Tachycardia Unresponsive to Crystalloid Bolus Article Swipe
Joseph Shiber
,
Emily Fontane
,
Rima Dababneh
,
Meryam Jan
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.47363/jprrr/2024(6)157
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.47363/jprrr/2024(6)157
Dehydration is a common complaint in the pediatric emergency department. The treatment is typically focused on oral or intravenous rehydration with the goal of normalization of vital signs, primarily the heart rate but potentially also the blood pressure. The failure of routine therapy may lead to the consideration of other etiologies, including potential chronic conditions. We present a unique case of a twenty-three-month-old female who initially presented to the pediatric emergency department with signs of dehydration secondary to vomiting and diarrhea as well as tachycardia that did not improve with fluid resuscitation. Although physical examination findings were subtle, laboratory testing later confirmed the diagnosis of thyrotoxicosis. She was started on treatment with atenolol and methimazole. This case describes thyroid disease in a young child without a history of maternal autoimmune illness, which is rarely diagnosed in the emergent department. Healthcare providers should be cognizant of the spectrum of clinical findings in pediatric hyperthyroidism, since the early recognition and treatment is crucial for improved outcomes with this life-threatening pediatric condition. We discuss the consequences of undiagnosed Grave’s disease and review common findings that can assist with early diagnosis in the emergency department.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- http://doi.org/10.47363/jprrr/2024(6)157
- https://doi.org/10.47363/jprrr/2024(6)157
- OA Status
- bronze
- References
- 12
- Related Works
- 10
- OpenAlex ID
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All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W4391122655Canonical identifier for this work in OpenAlex
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https://doi.org/10.47363/jprrr/2024(6)157Digital Object Identifier
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Tachycardia Unresponsive to Crystalloid BolusWork title
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-01-22Full publication date if available
- Authors
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Joseph Shiber, Emily Fontane, Rima Dababneh, Meryam JanList of authors in order
- Landing page
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https://doi.org/10.47363/jprrr/2024(6)157Publisher landing page
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https://doi.org/10.47363/jprrr/2024(6)157Direct link to full text PDF
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YesWhether a free full text is available
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bronzeOpen access status per OpenAlex
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https://doi.org/10.47363/jprrr/2024(6)157Direct OA link when available
- Concepts
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Medicine, Emergency department, Vital signs, Physical examination, Oral rehydration therapy, Intensive care medicine, Tachycardia, Etiology, Resuscitation, Pediatrics, Vomiting, Anesthesia, Surgery, Internal medicine, Psychiatry, Population, Health services, Environmental healthTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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12Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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