Table 22.1 Complete blood count.

Chapter 23

Table 23.1 Complete blood count.

Table 23.2 Hepatic panel.

Chapter 25

Table 25.1 Prenatal laboratory results.

Table 25.2 Glucose test results.

Table 25.3 Blood sampling rationale.

Chapter 27

Table 27.1 Complete blood count.

Table 27.2 Basic metabolic panel.

Table 27.3 Respiratory pathogen panel by PCR.

Table 27.4 Sputum culture results.

Chapter 28

Table 28.1 Basic metabolic profile.

Table 28.2 Complete blood count.

Chapter 29

Table 29.1 Basic metabolic profile.

Table 29.2 Complete blood count.

Table 29.3 Blood gas analysis.

Chapter 30

Table 30.1 Complete blood count.

Table 30.2 Complete metabolic profile and coagulation parameters.

Table 30.3 Urinalysis.

Chapter 31

Table 31.1 Complete metabolic profile.

Table 31.2 Complete blood count.

Chapter 32

Table 32.1 Defining research versus quality improvement.

Chapter 36

Table 36.1 Basic metabolic profile.

Table 36.2 Complete blood count.

Chapter 37

Table 37.1 Complete blood count.

Table 37.2 Complete metabolic panel.

Table 37.3 Arterial blood gas analysis 1 hour after intubation.

Table 37.4 Additional laboratory studies.

Chapter 38

Table 38.1 Complete metabolic profile.

Chapter 39

Table 39.1 Basic metabolic profile.

Chapter 40

Table 40.1 Basic metabolic profile.

Table 40.2 Complete blood count.

Chapter 41

Table 41.1 Basic metabolic profile.

Table 41.2 Complete blood count.

Table 41.3 CMV viral load.

Table 41.4 Complete blood count day 7 of admission.

Table 41.5 HIV testing.

Chapter 42

Table 42.1 Script of family meeting.

Table 42.2 VALUE acronym.

Table 42.3 Goals of family communication.

Chapter 43

Table 43.1 Basic metabolic profile.

Table 43.2 Complete blood count.

Table 43.3 Urinalysis.

Table 43.4 Lumbar puncture.

Chapter 44

Table 44.1 Basic metabolic panel.

Table 44.2 Venous blood gas analysis.

Table 44.3 Complete blood count.

Table 44.4 Urinalysis.

Chapter 45

Table 45.1 Basic metabolic profile.

Table 45.2 Arterial blood gas analysis.

Table 45.3 Complete metabolic profile in PICU.

Table 45.4 Complete blood count and coagulation studies in PICU.

Table 45.5 Arterial blood gas analysis in PICU.

Table 45.6 Urinalysis in PICU.

Chapter 46

Table 46.1 Complete blood count.

Table 46.2 Arterial blood gas analysis.

Chapter 47

Table 47.1 Basic metabolic profile.

Table 47.2 Complete blood count.

Chapter 51

Table 51.1 Complete blood count.

Table 51.2 Complete metabolic profile.

Table 51.3 Urinalysis.

Chapter 52

Table 52.1 Basic metabolic profile.

Table 52.2 Complete blood count.

Table 52.3 Capillary blood gas analysis.

Chapter 53

Table 53.1 Cerebrospinal fluid analysis.

Chapter 54

Table 54.1 Complete blood count.

Table 54.2 Basic metabolic profile.

Chapter 55

Table 55.1 Basic metabolic profile.

Table 55.2 Complete blood count and coagulation profile.

Table 55.3 Cerebrospinal fluid: typical results.

Chapter 56

Table 56.1 Urinalysis.

Chapter 57

Table 57.1 Basic metabolic profile.

Table 57.2 Complete blood count.

Table 57.3 Urinalysis.

Table 57.4 Revised criteria for classification of SLE.

Chapter 58

Table 58.1 Basic metabolic profile.

Table 58.2 Complete blood count.

Table 58.3 Arterial blood gas analysis.

Chapter 59

Table 59.1 Basic metabolic profile.

Table 59.2 Complete blood count.

Chapter 61

Table 61.1 Complete blood count.

Table 61.2 Basic metabolic profile.

Table 61.3 Steroid profile.

Chapter 62

Table 62.1 Basic metabolic profile.

Table 62.2 Complete blood count.

Chapter 63

Table 63.1 Complete blood count.

