Dengue Fever in Children
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”…
Sean M. Fox
I enjoy taking care of patients and I finding it endlessly rewarding to help train others to do the same. I trained at the Combined Emergency Medicine and Pediatrics residency program at University of Maryland, where I had the tremendous fortune of learning from world renowned educators and clinicians. Now I have the unbelievable honor of working with an unbelievably gifted group of practitioners at Carolinas Medical Center. I strive every day to inspire my residents as much as they inspire me.
Open Globe Injuries in Children
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…
Spinal Epidural Abscess in Children
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:…
Proximal Humerus Fractures
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…
Anticoagulation Related Bleeding – Use of Prothrombin Complex Concentrate
Children occasionally deal with “adult” medical problems (ex, Pulmonary Embolism, Cholecystitis, Renal Stones, DVTs) and, hence, may require medications that we don’t typically encounter in the pediatric patient populations. One of my least favorite medications seen on the adult and…
Sacral Dimples and Pits
We have previously discussed the fact that children are not aliens (the newly born and neonates are almost aliens though), but that we must recognize children as a special population with unique anatomy and physiology. Sometimes those considerations also have…
Cyclic Vomiting Syndrome
I know that those of you looking forward to celebrating (in a responsible and socially distant manner) the 4th of July may be expecting a Morsel that is thematically appropriate (ex, Sparkler Injuries). That seems too quaint in times like…
Myasthenia Gravis in Children
“Weakness” as a complaint has always caused me to feel a bit fatigued. The differential is quite large and sorting through it can be challenging. Is it related to a recent viral infection (ex, Guillain Barre)? Is it due to…
THANK YOU Class of 2020!
I know that the Ped EM Morsels are a typically a source of educational sustenance. Today, however, I want to simply say “Congratulations!” and “Thank you!” to all of our Carolinas Medical Center graduating Emergency Medicine residents. This year has…
Nasolacrimal Duct Obstruction
Neonates do weird things. Some of these things are normal… and some are not. While it is true, that you should “never trust a neonate” (See ALTE / BRUE), there are sometimes when the odd is not cause for tremendous…