tailieunhanh - báo cáo hóa học: " “Case files from the University of Florida: When an earache is more than an earache": A case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành hóa học dành cho các bạn yêu hóa học tham khảo đề tài: “Case files from the University of Florida: When an earache is more than an earache": A case report | Desai and Walls International Journal of Emergency Medicine 2011 4 33 http content 4 1 33 o International Journal of Emergency Medicine a SpringerOpen Journal CASE REPORT Open Access Case files from the University of Florida When an earache is more than an earache A case report Bobby K Desai and Thomas Walls Abstract Brain abscess is not a common diagnosis as there are only approximately 2000 cases reported each year in the United States. There are three main routes of access to the brain including contiguous infection from the oropharynx direct implantation and hematogenously. We present a case of brain abscess in a child who had multiple visits for ear pain to various physicians including pediatricians and to emergency departments. Additionally the microbiology of brain abscesses is briefly discussed as is treatment. Introduction We present a new series for the International Journal of Emergency Medicine Case Files from the University of Florida in which we will present a case seen by the residents and faculty of the Emergency Medicine residency at the University of Florida Gainesville and have you the reader consider what the diagnostic possibilities are determine what diagnostic tests are required and run the case. We hope that these cases are educationally rewarding for you. Presentation Initial Management Treatment Resuscitation Diagnosis Disposition When an earache is more than an earache Foreword Patients with otitis media and related conditions present nearly 2 million times to the emergency department every year. The vast majority of these are benign in nature and the treatment simply observation versus antibiotic therapy. There are occasions however where the simple earache turns into something much more. We present such a case. Correspondence bdesai@ University of Florida Department of Emergency Medicine PO BOX 100186 Gainesville FL 32610 USA Presentation A 5-year-old child presented to the University of Florida Emergency .