Sean M. Fox

Sean M. Fox

Pancreatitis

Abdominal pain in the Pediatric ED is an exceedingly common complaint. Typically, it is due to relatively common etiologies (ex. Appendicitis, pneumonia, UTI, Torsions, constipation) and we are all adept at looking for these potential issues. Often we consider other…

Don’t be afraid of PGE1

Just mentioning congenital heart disease (CHD) to most physicians causes an involuntary tightening of muscles in regions we dare not mention; yet, given the fact you are often the only one standing at the bedside, you have learned to work…

Tinea Capitis & Kerions

I think that we all believe we are adept at diagnosing tinea capitis in the pediatric emergency department. We certainly see it enough… but, remember: The diagnosis can be unclear: Tinea Capitis (caused by a dematophyte fungal infection in the…

Hyperbilirubinemia

Jaundice can be a normal part of the neonatal period (certainly both of my kids looked like the Yellow M&M for a short period in their beginnings); however, hyperbilirubinemia also generates the concern for the development of kernicterus (abnormal accumulation…

Proteinuria

In the ED (as well as the primary care office), we obtain a lot of urine samples. Most often looking for signs of infection, but also looking for potential evidence of renal disease (in the child who presents with swollen…

Diarrhea and the Petting Zoo

Now that it is “Summer Time”, and everyone is out of school (driving their respective parents crazy (or at least in my home)), there will be more frequent trips to the Zoo and to Pools. This effort to save some…

Contrast Dye and Breastfeeding

Working in the Pediatric ED will often make you the default expert in ALL realms of pediatrics. Even if the actual patient isn’t a child, the issue may revolve around concerns for a child… and you are the lucky one…