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PEMPix 2024 Online Case #1: Mission: SPACE

PEMBlog

At that visit, his physical exam was normal. The patient has had improving activity and energy since his fall and initial ED evaluation 2 weeks prior. During this second ED visit, his physical exam including vital signs and mental status remains normal. 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.