Category 2019 Morsels

Late-Presenting Congenital Diaphragmatic Hernia

Late Presenting Congenital Diaphragmatic Hernia

Part of the challenge with evaluating children is the ever present concern for an unusual emergent condition masquerading as a common condition with non-specific symptoms. It is, thus, important for us to remain vigilant for these conditions, while proceeding in…

Sickle Cell Hepatopathy

Sickle Cell Disease Hepatopathy

Sickle Cell Disease (SCD) is terrible, and we are well versed in many of the common presentations. Pain and fever complaints dominate the majority of the encounters in the ED; however, let us not overlook the potential impact SCD has…

Upside Down Vagal Maneuver for SVT

Upside Down Vagal Maneuver

Cardiac arrhythmias and conditions in children certainly warrant our concern. The entire clinical spectrum is challenging to evaluate and manage; from the subtle presentation of heart failure or overt shock. Additionally, management may also warrant concern for other important diagnoses…

Ultrasound for Pediatric Head Injury

Cranial Ultrasound for Pediatric Head Injury

Have you ever looked at your handy ultrasound and wondered: “What else can I scan with this?” Certainly, over the past ~2 decades, our point of care ultrasound has evolved into an indispensable asset. When used correctly, it is a…

Toxic Shock Syndrome

Toxic Shock Syndrome

Caring for the child in shock is challenging! Vascular access has to be attained. Fluids have to be given quickly and Vasopressors may need to be started early! Certainly, the airway must be evaluated and, occasionally, secured. All of this…

Cardiac Tamponade in Children

Cardiac Tamponade in Children

We have discussed, previously, how the unique anatomic and physiologic differences kids have may make conditions more subtle and challenging to detect and diagnose. Additionally, the rarity of some dangerous conditions makes it difficult to easily consider these conditions. One…

Patellar Tendon Rupture

Patellar Tendon Rupture

Sports are wonderful to be involved in! They promote teamwork, selflessness, and healthy habits! With all of the positive aspects, there are also some hazards. We have discussed many other sporting-related injuries (ex, Little League Shoulder, Horse Related Injuries, Commotio…