Hypovolemic Shock Complicating Nephrotic Syndrome in a Child

The nephrotic syndrome complicating mercurial diuretic therapy.

Fatal haemorrhagic chickenpox complicating nephrotic syndrome.

We report a 14 year old Indian-Muslim girl who developed a fulminant, disseminated and fatal varicella infection while receiving steroids for nephrotic syndrome. The terminal phase of her illness was complicated by a bleeding dyscrasia and circulatory collapse. Varicella infection in healthy children is a benign disease. However in neonates and immunosuppressed patients it may be severe and oft...

Hypovolemic shock resuscitation.

Several changes in the way patients with hemorrhagic shock are resuscitated have occurred over the past decades, including permissive hypotension, minimal crystalloid resuscitation, earlier blood transfusion, and higher plasma and platelet-to-red cell ratios. Hemostatic adjuncts, such as tranexamic acid and prothrombin complex, and the use of new methods of assessing coagulopathy are also being...

Hypovolemic Shock after Circumcision

Circumcision has been the most frequently applied surgical procedure since ancient times [1,2]. In Turkey, the application of this surgical procedure continues due to traditional and religious reasons. Iron deficiency anemia (IDA) is a common pediatric problem affecting up to 25% of all the children worldwide [3].Even though circumcision is known to be a procedure with minor complications, it c...

Hypovolemic shock and resuscitation.

Hypovolemic shock is the manifestation of hypoperfusion from inadequate intravascular volume resulting in cellular hypoxia. Early, effective treatment tailored to the individual patient will minimize morbidity and mortality. The causes and end-organ responses can differ with each patient, requiring an understanding of the underlying physiology and pathophysiology. Treatment always consists of o...