Sean M. Fox

Sean M. Fox

Pediatric Rash

  “Rash” seems to be a ubiquitous complaint some days in the Ped ED.  Knowing that the skin is the largest organ, it seems only appropriate that we should take these complaints seriously. Unfortunately, often I feel a little inadequate…

Ankle Injury

If even the magnificent Michael Jordan could have his “ankles broke” by Allen Iverson’s maleficent cross-over, then it should come as no surprise that mere mortal children will present to our EDs with ankle injuries.  If the patients were adults, we’d…

Maintenance Fluids

Within the PedEM Morsels, we have addressed many topics that involve fluid management. We have discussed the importance of considering glucose in all of your patients. We have also entertained the possibility of using hypertonic saline in critically ill patients.…

Atopic Dermatitis

“Rash.” Certainly, this is not a favorite chief complaint in the Ped ED, but unquestionably it is a common one. While there may be very few “rash emergencies,” there are several significant conditions to ponder (ex, Kawasaki, ITP, HUS) as…

Fever of Unknown Origin

Fever is one of the most common chief complaints in the Peds ED.  We are all very accustomed to the common considerations (ex, UTI, Croup, Bronchiolitis, Appendicitis, and Sinusitis).  We also know there are “zebras” that may try to trample us (ex, Kawasaki’s, Myocarditis,…

Brugada in Children

Syncope is a rather common presentation in the Pediatric ED.  While the etiology is most often a benign one, our vigilance assists us in detecting some of the more concerning entities.  Yes, the episode may have been caused by Hair-Grooming,…

Post Lumbar Puncture Headache

Post Lumbar Puncture Headache

References Bertolotto A1, Malentacchi M2, Capobianco M2, di Sapio A2, Malucchi S2, Motuzova Y2, Pulizzi A3, Berchialla P4, Sperli F2. The use of the 25 Sprotte needle markedly reduces post-dural puncture headache in routine neurological practice. Cephalalgia. 2015 Apr 23.…