A 14 year old male comes into the emergency with complaints of dizziness, headache, bloody vomitus. He has been nose bleeding for three days & actively for 24hours. The accompanying guardian has had him lean back in an effort to stop the bleeding. On assessment he has cold clammy skin and is weak looking while being pale with some confusion. Vital signs:
Symptoms of hyperglycemia due to insulin deficiency.
Pediatric patients have smaller total blood volumes and, therefore, are at risk to lose a proportionately greater percentage of blood on an equivalent-volume basis during exsanguination compared to adults.
Perinatal brachial plexus palsy (PBPP) also obstetric brachial plexus palsy, is flaccid paresis of the arm that occurs at birth with a range of motion that is more passive than active. There are four subtypes