HSP and Testicular Pain
Just one more curve ball in the game of medicine. There are several common themes that run throughout these PedEM Morsels (apparently I am not creative enough to develop other ideas). We have discussed how we must be “ever…
Category 2012 Morsels
Safely Remove Helmet and Shoulderpads
I love football! Ok… I mean American Football for those of you outside the US… Not that I don’t like soccer, certainly. But back to the point: I love football! Now it is football season again and life is good.…
Splenic Sequestration – Be a Spleen Detective!
A common theme of many of the PedEM Morsels has been the need to be ever vigilant. This is not in contradistinction to the adult side of the ED. Certainly vigilance is mandatory with all patient encounters; however, the fact…
Coarctation of the Aorta in Older Children
We have discussed my philosophy of pediatric EM prior: primarily it is composed of a wide variety of “grandma diagnoses,” that can be accurately diagnosed and managed by an astute grandmother. Our purpose, however, is to not be another “grandma,”…
Krazy Keppra
Keppra: Important Side Effect One of the most interesting (and most frustrating) aspects of our jobs is its perpetually evolving nature. That can be humbling (particularly when what you held as steadfast fact is pointed out to be mythical by your…
Post-Tonsillectomy Hemorrhage
We know that all bleeding eventually stops: ideally, by means that we have imposed rather than by exhaustion of the patient’s RBC resources. We also know that the easiest, and often most efficacious, way to halt bleeding is to put…
Neuroblastoma Presentations in the ED
No one wants to inform a family that their child has a malignancy, but our jobs certainly place us in a position where it is occasionally necessary for us to do so. While this may not be an aspect that…