Complex Pediatric Elbow Injury: An Uncommon Case

Background  

There is paucity of literature describing complex elbow trauma in the pediatric population. We described a case of an uncommon pediatric elbow injury comprised of lateral condyle fracture associated with posterolateral dislocation of elbow.     

Potential hazards from feeding test chemicals in carcinogen bioassay research

Sodium fluorescein was added to the meal diet of 188 of 704 rats housed in one room. Its spread over an 8-day period is described. All normal operations led to contamination of clothing and equipment. All surfaces of the experimental room, clean corridor, and return corridor were contaminated. The results suggest that, during feeding of hazardous materials to animals, personnel may be exposed and crosscontamination of animals may occur; improvements are suggested.     

The use of psychotropic medications in eating disorder patients with personality disorders

The use of psychotropic medications in eating disorder patients with personality disorders (PDs) is a complex topic. In this overview, we do not focus on individual studies, but rather on the philosophical issues and broader management principles of medications in this comorbid population. We review a general construct of personality and PD development, the theories that underlie how medications might work in PDs, and the target-symptom approach to treatment. We also discuss the essential elements of the prescribing context, an approach to psychotropic medication selection in the borderline personality population, and general caveats for medication use in those with eating disorders. Despite available data, significantly more research is needed in this area.     

Unintentional ingestion of 60% hydrogen peroxide by a six-year-old child

Ingestion of industrial-strength hydrogen peroxide is rare. Fatal outcomes have been reported with solutions of 35%. We report a six-year-old boy who unintentionally ingested an unknown quantity of hydrogen peroxide with a concentration of 60%. Upon admission to our Pediatric Intensive Care Unit he was intubated and received ventilatory assistance for 48h. Upper gastrointestinal endoscopy was performed soon after admission and laparoscopy was performed 24h later. Recovery was satisfactory, and the patient was discharged on day 18 with no evidence of pathological sequelae.