Unquestionably, a lot of electrolyte panel laboratory studies get ordered reflexively and have little true clinical utility. The healthy kid (or adult for that matter) with vomiting and diarrhea for two days does not typically benefit from the “Chem 200”…
Many of us enjoy the aspect of medicine that requires our refined detective skills to not only find clues in the haystacks of chief complaints and presentations, but also use those clues to deduce a diagnosis. It is one of…
“Abdominal pain” is ubiquitous in the pediatric acute care setting. It’s list of potential causes are extensive and diverse. We have discussed many of these causes from acute (ex, appendicitis, intussusception, pancreatitis) to chronic (ex, CRAP). We have also discussed causes…
Wound management is an important aspect of care in the Peds ED. We have covered several related topics (ex, Plantar Wounds, Road Rash, Fish hook FB, Absorbable Sutures). Aside from the initial assessment, irrigation, FB removal, associated injury evaluation, and wound…
We all are well aware of the prevalence “fever” as a presenting complaint. We are also well aware that not all “cc: fever” are created equal. Fever in a neonate may be due to a virus, but we can’t bet…
Embryology is amazing. Seriously. Think about it. Growing from one cell to all of the complex structures that form our organs is literally miraculous. It is shocking that it is able to occur correctly at all and it should be…
Parents pay a lot of attention to the skin of their child and, certainly, the skin exam is a valuable tool for the vigilant clinician (ex, Cap Refill, Petechiae below Nipple Line, Leukemia, RMSF). That being said, the majority of…