Sean M. Fox

Sean M. Fox

Ludwig’s Angina in Children

Ludwig's Angina in Children

Pediatric head and neck infections are encountered commonly in the Emergency Department. While most often these will be relatively simple (although still annoying to the patient and family) like Acute Otitis Media, Otitis Externa, Sinusitis, or Pharyngitis, they can also become…

Urinary Retention in Kids

Urinary Retention

Once again the Ped EM Morsels will address a topic that accentuates the fact that children are not aliens to be feared, but rather a special population of humans. Yes, children can be afflicted with conditions traditionally considered in adults…

A-Fib in Kids

A-Fib in Kids

We all know that children are a special population of humans (please don’t say “kids aren’t little adults”- it engenders fear of caring for kids instead of empowering providers for staying abreast of the issues that make caring for kids…

Central Line and Fever

Central Line and Fever

Yes. It is indubitable. Children will present for evaluation of fever. Many, if not most, will be well and likely have a self-limited illness (but, do NOT say “it’s just a virus”!). Some, however, will have fevers associated with other…

Rickets Presentations in the ED

Vitamin D Deficiency Rickets

In the Emergency Department, we are constantly juggling large lists of differential diagnoses. We become facile at sorting through the vast Ddx for seizures (ex, simple febrile seizures, complex seizures, neonatal seizures, eclampsia, seizure mimics) and syncope (ex, hair grooming…

Major Traumatic Brain Injury

Traumatic Brain Injury - TBI Initial Management

While the weird, wild, and unusual conditions that affect our pediatric patients deserve our attention, traumatic injuries unquestionably demand much of our clinical attention.  We have certainly discussed many trauma topics previously (ex, Abdominal Trauma, Aortic Trauma, Damage Control Resuscitation, Dental…

Poor Utility of WBC Count for the Evaluation of Fever

WBC Count is Last Bastion of Intellectually Destitute

When I was a resident (Not that long ago people! Come on!!), I was taught by Dr. Mattu (@amalmattu) that the WBC Count is “the last bastion of the intellectually destitute.” These words were meant to encourage me to avoid…