One of the greatest challenges (and also most stimulating) aspects of our profession is staying current with the evolving literature and recommendations. Yes, it can be frustrating, but it is also rewarding to be in a career that will never…
Last week was a highly productive week for my educational enlightenment. I learned that not all Compartment Syndrome is Acute… it can be Chronic as well. I also learned that there is a cross over between the application of Honey…
Just when you think you have a handle on patient complaints and have a refined working differential diagnosis list for each complaint, a patient comes to teach you something new… and humbles you. Fortunately, I live in a general state…
While the current COVID-19 pandemic has significantly reduced travel (especially for those of us in the USA… hmmm… who would have thought a US passport would be of such little value?) we are all acutely aware of the potential benefits…
We all know that caring for children can be tricky. Being a parent is certainly tricky… but trying to decipher the subtle clues a child presents with to ensure that nothing ominous is lurking underneath the non-specific complaints is unquestionably…
Syncope is a common presentation in the Pediatric ED. While often it will be due to a benign etiology (ex, Hair Grooming Syncope), we know that there are many concerning conditions that we must consider. In the course of our…
We manage many skin infections in the Pediatric ED. From Tinea Capitis to Perianal Strep, we see infections from the top to the bottom. Some are fun to say, like Intertrigo, while others are scary to see, like Staph Scalded…
Spontaneous Bacterial Peritonitis in Children? I know, you are shaking your head right now. “Come on, Fox! I’ve never seen that before in a kid. That is an adult problem.” Well, while it may not be common, it may occur…
We know well by now that we should never say “It’s just a virus” as a way to assuage parental concerns. There are just too many viral infections that can prove to be problematic and won’t necessarily merely “go away”…
Injuries and accidents happen. Sometimes they are minor and other times, sadly, they can be major. The impact of those injuries is often relate to the location of the injury. We have covered many traumatic injury issues previously, but ocular…
Sometimes our medical training may steer us astray. Fortunately through our continued education and experience (and maybe a Morsel or seven) we can overcome these shortcomings and detect some of the covert dangerous conditions. Retropharyngeal abscess is a good example:…
Ok, so I know that broken bones are nothing to laugh about, but in children the fracture of the proximal humerus gets no respect. We always talk about the Supracondylar Fracture or Scaphoid Fracture or wax philosophic about the utility…
