Sean M. Fox

Sean M. Fox

Herpetic Whitlow – Don’t Cut It!

  Incision of a paronychia may be the very first procedure that I ever did in my medical career, and because of that, it has always held a special place in hierarchy of medical conditions we manage.  Generally it is…

Hypercyanotic Spells

  We are all familiar with Tetralogy of Fallot, primarily because it is a great topic for test writers to torture us with questions about.  One of the cool things about pediatric cardiology is that it really makes you consider…

Hydration and Status Asthmaticus

We are all proficient at the management of asthma exacerbations.  Regardless of the season, there are always innumerable triggers of reactive airway disease and, hence, we have become very adept at its management.  Certainly, though, it can still generate significant…

HSP and Intussusception

  We have discussed intussusception before and have noted that it can be a difficult diagnosis to make as the “classic” triad of colicky abdominal pain, vomiting, and currant jelly stools only occurs in 21% of cases.  Furthermore, the precipitating…

Meckel’s Diverticulum

  Previously, we have discussed conditions that lead to kids presenting with GI Bleeding.  A recent outbreak of Salmonella inspired some conversation.  Additionally we have touched upon intussusception, which is often considered, occasionally encountered, and always asked about on board…

Congenital Adrenal Hyperplasia

Pediatric EM can be quite difficult. We have discussed how it requires vigilance to see through the mountains of patients presenting with vomiting due to gastroenteritis to find the one kid with an inborn error of metabolism.  Additionally, the super…

Head Lice – That Lousy Louse!

  No, Lice does not constitute a medical emergency… you know that… I know that… but parents will freak out if they are concerned that their child might have lice.  So, that will, inevitably, lead them to the nearest care-provider…