We all will recognize that delayed passage of meconium (no BM in the first 48 hours of life) is concerning for Hirschsprung’s Disease. Well, that should mean that it isn’t an entity that I need to consider in the ED…
On this April Fool’s Day, do not let the seizing patient with a fever make a fool of you. Naturally, anytime a patient has a fever and a seizure, the first concerning diagnosis that comes to mind is meningitis; however,…
Interosseous Access for the Neonate in Need The neonate in shock strikes fear into even the most veteran physicians (and certainly makes my brain slip a gear or three). Part of the reason is that it happens relatively infrequently (why…
Excited to work in the ED this St. Patrick’s Day/Weekend? Me too! Keep this in mind though: Ethanol Poisoning Ethanol is found in many beverages and products (liquor, mouthwash, cold preparations, cologne, perfume, after-shave). The classic triad of Ethanol overdose…
1. Our Surgical colleagues often would like us to believe that a scalpel can fix any problem – in this case, they may be correct. 2. We often prescribe antibiotics after drainage of a simple abscess… perhaps to make us…
Carrying along with the theme of unusual conditions presenting as the common illnesses (see also Kawasaki Disease, HUS and many other Pediatric conditions), let’s bring to mind Lemierre’s Syndrome. • Jugular Vein Thrombosis (JVT) associated with an anaerobic infection in…
Kawasaki’s Disease (KD) is a condition that is often thought of while “pimping” students, but in clinical practice it is often quickly disregarded. Unfortunately, KD is the leading cause of acquired heart disease in children in the developed world (surpassing…