Table 63.2 Basic metabolic profile.

Chapter 65

Table 65.1 Basic metabolic profile.

Table 65.2 Complete blood count.

Chapter 66

Table 66.1 Basic metabolic profile.

Table 66.2 Complete blood count.

Chapter 69

Table 69.1 Venous blood gas analysis before and after intubation.

Table 69.2 Complete blood count.

Table 69.3 Basic metabolic panel.

Chapter 71

Table 71.1 Primary malnutrition indicators when two or more data points avail...

Table 71.2 Basic metabolic panel.

Chapter 72

Table 72.1 Basic metabolic profile.

Chapter 73

Table 73.1 Complete metabolic profile.

Table 73.2 Complete blood count and coagulation studies.

Table 73.3 Venous blood gas analysis.

Chapter 74

Table 74.1 Complete blood count and reticulocyte count.

Chapter 75

Table 75.1 Basic metabolic profile.

Table 75.2 Complete blood count.

Chapter 77

Table 77.1 Complete metabolic panel.

Table 77.2 Complete blood count and inflammatory markers.

Table 77.3 Arterial blood gas analysis.

Table 77.4 Coagulation studies.

Table 77.5 Brain Trauma Foundation: pediatric traumatic brain injury guidelin...

Chapter 78

Table 78.1 Basic metabolic panel.

Table 78.2 Complete blood count.

Chapter 79

Table 79.1 Complete blood count.

Chapter 80

Table 80.1 IPASS format example.

Chapter 81

Table 81.1 Basic metabolic profile.

Table 81.2 Complete blood count.

Table 81.3 Jones criteria.

a

Chapter 83

Table 83.1 Example of SBAR handoff.

Chapter 85

Table 85.1 Blood gas analysis.

Table 85.2 Pertinent laboratory findings.

Chapter 86

Table 86.1 Arterial blood gas analysis.

Chapter 87

Table 87.1 Fluid intake and output totals (mL).

Table 87.2 Complete blood count.

Table 87.3 Basic metabolic profile.

Chapter 88

Table 88.1 Initial complete blood count.

Table 88.2 Complete metabolic profile.

Table 88.3 Complete blood count.

Chapter 89

Table 89.1 Basic metabolic profile.

Table 89.2 Characteristics of diabetes insipidus, SIADH and CSW.

Chapter 90

Table 90.1 Pediatric Glasgow Coma Scale (GCS) score.

Table 90.2 Complete blood count.

Table 90.3 Basic metabolic panel.

Table 90.4 CSF initial results.

Chapter 92

Table 92.1 Complete blood count.

Table 92.2 Basic metabolic panel.

Table 92.3 Urinalysis.

Table 92.4 Candidate inclusion criteria for non‐operative management of acute...

Chapter 93

Table 93.1 Basic metabolic panel.

Table 93.2 Complete blood count.

Chapter 94

Table 94.1 Basic metabolic panel.

Table 94.2 Complete blood count.

Table 94.3 Urinalysis.

Table 94.4 Causes of hypertension related to age.

Chapter 95

Table 95.1 Laboratory studies.

Chapter 96

Table 96.1 Basic metabolic profile.

Table 96.2 Cerebrospinal fluid analysis.

Chapter 97

Table 97.1 Basic metabolic profile.

Table 97.2 Complete blood count.

Table 97.3 Arterial blood gas analysis.

Chapter 99

Table 99.1 Basic metabolic profile.

Table 99.2 Complete blood count.

Table 99.3 Orthostatic vital signs.

Chapter 100

Table 100.1 Basic metabolic profile.

Chapter 102

Table 102.1 Basic metabolic profile.

Table 102.2 Complete blood count.

Chapter 103

Table 103.1 Comprehensive metabolic profile.

Table 103.2 Complete blood count.

Table 103.3 Amylase and lipase.

Table 103.4 Urinalysis.

Chapter 104

Table 104.1 Basic metabolic profile.

Table 104.2 Complete blood count.

Table 104.3 Initial CSF analysis.

Table 104.4 Repeat CSF analysis.

Chapter 105

Table 105.1 Basic metabolic profile.

Table 105.2 Complete blood count and coagulation.

Chapter 106

Table 106.1 Basic metabolic profile.

Table 106.2 Complete blood count.

Chapter 107

Table 107.1 Basic metabolic panel.

Table 107.2 Complete blood count.

