Sean M. Fox

Sean M. Fox

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…

Scapular Fractures

Scapular Fracture

We are well aware that children seem like to test Gravity daily and that some days Gravity wins! This leads to numerous injuries and fractures (ex, Supracondylar, Hand, Finger, Face, Toddler’s). Unfortunately, pediatric trauma involves more than just Gravity (ex,…

Bacterial Meningitis in Children

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 Pertussis, we see the significant benefit of vaccinations. We even can administer vaccines in the Emergency Department to help…

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…

Ovarian Inguinal Hernia

Ovarian Inguinal Hernia

Have you ever seen a condition or complaint so many times that you feel that there is no way it can surprise you? Yeah… me neither. I am positive every condition can humble us at one point or another. That…

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…

Stress Dose Steroids

Stress Dose Steroids

Caring for patients is extremely rewarding… but it can also be rather Stressful. There are many complex math problems to solve and risk-benefit ratios to balance. Even the seemingly elementary problems can mentally taxing, especially in children who are prone…