Levofloxacin 500mg PO/IV daily x 10 days OR. Abdominal Pain ( 3 months - 3 years) _ y/o child presenting with abdominal pain +/- vomiting and fevers. These cases can be challenging problems for the urologist and a source of substantial morbidity and sometimes mortality for the patients. Vesicles on erythematous base, will then ulcerate. <65 years old. Onset up to 30 min, duration 2 hrs. According to ACC consensus statement "During the COVID-19 pandemic, PCI remains the standard of care for STEMI patients". Technique. Funds go solely to hosting and development costs that allow medical practitioners around the globe to freely access WikEM. Cystolithiasis. Arthropathy - symmetric or asymmetric, knees and ankles. Blood that enters and mixes with the urine can come from any location. Complicated if. Phenazopyridine is a dye that works as a painkiller to soothe the lining of the urinary tract. This drug may change the color of urine or stools to an orange or red color. Most common vasculitis in childhood (usually 2-11 yr) More common in white/asian males. Sodium bicarbonate (Redirected from Sodium Bicarbonate) Contents. This rule was derived from the multicenter PECARN network with both a derivation and validation arm to detect clinically important traumatic brain (ciTBI) injury in children to age 18yrs old after blunt head trauma. Flash pulmonary edema. Occurs in patients not previously receiving lithium (i. 3 Strep. Generalised myasthenia gravis. They are prepared by treating pyridine with acids. Critical Phase [1] : Minority of patients, generally pediatric and elderly. WikEM is wiki-based medical website and point-of-care phone application for emergency medicine clinicians. Indications: Most angulated and/or displaced distal radius requires closed reduction and placement of a sugar-tong splint. Phenazopyridine (Pyridium) is a pain medication used to relieve urinary urgency, pain, and discomfort caused by a urinary tract infection (UTI), surgery, or catheters. ↑ Donnino MW, Vega J, Miller J, Walsh M. 1982 Feb;16(2):157-9. This drug may stain contact lenses. If opioid-naive with minimal respiratory depression - 0. WikEM, The Global Emergency Medicine Wiki, is the world's largest and most popular emergency medicine open-access reference resource. CRP (mg/L) ≥150: 4 points. Start 16-18 breaths/min. Can mix contrast with lubricating jelly in 1:1 ratio to minimize leakage. Polycythemia. Prevent scapular rotation with one hand while raising patient's straightened arm in full forward flexion to overhead. Abstract. May require escalating energy. Hematuria may also be subtle and only detectable with a microscope or laboratory test. Onset of respiratory symptoms may sometimes be delayed >24 hours. Bradycardia Miosis Bronchorrhea / Bronchospasm Hyperperistalsis (SLUDGE) Sweating Vasodilation Nicotinic receptors in both sympathetic and parasympathetic nervous. +5/5 strength extremeities. Hepatic Encephalopathy. Other causes not due to blood — Sometimes, the urine appears to have blood in it because other red substances are contained in the urine. 2 Cellulitis Possibly due to MRSA (Unlabled Use) [1] 2. Imipenem 500mg q6hr + cipro 400mg q8hr + vanco 15mg/kg q12 OR. OR 100 mg PO, may repeat dose x1 after 2 hours, max 200 mg / 24 hours. Presence of lactobacilli (tiny rods) is normal. AAP now permits Doxycyline use if less than 21 days treatment duration [1] Caution: Lupus. Common. Utilize fistula clamp to apply small focus of direct pressure. Hypotension. Does involve 4th-5th intertarsal junction. Abnormality in 2 or more of the following, occurring within 3d before or 7d after chemo: Uric acid ≥ 8mg/dL or 25% increase from baseline. It is often used to help with the pain, irritation,. Tubo-ovarian abscess is caused by direct extension. Because of the male urinary tract’s many defenses, any such infections. A bulging tympanic membrane which is typical in a case of acute otitis media. 3% (1 in 300) and 0. Degree of CK elevation correlates with muscle injury, but NOT renal failure. 3. 