Table 107.3 Pancreatic enzymes.

Table 107.4 Lipid panel.

Table 107.5 Urinalysis.

Chapter 108

Table 108.1 Complete blood count.

Table 108.2 Complete metabolic profile and liver function test results.

Table 108.3 Coagulation studies.

Table 108.4 Additional diagnostic laboratory results based on differential di...

Table 108.5 Laboratory trends.

Chapter 109

Table 109.1 Complete metabolic panel.

Table 109.2 Complete blood count.

Table 109.3 Urinalysis.

Chapter 111

Table 111.1 Basic metabolic panel.

Table 111.2 Complete blood count.

Chapter 112

Table 112.1 Basic metabolic profile.

Table 112.2 Complete blood count.

Chapter 113

Table 113.1 Key resiliency competencies and development strategies.

Chapter 114

Table 114.1 Comprehensive metabolic panel.

Table 114.2 Complete blood count.

Table 114.3 Urinalysis.

Chapter 115

Table 115.1 Basic metabolic profile.

Table 115.2 Complete blood count.

Chapter 116

Table 116.1 Complete blood count.

Table 116.2 Complete metabolic profile.

Table 116.3 Urinalysis.

List of Illustrations

Chapter 1

Figure 1.1 Chest X‐ray.

Chapter 5

Figure 5.1 Anteroposterior (AP) chest radiograph.

Figure 5.2 Lateral chest radiograph.

Chapter 7

Figure 7.1 12‐lead EKG.

Figure 7.2 Chest radiograph.

Chapter 8

Figure 8.1 Computed tomography of abdomen/pelvis.

Chapter 9

Figure 9.1 Periorbital edema.

Figure 9.2 Orbital CT scan.

Chapter 13

Figure 13.1 Abdominal flat plate radiograph.

Chapter 15

Figure 15.1 Chest X‐ray.

Chapter 16

Figure 16.1 Head CT shows soft tissue swelling and similar dilation of later...

Chapter 17

Figure 17.1 12‐Lead EKG.

Source:

Courtesy of Dr. Richard Garcia.

Chapter 20

Figure 20.1 EEG.

Chapter 22

Figure 22.1 MRI of the left ankle.

Chapter 24

Figure 24.1 Patient with stay sutures in place.

Figure 24.2 Chest radiography with tracheostomy tube in place.

Figure 24.3 Image from tracheobronchoscopy: carina is visualized with right ...

Chapter 27

Figure 27.1 Anteroposterior chest radiograph.

Chapter 28

Figure 28.1 EKG 1.

Figure 28.2 Chest radiograph.

Figure 28.3 EKG 2.

Chapter 29

Figure 29.1 CT head.

Figure 29.2 CT head: intraventricular extension of hemorrhage.

Figure 29.3 Cerebral angiogram reveals right middle cerebral artery AVM.

Chapter 31

Figure 31.1 Echocardiogram showing aorta and dilated right coronary artery (...

Figure 31.2 Echocardiogram showing aorta and left coronary artery (LCA).

Figure 31.3 Cardiac catheterization showing left coronary artery dilation.

Chapter 33

Figure 33.1 12‐Lead EKG.

Figure 33.2 Chest radiograph with internal pacemaker in 6‐day‐old neonate.

Figure 33.3 12‐Lead EKG post pacemaker placement.

Chapter 36

Figure 36.1 Lateral radiograph of knee.

Figure 36.2 Anteroposterior radiograph of knee.

Figure 36.3 Initial MRI.

Figure 36.4 CT of chest and abdomen.

Chapter 37

Figure 37.1 Chest radiograph.

Chapter 39

Figure 39.1 Plaques and bullae on back during the day of admission.

Figure 39.2 Progression of epidermal destruction on back 13 days after admis...

Chapter 40

Figure 40.1 CT image: retropharyngeal opacity on lateral neck/cervical spine...

Figure 40.2 CT image: worsening fluid collection/abscess on lateral neck/cer...

Figure 40.3 CT image: demonstrating retropharyngeal fluid collection.

Chapter 41

Figure 41.1 Chest radiograph showing bilateral lower lobe pneumonia.

Chapter 43

Figure 43.1 CT scan of brain on admission to PICU.

Figure 43.2 CT scan of brain on admission to PICU.

Figure 43.3 CT Scan of brain on admission to PICU.

