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Acute Fulminant Myocarditis Presenting as Cardiogenic Shock in a Previously Healthy Child A previously healthy 4-year-old male presented to the emergency department with 24 hours of fever (38.5°C), vomiting, and progressive lethargy. Vital signs showed tachycardia at 165 bpm, hypotension (78/42 mmHg), tachypnea (36 breaths/min), and oxygen saturation 94% on room air. Physical examination revealed cool extremities, delayed capillary refill >4 seconds, hepatomegaly 4 cm below the costal margin, and no murmur or pulmonary crackles. Glasgow Coma Scale (GCS) was 13.Initial laboratory evaluation demonstrated metabolic acidosis (pH 7.22, lactate 6.5 mmol/L), elevated cardiac troponin I (2.8 ng/mL), and BNP 3100 … Read more
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Evidence-Driven Clarity for High-Stakes Pediatric Care
When seconds matter and physiology is fragile, PediRex delivers the clarity clinicians need to act decisively. From evidence-based algorithms to real-world clinical pathways, every tool is designed to support accurate, consistent decisions at the bedside.