Category 2012 Morsels

Pediatric Sexual Assault “Interviewing” – You are not a detective!

  Regardless of whether you work at a large tertiary center or a referring hospital, unfortunately, you will be faced with the pediatric sexual assault victim.  Most of us, despite our training and clinical experience, are still very uncomfortable managing…

Slipped Capital Femoral Epiphysis

We all studied a lot for boards (some of us more recently than others) and one topic that is routinely covered in both the Pediatric and the Emergency Medicine realms is SCFE.  So, it would stand to reason that we…

Concurrent Meningitis in infant with UTI?

    Last week I mentioned that, at times, you realize that what you were taught may have been … hmm… not fully correct.  Recently a colleague raised a great question: in the infant (6 week old) who has a…

Conjunctivitis and Conjunctivitis-Otitis Syndrome

  Have you recently heard anyone say the following statement: “Around 80% of conjunctivitis is due to viruses. We often treat them with antibiotics, but it is more so the kid can go back to daycare.”  I certainly was taught…

Bronchiolitis – Who Needs to Stay?

  Well, this “winter” in Charlotte has been delightful – temperatures in the 60’s, blue skies, and birds singing (literally).  While this makes for fun times outside of the hospital, it seems to have spawned a never-ending stream of kids…

Idiopathic Intracranial Hypertension

  We have all dealt with patients presenting with headaches.  They often cause some cephalgia in us as well.  Certainly, in the adult ED chronic headaches are more common and the diagnosis of pseudotumor cerebri more commonly considered.  While it…

Malrotation

    A common theme of each week’s Ped EM Morsels seems to center around how difficult our jobs can be.  I don’t want you to think that I am trying to accentuate a defeatist’s attitude, but rather highlight how the…