It is certainly the season for pneumonias (even my little daughter had a significant one – see above)… and you will encounter community acquired pneumonia… so, let’s talk therapy. Large Disclaimer – there is no perfect recommendation that can easily…
Bronchiolitis is the most common lower respiratory infection in infants. – Characterized by acute inflammation, edema and necrosis of epithelial cells lining small airways, increased mucus production, mucous plugging, bronchospasm and V/Q mismatch. – Diagnosis is based on clinical history…
The American Heart Association just published the updates to CPR for both adults and children. Below are the Pediatric highlights: 5-15% of pediatric arrests are V.Fib: Peds arrest is primarily due to a respiratory insult (we are aware of this).…
Certainly we have been seeing (and will continue to see) a lot of nonspecific diarrheal illness in the Ped ED. Before you dismiss the patient as having “gastroenteritis,” consider whether this is something else,…
Epiglottitis? Think Tracheitis too! • Considered bacterial tracheitis in a patient who has fever, stridor, and symptoms that does not respond to therapy for croup (racemic epinephrine and steroids). • Additionally, that toxic appearing child that you think looks like…
Often it is stated that fever and petechial rash equates to meningococcemia (or serious bacterial blood stream infection) until proven otherwise… is that correct? Yes and No. You should have this on your differential, but nothing in life is that…
· Leukokoria is seen in 50-60% of the patients with retinoblastoma· Retinoblastoma is the most common intraocular malignancy in children, usually detected in the primary care clinic (which the ED often is now).· Median age of diagnosis: unilateral = 24 months; bilateral =…