· Leukokoria is seen in 50-60% of the patients with retinoblastoma· Retinoblastoma is the most common intraocular malignancy in children, usually detected in the primary care clinic (which the ED often is now).· Median age of diagnosis: unilateral = 24 months; bilateral =…
Often our job requires us to consider the presence of needles of significant illness in the haystack of nonspecific symptoms. Inborn Errors of Metabolism For the child with neurologic abnormalities, vomiting, acidosis, hypoglycemia, organomegaly, or cardiopulmonary arrest remember to consider…
Urinalysis A Urinalysis consists of 3 components: Macroscopic (color, clarity, specific gravity) Reagent Strip (chemical analysis) Microscopic There is often variation in providers working regarding which method should be used to evaluate a patient for a…
Cerebral Spinal Fluid Analysis When evaluating a neonate for possible meningoencephalitis, we often do not rely on what the Cerebral Spinal Fluid Analysis is, because it is well known that a neonate may have normal indices yet still have a…
• An uncommon condition, but a true emergency (and we just managed one on 9/2/10)• May be difficult to diagnose:⇒ Physical exam – swelling over the area may prevent you from discerning the lack of the presence of the clavicular…
Yes, summer break is officially over, but it is still warm and kids like water! Submersion Basics Submersion Events are the SECOND leading cause of accidental death in children 1-19yrs. (MVC is #1,…
Pediatric C-Spine There are no quality studies that help us determine how to clear a child who is <8 years of age; there are several studies that include pediatric patients, but none include large numbers…
“I Can’t intubate and can’t ventilate. Now what? Surgical cric? That neck seems rather small… what do I do?” Background Transtracheal ventilation is imperative for the EM physician to know how to perform. It is faster, easier, less cumbersome and…
Medical Radiation Basics • Studies are based on Atomic Bomb Data (Life Span Studies) • Medical radiation and the A-bomb are not the same, but experts have deemed the data to be reasonable. • Background radiation = 3.5 mSv/year (just…