Summertime is rapidly approaching (at least for us in the Northern Hemisphere). While this is often met with great excitement as we ponder vacations, it also means that we need to prepare for the consequences of all of that leisure…
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 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…
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…
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…
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…
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,…