Once again, a common theme of the Morsels is a need for vigilance. Unfortunately, sometimes those seemingly straight forward cases of vomiting in fact are due to an Inborn Error of Metabolism and it requires our vigilance to make the diagnosis.…
Something that is certainly unique about the practice of emergency medicine is the approach to problems from the “worst first” perspective. Now, generally, I would consider myself as someone who minimizes testing and prefers to spend a few extra minutes…
Ascending paralysis naturally evokes concern for Guillain-Barre syndrome, but one entity that should be on your differential and requires special action is Tick Paralysis. Let’s take a minute to refresh our memories about this interesting and important condition. Presentation Prodrome…
We obtain ECGs for a number of reasons in the ED, but in the pediatric ED, we often obtain them in the child who presents with a complaint related to syncope. We have discussed syncope issues previously (Syncope, Hair-combing syncope,…
Working in the Emergency Department places us in a unique position to allow our words to have a significant impact with our patients and their families. While this time of year brings submersion injuries to the front of our minds…
We have previously discussed several kidney related issues: Hypertension Crisis, Kidney Stones, HSP, Rhabdomyolysis and Proteinuria. Wanting to remain vigilant for the big, bad, and ugly conditions that may be lurking, let us explore another renal related condition: Nephrotic Syndrome. Nephrotic…
I think that we would all agree that “bleeding” as the chief complaint catches your attention in the Peds ED (or any ED for that matter). We have previously covered Post-Tonsillectomy Hemorrhage, oropharyngeal trauma, Hemorrhagic Disease of the Newborn, ITP and the…