PANDAS
We have previously addressed the notion that “Not All That Shakes is a Seizure.” Often, just by witnessing the “shaking” it is possible to lower the concern for seizures; however, refrain from being dismissive, as there are a number of…
Category 2016 Morsels
UTI Empiric Antibiotics
Last week we discussed making the diagnosis of an urinary tract infection. Essentially, we reinforced the fact that we can only make a presumptive diagnosis of UTI in the ED. In some situations, you may prefer to await the urine…
Urinary Tract Infection (UTI)
Often, it seems as if the quest for “an answer” can cause us to see what is not there. This is particularly problematic with respect to the quest to decipher the cause of fever. Appropriately, we may consider the potential…
Hereditary Angioedema
We have previously discussed Chronic Recurrent Abdominal Pain. Certainly, this is not a sensational topic, yet it is one that is encountered often and can not only derail your shift, but may also obscure our view of the true underlying,…
Peritonsillar Abscess
Throat pain in a child will catch a parent’s attention, which, in turn leads to it catching your attention. Most often the parental concern is over whether this is due to Strep Throat or Mono. Naturally, there are a variety of…
Sickle Cell Disease and Fever
Sickle Cell Disease is a terrible disease and can be associated with many complications that cause patients to present to the emergency department. We have previously touched on several clinical issues related to sickle cell disease. We have covered Acute…
Torticollis
Neck problems will often grab our attention. Since the neck connects the head to the rest of the body, it seems reasonable that we pay particular attention to neck issues. Many issues are common and often benign, like “sore throat” (ex, Strep…