The child with altered mental status certainly grabs our attention (rightfully so) and we have discussed several related topics. We often consider the infectious concerns (ex, Encephalitis, Meningitis, Sepsis) and traumatic etiologies (ex, head injury, hemorrhagic shock). We are always…
Let’s be honest, the lymphatic system gets no respect. While the blood vessels and nerves are carefully considered and protected, the lymphatic vessels are not even at the forefront of our contemplations. That is until they cause problems! We have…
Despite being able to ignore many odd occurrences in the house, there are several things that will classically attract acute attention from a parent: fever; a child “not eating;” not pooping for a day; lumps and bumps; and rashes. The…
We know kids like to test Gravity! Sometimes they lose that test. Fortunately, their bones are more likely to bend then to break (ex, Ankle Injury, Salter-Harris Fx). Fractures do, however, occur… and when they occur in the hand it…
Most chief complaints generate a clear Differential Diagnosis (Ddx) list in your mind. There are the well-known, “big ticket” issues that need to be considered (Abdominal Pain -> Appendicitis; Chest Pain -> Pericarditis; Headache -> Meningitis) as well as the…
We are well aware that children seem like to test Gravity daily and that some days Gravity wins! This leads to numerous injuries and fractures (ex, Supracondylar, Hand, Finger, Face, Toddler’s). Unfortunately, pediatric trauma involves more than just Gravity (ex,…
It is very clear that vaccinations have improved the health of children worldwide! From Measles to Mumps and from Tetanus to Pertussis, we see the significant benefit of vaccinations. We even can administer vaccines in the Emergency Department to help…