Category Neurology

Hyperammonemia

Hyperammonemia

The child with altered mental status certainly grabs our attention (rightfully so) and we have discussed several related topics. We often consider the infectious concerns (ex, Encephalitis, Meningitis, Sepsis) and traumatic etiologies (ex, head injury, hemorrhagic shock). We are always…

Non-Convulsive Status Epilepticus

Non-Convulsive Status Epilepticus

Most chief complaints generate a clear Differential Diagnosis (Ddx) list in your mind. There are the well-known, “big ticket” issues that need to be considered (Abdominal Pain -> Appendicitis; Chest Pain -> Pericarditis; Headache -> Meningitis) as well as the…

Posterior Reversible Encephalopathy Syndrome in Children

Posterior Reversible Encephalopathy Syndrome in Children

2020! What a great year to focus on good clinical vision! Obviously, in children, what we most often see is, fortunately, the benign conditions; however, it takes our vigilant vision to spot the unusual to help us avoid the life…

Nontraumatic AtlantoAxial Subluxation in Children

Atlantoaxial Subluxation

Children can have major conditions disguised as relatively minor problems. We often think of Inborn Errors of Metabolism presenting as innocuous vomiting or Late Onset GBS infection presenting as poor feeding. Obviously, conditions like these don’t remain innocuous for long…

Ultrasound for Pediatric Head Injury

Cranial Ultrasound for Pediatric Head Injury

Have you ever looked at your handy ultrasound and wondered: “What else can I scan with this?” Certainly, over the past ~2 decades, our point of care ultrasound has evolved into an indispensable asset. When used correctly, it is a…

Pediatric Cervical Spine Injury

Cervical Spine

Oh, once again, Homer is correct! Physics does matter. As does Anatomy and Physiology with respect to caring for children. We’ve previously discussed how these aspects have significance when evaluating ill and injured children (ex, Thoracic Trauma, Abdominal Trauma), but…

Pediatric Behcet’s Disease

Behcet's Disease in Children

There are numerous conditions that we all learned about in medical school, but then quickly allowed to fall to the deep recesses of our mind (some of us may find to difficult to find them in those chasms now). While…