Figure 43.4 MRI and magnetic resonance venogram (MRV) of brain and spine: co...

Figure 43.5 MRI/MRV of brain and spine: completed day 2 of admission while i...

Figure 43.6 Overview of diagnostic criteria for encephalitis.

Figure 43.7 MRI of brain and spine 10 days following prior study.

Figure 43.8 MRI of brain and spine 10 days following prior study.

Chapter 46

Figure 46.1 Chest radiograph.

Chapter 47

Figure 47.1 Brain MRI.

Figure 47.2 Brain MRI.

Chapter 48

Figure 48.1 Rumack–Matthew nomogram.

Figure 48.2 Metabolism of acetaminophen.

Figure 48.3 Metabolism of acetaminophen toxicity.

Chapter 53

Figure 53.1 MRI of brain.

Chapter 56

Figure 56.1 External scrotal examination.

Figure 56.2 Intraoperative testicular torsion.

Chapter 58

Figure 58.1 Chest radiograph.

Figure 58.2 Post‐surgical chest radiograph.

Chapter 59

Figure 59.1 Portable chest radiograph of foreign body.

Chapter 60

Figure 60.1 C‐spine three‐view radiograph.

Chapter 62

Figure 62.1 Chest radiograph.

Chapter 63

Figure 63.1 Anteroposterior chest radiograph.

Figure 63.2 Lateral chest radiograph.

Chapter 65

Figure 65.1 CT scan.

Chapter 66

Figure 66.1 Brain MRI.

Figure 66.2 Brain MRI 1.5 weeks after CVA.

Figure 66.3 Head CT 3 weeks after CVA.

Chapter 67

Figure 67.1 Rhythm strip.

Figure 67.2 Rhythm strip with ventricular pacing.

Chapter 73

Figure 73.1 Sine wave pattern seen on EKG tracing of patient with severe hyp...

Figure 73.2 Peaked T waves, widened QRS complex, and loss of P waves seen on...

Chapter 75

Figure 75.1 Erythematous macular rash.

Figure 75.2 Erythematous macular rash.

Figure 75.3 Oropharyngeal findings.

Chapter 76

Figure 76.1 Scoliosis radiographs.

Chapter 77

Figure 77.1 Non‐contrast CT brain, image 1.

Figure 77.2 Non‐contrast CT brain, image 2.

Figure 77.3 Non‐contrast CT brain, image 3.

Figure 77.4 Retinal hemorrhage.

Chapter 78

Figure 78.1 Abdominal ultrasound: target sign noted superior to umbilicus, n...

Chapter 79

Figure 79.1

P

atient undergoing polysomnography.

Chapter 84

Figure 84.1 Electroencephalogram (EEG) is normal.

Chapter 85

Figure 85.1 EKG rhythm strip.

Chapter 88

Figure 88.1 Chest CT scan.

Figure 88.2 Chest CT scan.

Chapter 89

Figure 89.1 Head CT.

Chapter 91

Figure 91.1 Erect spine radiographs.

Chapter 97

Figure 97.1 Chest radiograph.

Chapter 102

Figure 102.1 Rapid diagnostic test (CDC).

Figure 102.2 Malaria transmission areas.

Chapter 103

Figure 103.1 CT of abdomen/pelvis.

Chapter 106

Figure 106.1 Rash.

Chapter 111

Figure 111.1 Admission chest radiograph showing hyperinflation in status ast...

Chapter 112

Figure 112.1 Discoloration of skin.

Figure 112.2 Areas of ulceration.

Figure 112.3 Erythematous spread to scrotum and right lower extremity.

Figure 112.4 Erythematous spread to scrotum and right lower extremity.

Guide

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Cases in Pediatric Acute Care

Strengthening Clinical Decision Making

Edited by

Andrea M. Kline‐Tilford, PhD, CPNP‐AC/PC, FCCM, FAAN

C.S. Mott Children's HospitalMichigan MedicineAnn Arbor, MI, USA

Catherine M. Haut, DNP, CPNP‐AC/PC, FAANP, CCRN

Nemours/Alfred I. duPont Hospital for ChildrenWilmington, DE, USA;Mednax Pediatrix Medical GroupBaltimore, MD, USA

