Customer Service | Help | FAQ | PEP-Easy | Report a Data Error | About
:
Login
Tip: To use Evernote for note taking…

PEP-Web Tip of the Day

Evernote is a general note taking application that integrates with your browser. You can use it to save entire articles, bookmark articles, take notes, and more. It comes in both a free version which has limited synchronization capabilities, and also a subscription version, which raises that limit. You can download Evernote for your computer here. It can be used online, and there’s an app for it as well.

Some of the things you can do with Evernote:

  • Save search-result lists
  • Save complete articles
  • Save bookmarks to articles

 

For the complete list of tips, see PEP-Web Tips on the PEP-Web support page.

Plank, E.N. Horwood, C. (1961). Leg Amputation in a Four-Year-Old—Reactions of the Child, her Family, and the Staff. Psychoanal. St. Child, 16:405-422.

(1961). Psychoanalytic Study of the Child, 16:405-422

Leg Amputation in a Four-Year-Old—Reactions of the Child, her Family, and the Staff

Emma N. Plank and Carla Horwood, M.D.

Ruth, four years and two months old, made a dramatic entrance into our hospital. She was brought to the emergency room with a high fever in a toxic, but alert condition. While being examined petechiae (small hemorrhages under the skin) broke out all over the child's body, and particularly severely over the lower extremities. She had a stiff neck, pain in the ankles and hips. The illness was diagnosed as meningococcemia (blood poisoning due to bacteria meningococcus). She was immediately started on sulfa drugs by intravenous medication. In spite of therapy, nine hours after her arrival on the Division for Contagious Diseases, the child had a temperature of 42°, blood pressure of 0/0, and seemed moribund. This condition lasted for about four hours, then the blood pressure slowly returned. When it appeared that this child had very little chance for survival a dramatic change for improvement began, which continued.

During the next few days the lesions on her legs and buttocks became larger and darker, and gangrene set in. The need to amputate seemed imminent. On the ninth hospital day it was still difficult to predict the fate of the legs, but it was decided to wait until gangrene or infection would force the issue.

During this whole period the child was fed by nasal tube or intravenously.

[This is a summary or excerpt from the full text of the book or article. The full text of the document is available to subscribers.]

Copyright © 2020, Psychoanalytic Electronic Publishing, ISSN 2472-6982 Customer Service | Help | FAQ | Download PEP Bibliography | Report a Data Error | About

WARNING! This text is printed for personal use. It is copyright to the journal in which it originally appeared. It is illegal to redistribute it in any form.