07 to 0. Anxiolysis/sedation: 1-2mg IV push. Monkeys are carriers of Cercopithecine herpesvirus 1 aka Herpesvirus simiae aka B virus. Acquired methemoglobinemia and hemolytic anemia after usual doses of phenazopyridine. It is the conjugate acid of pyridine. Pink - supply from superior mesenteric artery (SMA) and its branches: middle colic, right colic, ileocolic arteries. Pt supine, knee flexed 90', attempt to displace tibia from femur in a forward direction. Ischemic stroke causes (87%) Thrombotic (80% of ischemic CVA) Atherosclerosis. II (moderate COPD) -> 50% ≤ FEV1 < 80% predicted. Missed. WikEM is wiki-based medical website and point-of-care phone application for emergency medicine clinicians. These germs enter the urethra and then the bladder and can cause an infection. [1] WikiEM is owned by OpenEM Foundation, a 501(c)(3) nonprofit organization. Serious side effects; Other side effects;. 1st trimester: <750 ng/mL (+50% increase from normal lab threshold) Pregnancy-adapted YEARS algorithm [20] “Pulmonary embolism was safely ruled out by the pregnancy-adapted YEARS diagnostic algorithm across all trimesters of pregnancy. g. Patient must remain in ED until oxygen and concentrator arrive from oxygen vendor. Recommended ratio of 10:1 charcoal to xenobiotic; often 50 g is given. 01mg/kg (max 0. Evaluate other injuries that may cause immediate loss of life/limb first. 5-1mcg/kg. Initiate low dose levothyroxine at 25mcg daily only if patient has signs and symptoms of hypothyroidism. Yeast infection symptoms typically include: Thick, white vaginal discharge. blue or purple appearance of your skin. Chlamydia. Abdominal plain xray films are specific, but not sensitive. A syndrome of renal sodium loss and hyponatremia probably resulting from inappropriate secretion of antidiuretic hormone. Red papules that change to gray vesicles. 2. 1 General. Yeast infection symptoms typically include: Thick, white vaginal discharge. Most frequent symptom is increased discomfort with bladder filling and relief with voiding. [5] Only in patients with HIV with severe respiratory parameters: Room air PaO2 < 70 mmHg. 1 Administration; 2 Adult Dosing; 3 Pediatric Dosing; 4 Special Populations; 5 Contraindications; 6 Adverse Reactions. Differential Diagnosis. Decreases the potassium in three ways: dilution, shifting of potassium into muscle cells, and promotion of renal potassium excretion by alkalosis [6] More on how to use Lasix: IBCC Hyperkalemia Chapter. 100-200mg TID after meals x 2 days for pain control (bladder analgesic) Warn of discoloration of urine and tears. ; The lunula is that white semi-moon shaped proximal portion of the nail. Keflex is a brand name for cephalexin, which belongs to the class of antibiotics called cephalosporins. Evaluation should focus on determining. Crohn disease. 08 mg/kg IM, usual dose 5 mg for 60 kg pt. Move the probe superior or inferior as. Abdominal radiography. Acute onset (over hours) of unilateral facial paralysis. American Journal of Medicine 1957 23 529–542. The venous blood gas ( VBG) is a multi-component serum assessment of pH, blood gas tensions (P v O 2 and P v CO 2 ), bicarbonate (HCO 3 ), and the base excess. The perinychium includes the nail, the nailbed, and the surrounding tissue. 100-200mg PO TID x 2 days; Pediatric Dosing Dysuria. Pathophysiology. Lower degrees of pyuria may still be clinically significant in presence of symptoms. 1 Background. 2. Sensory changes in the 5th and medial half of 4th digits, weak wrist flexors, “claw hand”. Symptoms. 4 unit bolus, then infuse at 0. 4 Sinusitis; 2. Standard. Aplastic crisis. Associated with rheumatoid arthritis, SLE. Our highly acclaimed content is freely available via the internet and our dedicated mobile applications. Snowbird Technique. 2 iOS. Mental status changes. There are 7 disease interactions with cefdinir which include: colitis. Food and Drug Administration (FDA) to alleviate symptoms of dysuria, burning sensations, urgency, frequency, and pain. 1)Ottawa Ankle Rules (sen 96-99% for excluding fracture) 3 views: AP: Best for isolated lateral and medial malleolar fractures. Fetal Effects in pregnancy. 1 RBC Loss;AC joint. OR 1-2 sprays IN (may repeat after 2 hours)0. Urethral stricture. 2 Strep Pharyngitis; 2. Apply splinting material. Paracentesis results supporting a diagnosis of SBP: Absolute neutrophil count (PMNs) ≥250, pH <7. Pelvic anatomy including organs of the female reproductive system. 