This edition first published 2020© 2020 John Wiley & Sons Ltd

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The contents of this work are intended to further general scientific research, understanding, and discussion only and are not intended and should not be relied upon as recommending or promoting scientific method, diagnosis, or treatment by physicians for any particular patient. In view of ongoing research, equipment modifications, changes in governmental regulations, and the constant flow of information relating to the use of medicines, equipment, and devices, the reader is urged to review and evaluate the information provided in the package insert or instructions for each medicine, equipment, or device for, among other things, any changes in the instructions or indication of USAge and for added warnings and precautions. While the publisher and authors have used their best efforts in preparing this work, they make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without limitation any implied warranties of merchantability or fitness for a particular purpose. No warranty may be created or extended by sales representatives, written sales materials or promotional statements for this work. The fact that an organization, website, or product is referred to in this work as a citation and/or potential source of further information does not mean that the publisher and authors endorse the information or services the organization, website, or product may provide or recommendations it may make. This work is sold with the understanding that the publisher is not engaged in rendering professional services. The advice and strategies contained herein may not be suitable for your situation. You should consult with a specialist where appropriate. Further, readers should be aware that websites listed in this work may have changed or disappeared between when this work was written and when it is read. Neither the publisher nor authors shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages.

Library of Congress Cataloging‐in‐Publication Data

Library of Congress Cataloging-in-Publication DataNames: Kline-Tilford, Andrea M., editor. | Haut, Catherine, editor.Title: Cases in pediatric acute care : strengthening clinical decision making / edited by Andrea M. Kline-Tilford, Catherine Haut.Description: Hoboken, NJ : Wiley-Blackwell 2020. | Includes bibliographical references.Identifiers: LCCN 2019056731 (print) | LCCN 2019056732 (ebook) | ISBN 9781119568223 (paperback) | ISBN 9781119568209 (adobe pdf) | ISBN 9781119568216 (epub)Subjects: MESH: Critical Care–methods | Child | Critical Illness–diagnosis | Critical Illness–therapy | Diagnosis, Differential | Infant | Adolescent | Case ReportsClassification: LCC RJ370 (print) | LCC RJ370 (ebook) | NLM WS 366 | DDC 618.92/0028–dc23LC record available at https://lccn.loc.gov/2019056731LC ebook record available at https://lccn.loc.gov/2019056732

Cover Design: WileyCover Images: Female doctor examining kid little child boy © Oksana Kuzmina/Shutterstock, Smiling doctor holding baby © JGI/Jamie Grill/Getty Images, Pretty woman holding a newborn baby in her arms © Trendsetter Images/Shutterstock, Baby in mother's arms in white blanket © Herlanzer/Shutterstock, Paediatrician checking baby boys heart using stethoscope © Emely/Getty Images

Preface

The healthcare landscape is rapidly changing and will continue to evolve, providing challenges for patients and families, but also for those providing care. Preventative care for children forms the framework for minimizing hospitalization, injury and illness, but when children do become ill, providing care with the goal of a quick return to function and home must be collaborative and timely. Children are basically healthy and the incidence of illness and injury is small as compared to adults, but the challenges of diagnosis and management can be dramatic. Children bring unique and unusual genetic problems, chronic healthcare issues, trauma, and acute and critical presentations to inpatient and outpatient areas. It is especially important for pediatric providers to recognize diagnoses and potential clinical outcomes in the first few minutes of their encounters with these children and their families. It is also imperative for pediatric providers to engage the most recent evidence‐based practice parameters to substantiate care while incorporating the unique needs of the child and utilizing critical thinking for decision‐making. In this book, pediatric cases are presented with an opportunity for the reader to answer questions about assessment, diagnosis and management, interpret diagnostic studies as well as to incorporate practical considerations such as billing for services and participating in research at the point of care. System‐based, contemporary, common as well as unusual clinical cases are included that will challenge the reader and add knowledge. We thank the contributors for sharing their patient stories and expertise in creating this book.

