Category 2018 Morsels

Duodenal Hematoma

Pediatric Duodenal Hematoma

Abdominal trauma in children should garner an appropriate amount of respect and concern. The child’s abdominal wall, unfortunately, is not as protective of the internal structures compared to adults’ abdominal wall. Additionally, signs of trauma can be minimal or nonexistent.…

Laryngeal Fracture

Laryngeal Injury

Few things are more synonymous with pediatric emergency care than “throat pain” and “trauma.” If you are seeing children in the ED right now, I’m sure there is one complaining of sore throat and another has had a recent traumatic…

B-Type Natriuretic Peptide (BNP) use in Children

B-Type Natriuretic Peptide (BNP) use in Children

We doctors love to order tests, often only to confirm things we already know. Did that lactate level for the child in SHOCK help your decision to start vasopressors? Better yet, did that WBC count really help us determine whether the…

Renal Trauma

Renal Trauma in Children

Seeing blood in a child’s urine will catch a parent’s attention. We’ve discussed several causes of blood in the urine (ex, Microscopic Hematuria, Sickle Cell Trait, Kidney Stones, UTI), but the one that deserves special attention is Abdominal Trauma. Since accidental…

Vertigo in Children

Vertigo

No one likes to feel dizzy and, certainly, no one likes feeling as if the the room is spinning (unless you are competing in a game of Dizzy-Bat). When an adult has vertigo, I get queasy too. The severe causes can…

Epistaxis in Children

Epistaxis in Children

To a child, the nose is a fascinating part of the anatomy. When it is working well, they barely notice it. When it isn’t, it is the focus of much interest and anxiety. Additionally, it can be used as a…

Brown Recluse Spider Envenomation

Brown Recluse Envenomation

Children are curious creatures. Yes, they are perplexing (well, at least my kids are), but they are also interested in exploring their environments. This curiosity can place them in harms way at times… and then they come to see you…