1 Nausea and vomiting (newborn) 3. sudden decrease in the amount of urine. MAP of 110 or target BP of 160/90) Nicardipine in ICH: Start at 5mg/hr, increase 2. Giant cell arteritis on histopathology. Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) Score. Dosis pediátrica usual: vía oral, 4mg/kg de. Abbreviation: G6PD. Diagnosis. Bulky dressing with allow for continued bleeding. Consider local resistance patterns (if >10-20% use a different agent) Avoid use of fluoroquinolones for uncomplicated cystitis if possible. Mild form exists, which predominantly affects men of African decent. +5/5 strength extremeities. Treatment schedule for moderate to severe PCP [6] Day 1-5: 40mg prednisone BID. Uses. Metrorrhagia: irregular vaginal bleeding outside the normal cycle. After 1yr of age, occult UTI with normal UA extremely rare. There are 7 disease interactions with cefdinir which include: colitis. Consider modest reduction of BP (e. Phenylephrine. Glycerin: 1 adult suppository PR, onset of action 15-30 min, then 1-2 doses per day. Hand and foot lesions in an adult. Anterior capsule of elbow-joint. ↑ Donnino MW, Vega J, Miller J, Walsh M. WBC 1-2 with bacteriuria can be significant in men. A. CC joint. Glatopa is approved by the U. Cefotaxime 50mg/kg IV q6hrs OR Gentamicin 2. Hold 'Shock' button until shock discharged. diabetes. Although an uncommon occurrence in children, it is nevertheless a disturbing finding for both the affected child and his/her family. Hb (Hemoglobin) Complete Hemogram (CBC & ESR) Pyridium 100mg Tablet is used in the treatment of Pain relief. Add Vancomycin 15-20 mg/kg IV q8 hrs (max 2 g per dose) if concern for MRSA risk factors. The infection commonly develops in the bladder. clobetasol propionate 0. , hyperglycemia) Electrolyte Abnormalities ( hypernatremia or hyponatremia, hypercalcemia) Organ system failure. Result of a complex interplay of the aspirated material, aspirated volume, pH, patient physiology and pulmonary defense mechanisms. 1. 1 Background. Condition other than CAD contributes to an imbalance between myocardial oxygen supply and/or. blue or purple appearance of your skin. Pass hemostat through both incisions and pull penrose through. This drug seems to block myelin-damaging T-cells through a mechanism that is not completely understood. Consider phenazopyridine for dysuria symptoms. Mild Pain, Nonopioid, +/- Adjuvant: Acetaminophen: 650mg q4-q6h PRN or 1000mg q6h PRN - Aspirin: 650mg q4-6h PRN or 1000mg q6h PRNconfusion, loss of appetite, pain in your side or lower back; fever, pale or yellowed skin, stomach pain, nausea and vomiting; or. Cause of Injury: Elbow injury. Our highly acclaimed content is freely available via the internet and our dedicated mobile applications. 1 Angina, acute; 2. [1] Nephrotic syndrome leads to the loss of significant amounts of protein in the urine, which causes the widespread edema (soft tissue swelling) and impaired kidney. Burns > 50% or SEVERE metabolic acidosis may require 44 mEq of bicarb to each 1 L of LR in. May be associated with 1/1,000 lifetime risk of malignancy. Adduct the affected arm and flex the elbow to 90 degrees. Minimal change disease (also known as MCD, minimal change glomerulopathy, and nil disease, among others) is a disease affecting the kidneys which causes nephrotic syndrome. If opioid-dependent with minimal respiratory depression - 0. When pyridium is given with antibiotics such as. Normal distance is 11-13mm. 3 Differential Diagnosis. Highest inflammatory response - wood, copper, iron, steel. Hydralazine. Most consider rhabdomyolysis if 5x or greater increase above upper limit of normal (~2000) Serum CK begins to rise 2-12hr after injury, peaks within 24-72hr. Ottawa Ankle Rules (sen 96-99% for excluding fracture) 3 views: AP: Best for isolated lateral and medial malleolar fractures. g. 1 Serious; 6. Lateral: Best for posterior malleolar fractures. About WikEM; Disclaimers; This page was last edited 17:59, 29 November 2020 by Richard Cunningham. Introduction. g. 5 mL per kg (maximal dose: 5 mL) via nebulizer. 100-200mg PO TID x 2 days; Pediatric Dosing Dysuria. Funds go solely to hosting and development costs that allow medical practitioners around the globe to freely access WikEM. Cryptosporidiosis. 