We all know that caring for children can be tricky. Being a parent is certainly tricky… but trying to decipher the subtle clues a child presents with to ensure that nothing ominous is lurking underneath the non-specific complaints is unquestionably…
Syncope is a common presentation in the Pediatric ED. While often it will be due to a benign etiology (ex, Hair Grooming Syncope), we know that there are many concerning conditions that we must consider. In the course of our…
We manage many skin infections in the Pediatric ED. From Tinea Capitis to Perianal Strep, we see infections from the top to the bottom. Some are fun to say, like Intertrigo, while others are scary to see, like Staph Scalded…
Spontaneous Bacterial Peritonitis in Children? I know, you are shaking your head right now. “Come on, Fox! I’ve never seen that before in a kid. That is an adult problem.” Well, while it may not be common, it may occur…
We know well by now that we should never say “It’s just a virus” as a way to assuage parental concerns. There are just too many viral infections that can prove to be problematic and won’t necessarily merely “go away”…
Injuries and accidents happen. Sometimes they are minor and other times, sadly, they can be major. The impact of those injuries is often relate to the location of the injury. We have covered many traumatic injury issues previously, but ocular…
Sometimes our medical training may steer us astray. Fortunately through our continued education and experience (and maybe a Morsel or seven) we can overcome these shortcomings and detect some of the covert dangerous conditions. Retropharyngeal abscess is a good example:…
Ok, so I know that broken bones are nothing to laugh about, but in children the fracture of the proximal humerus gets no respect. We always talk about the Supracondylar Fracture or Scaphoid Fracture or wax philosophic about the utility…
Children occasionally deal with “adult” medical problems (ex, Pulmonary Embolism, Cholecystitis, Renal Stones, DVTs) and, hence, may require medications that we don’t typically encounter in the pediatric patient populations. One of my least favorite medications seen on the adult and…
We have previously discussed the fact that children are not aliens (the newly born and neonates are almost aliens though), but that we must recognize children as a special population with unique anatomy and physiology. Sometimes those considerations also have…