Hyperammonemia
The child with altered mental status certainly grabs our attention (rightfully so) and we have discussed several related topics. We often...
Ped EM Morsels Tasty Morsels of Medical Education
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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...
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Bacterial Meningitis in Children
It is very clear that vaccinations have improved the health of children worldwide! From Measles to Mumps and from Tetanus to...
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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,...
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Nontraumatic AtlantoAxial Subluxation in Children
Children can have major conditions disguised as relatively minor problems. We often think of Inborn Errors of Metabolism presenting as innocuous...
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Stress Dose Steroids
Caring for patients is extremely rewarding… but it can also be rather Stressful. There are many complex math problems to solve...
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Laryngeal Mask Airway for Neonatal Resuscitation
It is fun to be able to check the “Learned Something New Today” box! Having just attended ACEP 2019 in snowy...
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Tumor Lysis Syndrome
The lysis of tumor cells is one of the goals of successful treatment of cancer. Unfortunately, “Cancer SUCKS!” and even when...
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Newborn’s Heart Rate Determination
We are often drawn to new techniques and methods. While we may become enamored with exotic management strategies (ex, ECMO in...
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Deep Venous Thrombosis
Over the years, the Ped EM Morsels have addressed several conditions that historically are considered to be “adult” problems, but are...
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Octreotide for Sulfonylureas Toxicity
We all should fear Hypoglycemia! It likes to deceive us; it can cause critical illness; and it can be caused by...
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Pediatric Facial Fractures & Age
Often clinicians shy away from caring for children, because of the notion that “they aren’t little adults.” We have previously discussed...
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Pediatric Trauma Pitfalls
School is out and Summer is in full swing (at least up here in the Northern Hemisphere) and that means …...
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Cavernous Sinus Thrombosis
I was always taught to have a very healthy respect for infections of the Hands, Feet, or Face. Certainly, the infection...
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High Altitude Illness
In Charlotte, it has been unseasonably HOT and many of us have been considering escaping to the mountains. Maybe not exactly...
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Sentinel Bruising & Abusive Injury
A common theme amongst the Ped EM Morsels is remaining vigilant while maintaining a reasonable approach to the care of children....
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Ketamine and Propofol (Ketofol) for Pediatric Sedation
Keeping children comfortable benefits everyone! Patients have less pain and psychological trauma. Their families think you are amazing and… your procedure...
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Reye’s Syndrome
Call me crazy, but discussing Measles last week got me feeling nostalgic. Mumps, Tetanus, and Chicken Pox similarly harken back to...
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Late-Presenting Congenital Diaphragmatic Hernia
Part of the challenge with evaluating children is the ever present concern for an unusual emergent condition masquerading as a common...
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Sickle Cell Hepatopathy
Sickle Cell Disease (SCD) is terrible, and we are well versed in many of the common presentations. Pain and fever complaints...
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Toxic Shock Syndrome
Caring for the child in shock is challenging! Vascular access has to be attained. Fluids have to be given quickly and...
CounterBalance the COVID Chaos
When you think of “balance” do you think of a perfectly still scale or a yogi standing on one leg with...
Courage to Care
All, I know that these days of COVID-19 are very challenging. We are all stressed for some many valid and legitimate...
Bone Cysts
Anticipating that some of you may want to think of something other than the COVID-19 pandemic right now (yet, another reason...
Superior Herniation of Thymus
Yes, the amount of grey in my beard increases exponentially on a daily basis now. Yes, there are days that I...
Lymphatic Malformations
Let’s be honest, the lymphatic system gets no respect. While the blood vessels and nerves are carefully considered and protected, the...
Wilms’ Tumor
Despite being able to ignore many odd occurrences in the house, there are several things that will classically attract acute attention...
Scaphoid Fracture in Children
We know kids like to test Gravity! Sometimes they lose that test. Fortunately, their bones are more likely to bend then...
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