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PEMPix 2024 Online Case #1: Mission: SPACE

PEMBlog

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. The patient has had improving activity and energy since his fall and initial ED evaluation 2 weeks prior. What’s the Diagnosis? This patient had a subsequent brain MRI that also revealed papilledema.

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Under Pressure: Hypertensive Emergencies in the Pediatric Emergency Department

PEMBlog

All kids with hypertensive emergency need ICU-level care. Upon entering the room, you find the patients nurse at the bedside already in mid-conversation with the patients parent. However, the presence of end-organ damage is the defining feature of a hypertensive emergency, rather than the absolute blood pressure value alone.