1. Cyclopentolate 1% 1 drop q6-8hr. Piperacillin-Tazobactam 4. Mitral valve most commonly affected overall; tricuspid valve most common in IVDA. Our highly acclaimed content is freely available via the internet and our dedicated mobile applications. For 500 mcg/ml, take 0. 1% otic suspension - Non-ototoxic; may use if TM is known or suspected to be nonintact, Often used for treatment of mild to moderate disease. Consider local resistance patterns (if >10-20% use a different agent) Avoid use of fluoroquinolones for uncomplicated cystitis if possible. Fleet Phospho-soda: 118 ml single enema dose, with maximum of x2 doses at least 1 hr apart. ; The germinal portion is proximal. ; The sterile matrix is deep to the nail, adheres to it and is distal to the lunule. Levofloxacin 500 mg orally once daily for 10 days. Agent Oral Parenteral Step1. Ann Emerg Med. With psychic symptoms (including aura, ex. 2msec) tachycardia with rate <120bpm. Pyridium synonyms, Pyridium pronunciation, Pyridium translation, English dictionary definition of Pyridium. 6-12yo: 4mg/kg PO TID x 2 days >12yo: 100-200mg PO TID x 2 days; Special Populations. GI - nausea/vomiting, diarrhea, abdominal pain. It is the most common serious infection in women. What is Pyridium? Pyridium is a pain reliever that affects the lower part of your urinary tract (bladder and urethra). phenazopyridine. Vascular leak, hypoproteinemia, hemoconcentration, pleural effusion, ascites. Examples of specific diseases: Interstitial. This is not a complete list of side effects and others may occur. 100-200mg PO TID x 2 days; Pediatric Dosing Dysuria. Less likely Intussusception given reassuring ultrasound, no hx of bloody stool, no asymptomatic periods between episodes, no lethargy or palpable mass. 0 tablets) uses, composition, side-effects, price, substitutes, drug interactions, precautions, warnings, expert advice and buy online at best price on 1mg. In the U. Consider reducing BP using intermittent or continuous IV meds to keep CPP >60-80. Dosis pediátrica usual: vía oral, 4mg/kg de. The category of adult male UTIs includes cases, prostatitis, epididymitis, orchitis, pyelonephritis, cystitis, urethritis, and infected urinary catheters. Atrial flutter - start at 50 J. Anterior segment of the right eye demonstrating abnormal anterior iris convexity, iridocorneal apposition at the angle, and. 6-12yo: 4mg/kg PO TID x 2 days >12yo: 100-200mg PO TID x 2 days; Special Populations. Background Topical anesthetics are commonly used over the counter, and one of the adverse effects of these medications is methemoglobinemia, which is a serious and life-threatening condition. 2 Distal Leg Fracture Types;Vaginal bleeding definitions. 2 Nausea and vomiting infant (<12 mo) 3. 100-200mg TID after meals x 2 days for pain control (bladder analgesic) Warn of discoloration of urine and tears. About WikEM; Disclaimers; This page was last edited 20:03, 13 October 2018 by Kevin Lu. Pyridium® (Phenazopyridine Hydrochloride) is light or dark red to dark violet, odorless, slightly bitter, crystalline powder. Aspirate using 18 gauge needle just lateral to the tonsil. Middle ear effusion AND. What Is Pyridium? Pyridium (phenazopyridine hydrochloride) is an analgesic pain reliever used to treat pain, burning, increased urination, and increased urge to urinate. Mycobacterium Avium-Intracellulare. 0. Rub erythematous skin to see if it sloughs. Epidemiology and Risk. from benadryl, TCA, or cocaine toxicity) may cause very wide complex (>0. 2007;50(6):715-21. Drug Intell Clin Pharm. If med adherence is an issue [2]Phenazopyridine is an azo dye used to treat dysuria for symptomatic relief of pain, urgency, burning, frequency and other discomforts arising from irritation of the lower urinary tract mucosa. Menometrorrhagia: excessive irregular vaginal bleeding. Stage 2: Kidney damage (e. It is often used to help with the pain, irritation, or urgency caused by urinary tract infections, surgery, or injury to the urinary tract. 1 Acute knee injury; 3. renal dysfunction. 6. Dose (Etomidate): Start with 0. 