aprilpeszel.blogspot.com

April's Stage

Donderdag 17 oktober 2013. Day 13 Pediatric Cardiology and Emergency Department. Diabetic mom with triplets, difficult echo because need to make sure not examining same heart twice. One has little bit of pericardial effusion. Diabetic mothers run the risk of fetal hypertrophy of septum and congenital heart defect. Depends on how well they are maintaining their diabetes. Very small possible pericardial effusion with one heart. Suspected ventricular hypertrophy in other heart. Limited view on third heart.

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April's Stage | aprilpeszel.blogspot.com Reviews

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Donderdag 17 oktober 2013. Day 13 Pediatric Cardiology and Emergency Department. Diabetic mom with triplets, difficult echo because need to make sure not examining same heart twice. One has little bit of pericardial effusion. Diabetic mothers run the risk of fetal hypertrophy of septum and congenital heart defect. Depends on how well they are maintaining their diabetes. Very small possible pericardial effusion with one heart. Suspected ventricular hypertrophy in other heart. Limited view on third heart.

<META> KEYWORDS

1 april's stage

2 patient 1

3 patient 2

4 aneurysm

5 left looks big

6 pe cardiac normal

7 had large aneurysms

8 mv thickens

9 mitral regurgitation mild

10 2cm jet

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april's stage,patient 1,patient 2,aneurysm,left looks big,pe cardiac normal,had large aneurysms,mv thickens,mitral regurgitation mild,2cm jet,patient 3,recommend dietician,patient 4,patient 5,systolic murmer,aortic valve normal,sports controversial,benign

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April's Stage | aprilpeszel.blogspot.com Reviews

https://aprilpeszel.blogspot.com

Donderdag 17 oktober 2013. Day 13 Pediatric Cardiology and Emergency Department. Diabetic mom with triplets, difficult echo because need to make sure not examining same heart twice. One has little bit of pericardial effusion. Diabetic mothers run the risk of fetal hypertrophy of septum and congenital heart defect. Depends on how well they are maintaining their diabetes. Very small possible pericardial effusion with one heart. Suspected ventricular hypertrophy in other heart. Limited view on third heart.

INTERNAL PAGES

aprilpeszel.blogspot.com

1

April's Stage: Day 3 Emergency Pediatrics

http://aprilpeszel.blogspot.com/2013/10/day-3-emergency-pediatrics.html

Maandag 7 oktober 2013. Day 3 Emergency Pediatrics. Patient 1: Abscess in nose. Had to put child under to incise, drain and clean it out. Pharm: Ketamine and propofone for anesthetic. Patient 2: DDH and bilateral clubfoot. 1st treated the DDH and then the clubfoot. Pharm: ketamine, clean the metal cast, tighten. Patient 3: 6 Month baby girl found in bed by babysitter not breathing: SIDS. CPR for 40 min. in ambulance. 5 Dr in ER working on her giving CPR, 02, IO fluids. Was not able to save her life :(.

2

April's Stage: Day 1- Pediatric Emergency Room

http://aprilpeszel.blogspot.com/2013/10/day-1-pediatric-emergency-room.html

Dinsdag 1 oktober 2013. Day 1- Pediatric Emergency Room. Day 1- Registered into the hospital. Meet the Dr that I will follow. Note 1- patient with fever and leukocytosis-always do an x-ray to check for pneumonia! In this case, this patient had pneumonia which could be seen as infiltration in the left lobes surrounding the left bronchus. This made the left bronchi show up in the x-ray which it usually does not. Simulation- Patient-11 months old, fever 2 days 39C and 40C what to do? Day 5 Nuclear medicine.

3

April's Stage: januari 2009

http://aprilpeszel.blogspot.com/2009_01_01_archive.html

Donderdag 29 januari 2009. Dag 19 Gynaecologie and Urologie Operatiekamer. Vandaag was ik vroeg op de operatie kamer (half 8). Omdat urologie een beetje later vandaag begonnen, ging ik eerst naar de OK van gynaecologie. De eerste operatie was een diagnostische laparoscopie waarmee een spiraal (IUD) door de baarmoeder ging. De spiraal van de vrouw legt in haar buik. Wij kunnen het goed op de x-rays zien. Deze operatie was een VW prolapse. De blaas van de vrouw heeft verzacht door haar leeftijd. Ik...Deze ...

4

April's Stage: Day 6 Pediatric Emergency Department

http://aprilpeszel.blogspot.com/2013/10/day-6-pediatric-emergency-department.html

Dinsdag 8 oktober 2013. Day 6 Pediatric Emergency Department. Tue, Oct 8, 2013 at 9:02 AM. Patient 1: 3 month old, afraid swallowed something, was soon chocking, father gave Heimlich with no result. Chest xray big heart, second one wanted. Patient 2: Teen girl pain in right lower quaderant. Patient 3: 6 yr old with SVT. Treat with tighten stomach muscles and make noise to stimulate parasympathetic nervous system. Patient 4: Infant ate 6-7iron pills 30mg/kilo. Total septic workup: LP normal. Patient 8: fe...

5

April's Stage: Day 5 Nuclear medicine

http://aprilpeszel.blogspot.com/2013/10/day-5-nuclear-medicine.html

Dinsdag 8 oktober 2013. Day 5 Nuclear medicine. Patient 1: Testicular Cancer. Symptoms-knee pain and shoulder pain. Bone scan-Make sure no bone metastasis. SPEC scan if clear bone scan. Patient 2: Reflux bladder into ureter. Usually seen in kids as a birth defect in the valve and may go away without surgery or may be serious threat to kidney. If surgery is needed they inject Teflon to fix the valve (Dr. said was not toxic.hmmm). Very functional bolus motor image flow per second. Next procedure; SPEC scan.

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April's Stage

Donderdag 17 oktober 2013. Day 13 Pediatric Cardiology and Emergency Department. Diabetic mom with triplets, difficult echo because need to make sure not examining same heart twice. One has little bit of pericardial effusion. Diabetic mothers run the risk of fetal hypertrophy of septum and congenital heart defect. Depends on how well they are maintaining their diabetes. Very small possible pericardial effusion with one heart. Suspected ventricular hypertrophy in other heart. Limited view on third heart.

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