Category 2017 Morsels

Electrical Injury

Electricity

Children are often more susceptible to environmental exposures and injuries. We have previously discussed injuries related to submersions, heat-related illness and hyperthermia, thermal burn, and hypothermia. Essentially, no matter what environment a child is in, there is usually a potential hazard nearby.…

Gastrostomy Tube Complications

Gastrostomy Tube Complications

While most often the pediatric patient’s past medical history is rather concise, there are children whose medical complexity rivals any of their adult counterparts. These children often present with various “technologic gear” (ex, VP Shunt, Baclofen Pump, PICC lines) and one…

Diabetes Insipidus

Diabetes Insipidus

Recently, @EMHighAK (Alex Koyfman) asked about any “teaching points” with respect to Pediatric DKA and Cerebral Edema. In addition to referencing an oldie, but a goodie morsel on Cerebral Edema, I also mentioned that we should all be careful not…

Pelvic Avulsion Fractures

Pelvic Avulsion Fracture

We have discussed several overuse and sports related injuries (ex, Little League Shoulder, Osgood Schlatter’s, Patellofemoral Pain) and how children’s immature skeletal structure makes their injuries unique (ex, Ankle Injury, Lateral Condyle Fx, Supracondylar Fx). There is another unique pediatric apophyseal injury…

Cerebral Venous Thrombosis

Cerebral Sinovenous Thrombosis

The patient complaint of “headache” often causes me to have a headache. There are so many things to ponder. We have previously covered some important conditions to consider when evaluating headache (ex, AVM, RMSF, Meningitis, Post-LP, Moyamoya, Migraine, Pseudotumor, and Pheochromocytoma).…

POTS: Postural Orthostatic Tachycardia Syndrome

Postural Orthostatic Tachycardia Syndrome

Syncope occurring in children is often encountered. We have previously discussed the basics of pediatric syncope and even touched on some interesting entities related to syncope (ex, Hair Grooming, Breath Holding Spell, Brugada, Prolonged qTC, Sinus Bradycardia, and Heat Related Illness).…

Linear Skull Fracture

Linear Skull Fracture

We all know that traumatic brain injury is a significant concern when evaluating pediatric patients with head injury. Over the years, this concern has lead to significant shifts in imaging and management practices: some for the better and… others perhaps…