Category 2011 Morsels

Mono

Your patient has a sore throat. You have entertained a variety of conditions, including strep pharyngitis and even gone so far as considering Lemierre’s Syndrome, but now really believe that this is Infectious Mononucleosis (IM). What should you know? Mono Basics…

Syncope

Syncope 15-25% of children experience at least one syncopal episode by young adulthood Heart Disease has been the attributed etiology in as high as 10-28% of these cases Historical features suggestive of Cardiac etiology (similar to adults): Onset with exertion…

Acute Otitis Media

You may be rolling your eyes right now at the thought of reading about AOM. Certainly it is not as exciting to think about as Hirschsprung’s Enterocolitis and we see it so often there certainly can’t be anything new to…

Hirschsprung’s Disease (HD) and Enterocolitis

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…

Febrile Seizure Evaluation

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

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…

Ethanol Poisoning

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…