List of Contributors

Judith Adelizzi‐DeLany, DNP, PPCNP-BCNurse PractitionerNemours/Alfred I. duPont Hospital for ChildrenWilmington, DEUSAChapter 98 Tics and Something More

Sheree H. Allen, DNP, APRN, CPNP-PC/ACDirector, Pediatric Acute Care Nurse Practitioner SpecialtyVanderbilt University School of NursingNashville, TNUSASection Editor: Infectious Disease

Ahmed Aly, MDPediatric Critical Care FellowChildren's Hospital of MichiganDetroit, MIUSAChapter 59 Toddler with Acute Respiratory Failure

Cheryl Bartke, MSN, PPCNP, CPNP‐ACNurse PractitionerPediatric Critical CareSeattle Children's HospitalSeattle, WAUSAChapter 5 Infant with Fever and Cold Symptoms

Maura Bernardo, MSN, CPNPNurse PractitionerNemours/Alfred I. duPont Hospital for ChildrenWilmington, DEUSAChapter 84 A Newborn with Abnormal Movements

Kristen M. Brown, DNP, CPNP‐AC, CHSE‐AAssistant ProfessorAdvanced Practice Simulation CoordinatorJohn Hopkins University School of NursingBaltimore, MDUSAChapter 2 Infant with Diaphoresis during Feedings

Aimee Bucci, DNP, CPNP‐ACLead Advanced Practice ProviderPhoenix Children's HospitalPhoenix, AZ;Faculty Associate Arizona State UniversityEdson College of Nursing and Health InnovationPhoenix, AZUSAChapter 38 Infant with Prolonged Jaundice

Dyane Bunnell, MSN, APRN-BC, AOCNS, CPONClinical Nurse SpecialistNemours/Alfred I. duPont Hospital for ChildrenWilmington, DEUSAChapter 62 Anemia in a Toddler

Aaron Carpenter, DNP, M.Div., CPNP‐PCSenior Director Ambulatory and AdvancedPractice NursingNemours/Alfred I. duPont Hospital for ChildrenWilmington, DEUSAChapter 48 Acetaminophen Ingestion

Lindsay Chapman, MSN, CPNP‐PCNurse PractitionerSt. Jude Children's Research HospitalMemphis, TNUSAChapter 47 Diplopia and Esotropia

Brittany Cook, MSN, FNP‐BCNurse PractitionerPediatric Emergency MedicineBeaumont HospitalTroy, MIUSAChapter 21 Child with Blood in Stool

Jolene Dickerson, MSN, CPNP‐PCNurse PractitionerNemours/Alfred I. duPont Hospital for ChildrenWilmington, DEUSAChapter 11 Language Delay; Chapter 83 Outpatient Management of Asthma

Christin Diller, DNP, CPNP‐ACNurse PractitionerCincinnati Children's Hospital Medical CenterCincinnati, OH;Nursing InstructorVanderbilt University College of NursingNashville, TNUSAChapter 81 A 7-Year-Old with Migratory Joint Pain

Colleen Ditro, DNP, CPNPOrthopedic APRN Supervisor, Skeletal DysplasiaProgram CoordinatorNemours/Alfred I. duPont Hospital for ChildrenWilmington, DEUSASection Editor: Trauma, Musculoskeletal, Toxicology

Kimberly L. DiMaria, MSN, CPNP‐AC, CCRNHeart Institute Clinical Practice SpecialistChildren's Hospital ColoradoAurora, COUSAChapter 4 Toddler with Vomiting and Diarrhea;Chapter 72 A 5-Year-Old with Osteomyelitis, Electrolyte Disturbance and Headaches

Christine DiPaolo, NPNurse PractitionerNemours/Alfred I. duPont Hospital for ChildrenWilmington, DEUSAChapter 68 Recognizing Human Trafficking

Michelle Dokas, MSN, CPNP‐ACNurse PractitionerPediatric Cardiovascular SurgeryChildren's Hospital of MichiganDetroit, MIUSAChapter 58 Preterm Infant Unable to Wean from Mechanical Ventilation

Peggy Dorr, DNP, CPNP-PCNPClinical Program Manager, Women & Children's ServicesNurse Practitioner, Pediatric Sedation ServiceUniversity of Maryland Medical CenterBaltimore, MDUSAChapter 32 Quality Improvement Case Study

Janet Dutcher, DNP, NNP, APRN‐BCNeonatal Nurse PractitionerNemours/Alfred I. duPont Hospital for ChildrenWilmington, DEUSAChapter 46 Neonatal Tachypnea

Valarie Eichler, MSN, CPNP‐ACNurse PractitionerDallas Children's HospitalDallas, TXUSAChapter 29 Teen with Headache and Seizure

Misty Ellis, DNP, CPNP-AC/PCLead Cardiac Nurse PractitionerNorton Children’s HospitalLouisville, KYUSAChapter 31 Child with Persistent Fever

