Happy New Year!!!! Inevitably the coming days will be a pain in the neck, or at least present you with the opportunity to evaluate kids with pains in their necks. When that happens, recall that kids have several normal radiographic…
Retropharyngeal Abscess – Look for limited neck mobility. Happy Holidays to All!! What better way to celebrate the Holidays than to consider purulent infections in a small space of the neck! Retropharyngeal abscesses typically occur in children <5 yrs of…
Wrist fractures are the most common fx in children – Traditionally they are treated with short arm cast for 4-6 weeks. – Casts, however, make it difficult to bathe and are stinky and uncomfortable… and can be used as weapons…
Positioning for Lumbar Puncture I am likely jinxing myself (and anyone working in the Peds ED while reading this… sorry), but it is useful (at least I think so). Just close your eyes and imagine that it is 0530hrs and…
Background – Pharyngitis is most commonly caused by viral infections. – Bacterial play a much smaller; Group A Strep (GAS) is the leader of this small pack. – GAS is primarily a disease of children (5-15yrs is the “sweet spot;”…
• Recall that hypotension, as demonstrated by numeric values, is a later finding in children. • The child that does exhibit low blood pressure readings has progressed down that “slipper slope” of shock to a considerable extent. • PALS traditionally…
Torsion is the most significant condition on the DDx of patient with scrotal pain. Prompt diagnosis is imperative: The success rate of saving the testicle decreases after 6-8 hours. At 12 hours, is the success rate is near 0% (BUT…