In the ED we are trained to think of the big, bad diagnoses first… and there are several concerning potential options when we consider Headaches (HA). HA is a common complaint that we see in children (~75% of children will…
The Chief Complaint of “rash” is such a misleading complaint. It seems so innocuous…“I’ll just run in this room real quick and diagnose non-specific viral rash in a well appearing kid and be done.” But, we all know…
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…
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…
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…
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…
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…