5 cc NS. OR. Know application and pitfalls of Rumack-Mathew nomogram. fever and confusion. Abdomen: Neg rebound murphy or pain over Mcburneys point. [1] Should be viewed as analogous to unstable angina. It is a useful adjuvant treatment to antibiotic therapy in patients with uncomplicated UTI. This page was last edited 17:42, 11 March 2021 by. Only give if patient responded to the bolus and requiring repeat administration. 4% 1 drop q6hr x 2-3d. Class I agents are grouped by their effect on the Na + channel, and by their effect on cardiac action potentials . Ketorolac 0. 6. Defined as hemorrhage into the subarachnoid space (between the arachnoid membrane and the pia mater). Hospital Acquired or Ventilator Associated Pneumonia. Epinephrine (1:1,000): 0. dialysis. Cephalexin 500mg (6. Mild Pain, Nonopioid, +/- Adjuvant: Acetaminophen: 650mg q4-q6h PRN or 1000mg q6h PRN - Aspirin: 650mg q4-6h PRN or 1000mg q6h PRNconfusion, loss of appetite, pain in your side or lower back; fever, pale or yellowed skin, stomach pain, nausea and vomiting; or. Approximately 10% of blunt injuries include renal trauma. 5 mg/min = 210 mg/hr = 3 mg/kg/hr)Use commercially available declogger (Bionix), Clog Zapper. Counsel patient/family on importance of hand hygiene/avoiding touching face to prevent spread! Apply warm or cool compresses (for comfort and cleansing) every 4 hours, followed by instillation of ophthalmic antibiotic solutions. Hematuria. Children—The dose is based on body weight and must be determined by your doctor. ↑ Rodrigo GJ, Rodrigo C. PEG (Miralax): 17gm. Hyperosmolar state (e. 1 Skin and Soft Tissue Infection; 3. S. This drug does not treat. If still agitated after phenobarbital → intubate and sedate with propofol and fentanyl. Pregnancy Rating: B, contraindicated in pyelonephritis during pregnancy WikEM, The Global Emergency Medicine Wiki, is the world's largest and most popular emergency medicine open-access reference resource. Menorrhagia: >7 day (prolonged) or >80 mL/day (excessive) uterine bleeding at regular intervals. Most commonly seen in females in high estrogen states: pregnancy, oral contraceptive use, obesity, diabetes mellitus. Urinary Tract Infection (UTI) Redirect page. Ureter trauma. Phenolphthalein; Purple Urine Bag Syndrome; Brown. Tenecteplase (TNKase) 30 mg IV bolus. Skin prep agent dried: skin prep agent completely dried prior to procedure. Synchronized cardioversion (100-200J) Atrial fibrillation - start at 200 J. 60-90. Maintenance: 20-100 mcg/kg/hr infusion. For larger abscesses can repeat this step thus creating several LOOPs. For persons weighing ≥150 kg, 1 g of ceftriaxone should be administered. Itching or burning sensation in the vagina. Original Criteria. Citation 1 Various case reports with phenazopyridine associated acute renal failure secondary to acute tubular necrosis (ATN) have been reported in the literature. How to measure: Position patient supine. MDM for different chief complaints documentation. Sepsis should be defined as life-threatening organ dysfunction caused by a dysregulated host response to infection [1] The infection is most commonly by bacteria, but can also be by fungi, viruses, or parasites [2] Risk of death from sepsis being as high as 30%, severe sepsis as high as 50%, and septic shock as high as 80% [3] The most common. Systemic vasculitis most commonly involving medium-sized arteries in the carotid circulation, affecting 1% of the population [1] Temporal artery is the most commonly involved, but ophthalmic, occipital, and other arteries off the aorta can also be involved. Noun 1. CNS stimulation ( Headache, anxiety, confusion) Tachycardia, palpitations and hypotension. If placenta is not intact, there may be retained products of conception in the uterus requiring manual or surgical removal. Incise at most fluctuant area of abscess. Low Flow Priapism. Funds go solely to hosting and development costs that allow medical practitioners around the globe to freely access WikEM. See Acute gastroenteritis (peds) for pediatric patients. The main goal is to determine superficial vs. Contents. Also occurs due to bacteremia with hematogenous seeding (Staph) Emphysematous pyelonephritis. Episodes peak/decline over ~8h. Donate. FiO2/PEEP (titrate for oxygenation) Move in tandem to achieve: SpO2 BETWEEN 88-95%. Please donate! Funds go solely to hosting and development costs that allow medical practitioners around the globe to freely access WikEM. A score > 6 has PPV of 92% and NPV of 96% for necrotizing fasciitis. Cardiovascular Tachycardia with flow murmur; Heart murmur – prosthetic heart valve; Abdominal Exam Hepatomegaly, splenomegaly. 