Sean M. Fox

Sean M. Fox

Dental Trauma

We all know that kids like to test gravity and sometimes suffer the consequences (ex, Tongue Laceration, Eyelid Laceration, and Concussions). One of the most common consequences of testing gravity (or general poor coordination) is dental trauma.  This is true…

Aplastic Anemia

  Previously, the Ped EM Morsels have requested that we remove the phrase “it’s just a virus” from our lexicons. One simple reason is that viruses can lead to significant illness also (ex, myocarditis, Guillain-Barre). While ordering a million tests and…

Intussusception Discharge

The Ped EM Morsels have discussed several medical myths (ex, Atropine, Morphine for Appendicitis, IV Fluids for rehydration), but remember that “myths” were not born from madness.  Previously, physicians were not maliciously inventing erroneous plans; they were doing what was deemed most…

Microscopic Hematuria

Obtaining a urinalysis is often part of the management plan in the Ped ED to screen for a condition.  Often it is obtained to look for possible infection.  Sometimes we are evaluating unusual swelling with concern for proteinuria. What, however,…

Diaper Dermatitis

We have previously mentioned my disdain for skin ailments, but we cannot avoid them, so it is best to address them directly. We have discussed a general approach to pediatric rashes and have covered some specific ones as well (ex,…

Bad News

  Unfortunately, delivering “bad news” to patients and families is part of a clinician’s job. Even more unfortunate is the fact that many of us are really poor at the art of delivering bad news. The vast majority of us…

Guillain-Barre Syndrome

  Aw, the Winter Season in the Ped ED… how we all love the viral pathology! Let us recall, however, that we must be vigilant in the face of the seemingly constant waves of children with fevers and rhinorrhea. We…