Category 2018 Morsels

Kohler’s Disease: Avascular Necrosis of the Navicular Bone

Kohler's Disease: Avascular Necrosis of the Navicular Bone

The “limping child” is commonly encountered in the ED, and while we may consider the common entities like Osgood Schlatter’s Disease, the potential issues that lead to a child limping are vast. Certainly we concern ourselves with weighing Toxic Synovitis…

Oseltamivir (Tamiflu) for Children, Maybe Not a Magic Pill

Tamiflu for Kids

Making a patient feel better is empowering and rejuvenates our professional spirits. This is why we all love taking care of the patient with a Patellar Dislocation, Shoulder Dislocation, or a Nursemaid’s elbow. Obviously, administering Adenosine for SVT can make you…

Ludwig’s Angina in Children

Ludwig's Angina in Children

Pediatric head and neck infections are encountered commonly in the Emergency Department. While most often these will be relatively simple (although still annoying to the patient and family) like Acute Otitis Media, Otitis Externa, Sinusitis, or Pharyngitis, they can also become…

Urinary Retention in Kids

Urinary Retention

Once again the Ped EM Morsels will address a topic that accentuates the fact that children are not aliens to be feared, but rather a special population of humans. Yes, children can be afflicted with conditions traditionally considered in adults…

A-Fib in Kids

A-Fib in Kids

We all know that children are a special population of humans (please don’t say “kids aren’t little adults”- it engenders fear of caring for kids instead of empowering providers for staying abreast of the issues that make caring for kids…

Central Line and Fever

Central Line and Fever

Yes. It is indubitable. Children will present for evaluation of fever. Many, if not most, will be well and likely have a self-limited illness (but, do NOT say “it’s just a virus”!). Some, however, will have fevers associated with other…

Rickets Presentations in the ED

Vitamin D Deficiency Rickets

In the Emergency Department, we are constantly juggling large lists of differential diagnoses. We become facile at sorting through the vast Ddx for seizures (ex, simple febrile seizures, complex seizures, neonatal seizures, eclampsia, seizure mimics) and syncope (ex, hair grooming…