09% from mucous membrane exposure. Soft tissue injury that penetrates the joint space and exposes the joint space to the environment. Hematuria is the medical term for blood in the urine. Perinephric space with exaggerated pararenal space to show retroperitoneal structures. Serotonin syndrome is usually much more acute in onset than NMS which may develop over days or weeks. shortness of breath, tightness in chest, wheezing, or troubled breathing. skin rash. Background. 1 General. This may occur spontaneously, usually from a ruptured cerebral aneurysm, or may result from head injury. Then rotate shoulder internally bringing the arm across the front of the pt. Ensure that inner tract/incision can fit your finger and tube. Background. Peak in 5-15yr old [1] Rare in <2yr of age [1] Accounts for only 15-30% of pharyngitis [1] Caused by S. 05% ophthalmic (dilute 1 mL of proparacaine 0. Most common presenting sign. Labeled vulva, showing external and internal views. Pyridinium refers to the cation [C5H5NH]+. See morePyridium - WikEM. [1] Continuum of disease - Plugged ducts → engorgement → non-infectious inflammation → infectious inflammation → abscess. 20-60 mL of water soluble contrast in toomey syringe. 1 Clinical Features and Causes; 2 Differential Diagnosis. Reticulocyte count drops 5d post-exposure, followed by hemoglobin drop. WikEM Bureaucratic Portal. Pyridium is indicated for the symptomatic relief of pain, burning, urgency, frequency, and other discomforts arising from irritation of the lower urinary tract mucosa caused by. Ondansteron) Create a new page for "Zofran" (see above on how to create a new page) In the new page type the redirect code (and only the redirect code): #REDIRECT [ [DestinationPageName]] Example: #REDIRECT [ [Ondansteron]]Introduction. Pain is the most common symptom and is often characterized by: [1] Persistent. 3-drug regimen recommended options: Cefepime 1-2gm q8-12h OR ceftazidime 2gm q8h + Levofloxacin 750 mg PO/IV every 24 hours + Vancomycin 15mg/kg q12 OR. Do NOT use films to "confirm" a diagnosis of "constipation," as this is not. Dosage form: capsule. 1. Symptoms not due to another cause. Donate. Pregnancy. Crohn disease. Water precautions (keeping water out of the middle ear), avoid forceful Valsalva. Methemoglobin refers to ferric form of hemoglobin (Fe3+) that is unable to bind O2. 2007;50(6):715-21. 1 U/kg q2hr and switch IV fluids to Dextrose 5% at 150cc/hr. proteinuria) and normal GFR; GFR >90. pyogenes (Group A strep) [1] Peak season is late winter / early spring [1] Transmission is respiratory secretions [1] Incubation period is 24-72 hours [1]Adequate well-controlled or observational studies in animals or pregnant women have demonstrated positive evidence of fetal abnormalities or risks. Sudden collapse, cardiac arrest. ST depression ≥1 mm in lead V1, V2, or V3 - 3 points. Donate. nml lv of consciousness, gait and balance nml. This page is for the generalized approach to undifferentiated vaginal bleeding in non-pregnant women. ↑ Donnino MW, Vega J, Miller J, Walsh M. For quick drip set with 20 ggt/ml. Phenazopyridine alleviates discomfort while the antibiotic starts working. CalOx Home Health 323-255-5175. Less common causes of blood in the urine include inherited kidney diseases and other underlying medical problems. – WikEM. BLOOD IN THE URINE OVERVIEW. Cut distal tip off of needle sheath and place over 18ga needle to expose 1 cm of needle to prevent accidentally plunging deeper than desired. Watch child 2-3 hrs after administration to ensure no return of stridor at rest. Cause of Injury: Distal humeral shaft fracture, anterior shoulder dislocation, supra-condylar fracture, Radial neuropathy at the spiral groove, Posterior interosseous neuropathy. Both cephalexin and Keflex refer to the same medication with the same active ingredient.