Koplik Spots
We all know that our diagnosis is built upon the foundation of the history and physical exam. One of the challenges in caring for children in the ED is that the physical exam can be, at times, difficult to…
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.
Migraine Cocktail
Naturally, the differential for headache in pediatric patients is vast and includes conditions ranging from strep throat to Pseudotumor and pneumonia to AVM. Occasionally, we have to perform invasive tests like Lumbar Punctures to help evaluate the headache. Fortunately,…
Asthma Control
I know that everyone wants to discuss critical care topics like delayed sequence intubation, management of post-tonsillectomy hemorrhage, or damage control resuscitation. I agree, they are part of what makes Emergency Medicine exciting…
Inguinal Hernia
The patient with a swollen and/or painful scrotum will usually not go unnoticed. We have previously discussed testicular torsion and the association of the acute scrotum and HSP. We have also discussed the presentation of Varicoceles. Now let us look…
Low Risk for Intra Abdominal Trauma
We have discussed pediatric trauma several times within the PedEM Morsels (Splenic Injury, Head Injury, Pneumothorax, etc), because it is often a source of trepidation, confusion and concern. This often leads to over-reliance on ionizing radiation to help alleviate concern. Naturally, this is…
Spleen Injury
Recently we discussed abusive occult abdominal injuries and how a high index of suspicion is often required as the physical exam can be misleading. The same is true with respect to accidental injuries, which are the leading cause of morbidity…
Baclofen Pump
Medical technology continues to advance with the goal of improving patient care, but as the march toward the future seems to occur more rapidly each year, it is our challenge to stay abreast of the good and the, potentially,…