Nasal Foreign Bodies
Nasal Foreign Bodies – Positive Pressure Technique We have all been there… whether at work at home… looking at a child in disbelief: “why would you put that up there?” Inevitably, what goes up, must come down. But how?…
Sean M. Fox
I enjoy taking care of patients and I finding it endlessly rewarding to help train others to do the same. I trained at the Combined Emergency Medicine and Pediatrics residency program at University of Maryland, where I had the tremendous fortune of learning from world renowned educators and clinicians. Now I have the unbelievable honor of working with an unbelievably gifted group of practitioners at Carolinas Medical Center. I strive every day to inspire my residents as much as they inspire me.
Neonatal Conjunctivitis / Ophthalmia neonatorum
This is one of those conditions that can generate a lot of confusion and debate among intelligent people… and is therefore fun to think about. Neonatal Conjunctivitis As the name suggests, it is conjunctivitis that develops within the 1st 4…
Burns
As my family plans to ignite the forest of candles on my birthday cake, it dawns on me that I may need to manage my own burn. So as a Happy Birthday gift to myself, we’ll talk about burns briefly.…
Upper Extremitiy Fractures – Lateral Condyle Fracture
After working this past week, I have a new found love/disdain for upper extremity fractures in kids – not sure how 5 kids coordinated their injuries to all arrive at the same time… but it gives me hope for…
Acute Otitis Media and Cochlear Implant
Acute Otitis Media with Cochlear Implant Advancements in medicine can benefit our patients, but remember they can also complicate our decision making as a physician. In this case, that acute otitis media you are diagnosing may not be as simple…
Pseudosubluxation
Happy New Year!!!! Inevitably the coming days will be a pain in the neck, or at least present you with the opportunity to evaluate kids with pains in their necks. When that happens, recall that kids have several normal radiographic…
Retropharyngeal Abscess
Retropharyngeal Abscess – Look for limited neck mobility. Happy Holidays to All!! What better way to celebrate the Holidays than to consider purulent infections in a small space of the neck! Retropharyngeal abscesses typically occur in children <5 yrs of…
Wrist Fractures: to splint or cast?
Wrist fractures are the most common fx in children – Traditionally they are treated with short arm cast for 4-6 weeks. – Casts, however, make it difficult to bathe and are stinky and uncomfortable… and can be used as weapons…
Positioning for Lumbar Puncture
Positioning for Lumbar Puncture I am likely jinxing myself (and anyone working in the Peds ED while reading this… sorry), but it is useful (at least I think so). Just close your eyes and imagine that it is 0530hrs and…
Strep Pharyngitis
Background – Pharyngitis is most commonly caused by viral infections. – Bacterial play a much smaller; Group A Strep (GAS) is the leader of this small pack. – GAS is primarily a disease of children (5-15yrs is the “sweet spot;”…
Systolic Blood Pressure Guide
• Recall that hypotension, as demonstrated by numeric values, is a later finding in children. • The child that does exhibit low blood pressure readings has progressed down that “slipper slope” of shock to a considerable extent. • PALS traditionally…
Testicular Torsion
Torsion is the most significant condition on the DDx of patient with scrotal pain. Prompt diagnosis is imperative: The success rate of saving the testicle decreases after 6-8 hours. At 12 hours, is the success rate is near 0% (BUT…