Sean M. Fox

Sean M. Fox

Legg Calve Perthes Disease

Avascular Necrosis

The limping child often grabs our attention and makes us ponder many conditions, like Toddler’s Fracture, Septic Arthritis, SCFE, Osteomyelitis, and Growing Pains. One additional condition that shouldn’t be overlooked is one with an interesting name: Legg Calve Perthes Disease.…

Thyroid Storm

Thyroid Storm

Thyroid disease is a common consideration for the ill adult patient, but not as commonly considered in children.  That being stated, we have mentioned several conditions which may be related to thyroid disease in children (ex, Bulging Fontanelle, Fever of…

PANDAS

Pediatric Autoimmune Neuropsychiatric Disorders Associated with Strep infections

We have previously addressed the notion that “Not All That Shakes is a Seizure.” Often, just by witnessing the “shaking” it is possible to lower the concern for seizures; however, refrain from being dismissive, as there are a number of…

UTI Empiric Antibiotics

Empiric Antibiotics for UTI

Last week we discussed making the diagnosis of an urinary tract infection.  Essentially, we reinforced the fact that we can only make a presumptive diagnosis of UTI in the ED.  In some situations, you may prefer to await the urine…

Urinary Tract Infection (UTI)

Urinary tract infection

Often, it seems as if the quest for “an answer” can cause us to see what is not there.  This is particularly problematic with respect to the quest to decipher the cause of fever.  Appropriately, we may consider the potential…

Hereditary Angioedema

Hereditary Angioedema

We have previously discussed Chronic Recurrent Abdominal Pain. Certainly, this is not a sensational topic, yet it is one that is encountered often and can not only derail your shift, but may also obscure our view of the true underlying,…

Peritonsillar Abscess

Peritonsillar Abscess

Throat pain in a child will catch a parent’s attention, which, in turn leads to it catching your attention. Most often the parental concern is over whether this is due to Strep Throat or Mono. Naturally, there are a variety of…