Category 2012 Morsels

Hydration and Status Asthmaticus

We are all proficient at the management of asthma exacerbations.  Regardless of the season, there are always innumerable triggers of reactive airway disease and, hence, we have become very adept at its management.  Certainly, though, it can still generate significant…

HSP and Intussusception

  We have discussed intussusception before and have noted that it can be a difficult diagnosis to make as the “classic” triad of colicky abdominal pain, vomiting, and currant jelly stools only occurs in 21% of cases.  Furthermore, the precipitating…

Meckel’s Diverticulum

  Previously, we have discussed conditions that lead to kids presenting with GI Bleeding.  A recent outbreak of Salmonella inspired some conversation.  Additionally we have touched upon intussusception, which is often considered, occasionally encountered, and always asked about on board…

Congenital Adrenal Hyperplasia

Pediatric EM can be quite difficult. We have discussed how it requires vigilance to see through the mountains of patients presenting with vomiting due to gastroenteritis to find the one kid with an inborn error of metabolism.  Additionally, the super…

Head Lice – That Lousy Louse!

  No, Lice does not constitute a medical emergency… you know that… I know that… but parents will freak out if they are concerned that their child might have lice.  So, that will, inevitably, lead them to the nearest care-provider…

Pertussis – Still a Problem.

  I don’t get around to watching the news much anymore (and for the most part that isn’t a bad thing as the idea of an objective reporter of news has morphed into someone who reiterates talking points over and…

Popsicle Panniculitis

  Many management algorithms in the Pediatric ED have “Administration of Ice Popsicle” as the main nodal decision point and therapeutic maneuver.  Some days I feel like a drug dealer as I continually offer free Ice Pops to the little…