I often think of our medical knowledge as a collection of cross-referenced manilla folders that are stored in giant drawers in a large web of neurons. In the beginning, those folders have labels but are filled with sparse information. Through…
We all know that I am not a “fan” of rashes and this is why I have a general “approach to pediatric rashes.” Part of this approach is perception of “sick vs not sick” and an assessment of the mucous…
Evaluating patients and developing a differential diagnosis list can be a slippery slope. Multiple cognitive errors (ex, premature closure, confirmation bias) are potentially just waiting to push you down that slope in the wrong direction. One region that can be…
Caring for children who present in distress is clearly challenging. There are innumerable conditions and entities to rapidly consider (ex, IEM, Heart Failure, Aortic Coarctation, Asthma, Hypoglycemia, Congenital Adrenal Hyperplasia, Thyroid Storm, … Occult Abdominal Trauma) while deftly taking critical…
Soft tissue infections are commonly encountered when caring for children. From finger infections (Whitlow, Flexor Tenosynovitis) to faces (Periorbital cellulitis, Orbital cellulitis) and within pits and creases (Intertrigo, Perianal Strep), anywhere there is skin we may find an infection. Certainly,…
FEVER! It demands a lot of our attention when caring for children. Appropriately, it has also been baked into many delicious Morsels. Certainly, there are numerous Infectious Diseases to consider and, of course, there are concerns when we can’t discern…
There are many “medical myths” that require reconsideration from time to time (ex, cuffed ETTs). Some are less mythological and more misconceptions, misunderstandings, or just related to evolution of information and technology (ex, absorbable sutures for wound closure). This brings…