Category 2013 Morsels

Hypertonic Saline for TBI

There has been a lot of focus on the appropriate evaluation of pediatric MINOR head injury (we’ve even covered the 3 month old caveat and concussions); however, let us not forget that MAJOR head injury is a serious public health…

Rapid MRI for VP Shunt Evaluation

VP Shunts have greatly benefited many children with hydrocephalus.  Unfortunately, VP shunts can have complications… and we have discussed some of them before (Tapping a VP Shunt).  The evaluation of a child with a VP shunt who is not critically…

Round Pneumonia

We have previously discussed Pediatric Pneumonia (and why I still live outside in the dog house).  We all commonly assess the pediatric CXR and need to be skilled in its interpretation; but have you ever looked at a CXR of…

Varicoceles

We have discussed testicular issues, like Torsion and HSP associated pain in the past and we are all aware that a painful scrotal mass should be considered torsion until proven otherwise.  The common way to assess for that is with…

Scary Ascaris

We have discussed many commonly encountered issues throughout the Ped EM Morsels, but many of us stay interested in our jobs because of the significant vastness of topics that we encounter.  When the child’s foster mother told me that she…

Parental Satisfaction

  In Annals of Emergency Medicine this month is an article about Parental Satisfaction (Byczkowski TL, et al. A Comprehensive View of Parental Satisfaction With Pediatric Emergency Department Visits. Annals of EM. Oct 2013; 62(4): pp.340-350). The pressures of “patient…

Cat Scratch Disease

We have discussed lymphadenopathy previously and last week we spoke of a specific condition that is associated with enlarged lymph nodes: Kawasaki Disease and Incomplete Kawasaki Disease.  While Kawasaki Disease is fun to think about, there is another condition that…