Category Critical Care

Spontaneous Bacterial Peritonitis in Children

Spontaneous Bacterial Peritonitis in Children

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…

Anticoagulation Related Bleeding – Use of Prothrombin Complex Concentrate

Prothrombin Complex Concentrate for Anticoagulation Reversal

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…

Hyperammonemia

Hyperammonemia

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…

Non-Convulsive Status Epilepticus

Non-Convulsive Status Epilepticus

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…

Bacterial Meningitis in Children

Bacterial Meningitis in Children

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…

Posterior Reversible Encephalopathy Syndrome in Children

Posterior Reversible Encephalopathy Syndrome in Children

2020! What a great year to focus on good clinical vision! Obviously, in children, what we most often see is, fortunately, the benign conditions; however, it takes our vigilant vision to spot the unusual to help us avoid the life…

Nontraumatic AtlantoAxial Subluxation in Children

Atlantoaxial Subluxation

Children can have major conditions disguised as relatively minor problems. We often think of Inborn Errors of Metabolism presenting as innocuous vomiting or Late Onset GBS infection presenting as poor feeding. Obviously, conditions like these don’t remain innocuous for long…