Misty Evans, DNP, CPNP‐ACNurse PractitionerVanderbilt College of NursingNashville, TNUSAChapter 55 An 18-Year-Old with Upper Respiratory Symptoms, Headache and Fever; Chapter 106 Child with Fever and Rash

Jessica Strohm Farber, DNP, CPNP‐ACNurse PractitionerChildren's Hospital of PhiladelphiaPhiladelphia, PAUSAChapter 63 A 2-Year-Old with Fever and Cough;Chapter 75 A Teen With High Fever, Rash and Lethargy

Ann Marie Felauer, DNP, CPNP‐AC/PCAssistant Professor and DirectorPediatric Acute and Primary Care Nurse Practitioner SpecialtiesUMB CURE Anatomy and Chemistry Curriculum Tracks, Program ManagerUniversity of Maryland School of NursingBaltimore, MDUSAChapter 3 Hypotension in the Operating Room;Chapter 54 Seizures in School-age ChildSection Editor: Endocrinology

Jennette Firlein, MSN, CPNP‐PCNurse PractitionerNemours/Alfred I. duPont Hospital for ChildrenWilmington, DEUSAChapter 60 Adolescent with Head Injury

Lauren Flagg, MSN, CPNP‐ACNurse PractitionerYale New Haven HospitalNew Haven, CTUSAChapter 115 Infant with Influenza A and New Fever

Louise Flynn, MSN, CCTCClinical Nurse Specialist Nemours/Alfred I. duPont Hospital for ChildrenWilmingon, DEUSAChapter 23 A 2-Year-Old with Liver Transplant and Fever

Nicole Fragale, MPH, RD, CSP, LDN, CNSCRegistered Dietitian Nemours/Alfred I. duPont Hospital for ChildrenWilmington, DEUSAChapter 71 Feeding Challenge in a Child with Spinal Muscular Atrophy

Cathryn Freeman, MSN, CPNP‐PCNurse PractitionerPediatric Hematology/OncologyChildren's Hospital of MichiganDetroit, MIUSAChapter 6 Toddler with Pineoblastoma and Bone Marrow Transplant

Richard U. Garcia, MDAssistant Professor Department of PediatricsDivision of Cardiology and Critical CareWayne State UniversityDetroit, MIUSAChapter 7 A 5-Year-Old with Altered Mental Status

Sarah Jane Garraty, MSN, CPNPNurse PractitionerBeacon PediatricsRehoboth Beach, DEUSAChapter 18 An 8‐Week‐Old Infant with a Cough

Elaine Geary, MSN, CRNPNurse PractitionerNemours/Alfred I. duPont Hospital for ChildrenWilmington, DEUSAChapter 17 Newborn with Poor Oral Intake and Irritability

Bradley Goettl, DNP, AGACNP-BC, FNP-C, ENP‐CAssistant Professor/ClinicalUniversity of Texas HealthSan Antonio, TXUSAChapter 28 Child with Racing Heart

Amy K. Graf, MSN, DNP, FNP-C, CPNP‐ACNurse PractitionerNorton Women and Children's HospitalLouisville, KYUSAChapter 9 Child with Left Eye Swelling

Katelyn Hamann, MSN, CPNP‐ACNurse PractitionerPediatric Hematology/OncologyChildren's Hospital of MichiganDetroit, MIUSAChapter 36 Pre-adolescent with Knee Pain;Chapter 41 Teenager with Sickle Cell Disease and Fever

Stephanie Haughey, MSN, CPNP‐ACNurse PractitionerSpectrum Health, Helen DeVos Children's HospitalGrand Rapids, MIUSAChapter 37 Infant with Increased Fussiness and Decreased Oral Intake

Roseann Hausmann, MSN, CPNP‐AC/PCNurse PractitionerSeattle Children's HospitalSeattle, WAUSAChapter 108 Acute Jaundice in a 7‐Year‐Old Child;Chapter 116 A 3‐Year‐Old with Fever and Painful Urination

Catherine M. Haut, DNP, CPNP‐AC/PC, FAANP, CCRNCoordinator of Nursing Research and Evidence Based CareNemours/Alfred I. duPont Hospital for Children, Wilmington, DE;Nurse Practitioner Mednax-Pediatrix Medical GroupRichardson, TXUSAChapter 12 A 6‐Month‐Old Infant with RSV and Respiratory Failure; Chapter 111