Category 2015 Morsels

Fever of Unknown Origin

Fever is one of the most common chief complaints in the Peds ED.  We are all very accustomed to the common considerations (ex, UTI, Croup, Bronchiolitis, Appendicitis, and Sinusitis).  We also know there are “zebras” that may try to trample us (ex, Kawasaki’s, Myocarditis,…

Brugada in Children

Syncope is a rather common presentation in the Pediatric ED.  While the etiology is most often a benign one, our vigilance assists us in detecting some of the more concerning entities.  Yes, the episode may have been caused by Hair-Grooming,…

Post Lumbar Puncture Headache

Post Lumbar Puncture Headache

References Bertolotto A1, Malentacchi M2, Capobianco M2, di Sapio A2, Malucchi S2, Motuzova Y2, Pulizzi A3, Berchialla P4, Sperli F2. The use of the 25 Sprotte needle markedly reduces post-dural puncture headache in routine neurological practice. Cephalalgia. 2015 Apr 23.…

Septic Arthritis

We have discussed several entities that may lead to a child limping. We have covered osteomyelitis, plantar punctures, and toddler’s fractures.  We have also touched upon Osgood Schlatter’s Disease, SCFE, osteosarcoma and even Growing Pains. Now let us review a…

Subungal Hematoma

Kids love to explore their environment, but sometimes that environment (and their lack of agility and sluggish reflexes) leads to injuries. Fortunately, often these injuries are minor. Unfortunately, those minor injuries can lead to major headaches for you in your ED.  One…

Suicide Risk

We have covered numerous critical topics in the Ped EM Morsels over the past numerous years. Many are quite attention grabbing (ex, Tonsillectomy Hemorrhage, Delayed Sequence Intubation, and Submersion Injuries, and Lawn Mower Injuries), but that does not diminish the…

Tongue Laceration

Yes, as we’ve mentioned before, kids are often Gravitationally Challenged. Toddlers, toddle and tumble constantly. Often, this leads to simple bumps and bruises and minor injuries. Occasionally, these injuries appear rather dramatically though. One that will always catch parents’ attention…