Sean M. Fox

Sean M. Fox

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…

Pulmonary Hypertensive Crisis

Pulmonary Hypertensive Crisis

Caring for children can be rather challenging. Yes, there is a fair amount of finding ways to avoid saying “It’s Just a Virus” while conveying the fact that the child is doing just fine; however, there are also a number of…

Hamman’s Syndrome and DKA

Hamman's Syndrome

Certainly there are many issues to consider while diagnosing and managing diabetic ketoacidosis (DKA), like the possibility of cerebral edema. Often, these ill patients complain of significant nausea and abdominal / chest pain as well. Before we just attribute those…

Acute Cerebellar Ataxia

Cerebellar Ataxia

Hooven animals are complicated creatures (just like humans). They can be majestic, but rambunctious. They can be wild, yet tamed. In medicine, we often try to distinguish between them: Horses versus Zebras. While searching among the horses for the zebras,…

Adenosine Dose

Adenosine Dosage

Supraventricular Tachycardia (SVT) can be a very rewarding condition to treat! It is generally easy to diagnose and can be very satisfying to treat. When treating it, we also get to use one of the “coolest” medicines (ok, it isn’t quite…

Benign Acute Childhood Myositis

Previously, we have discussed the potential counterproductive effects of saying the phrase “It’s just a virus.” Aside from the perception that their child’s illness is “no big deal,” this phrase is also inaccurate as it implies that viral illness is…

Neonatal Mastitis

Neonatal Mastitis

We have previously discussed my distrust of neonates (ALTE, BRUE) and this may be why so many of the Morsels focus on neonatal issues. Recently a dear friend, colleague, and full-time appreciator of UMMS Shock Trauma Pink Scrubs, Dr. Jessica…