Hyperglycemic Hyperosmotic Syndrome in Children
Hyperglycemic, hyperosmotic syndrome (HHS) can occur in children and can even be concurrent with DKA. Let's take a minute to review.
Category Endo/Met/Tox
Vitamin C Deficiency and Scurvy in Children
We are always on the lookout for the big, bad, and ugly causes of our patients’ complaints in the Emergency Department. Someone has epistaxis and we think about bleeding disorders. If a patient is limping, we know it may be…
Calcium Channel Blocker Overdose in Children
One of the greatest challenges (and also most stimulating) aspects of our profession is staying current with the evolving literature and recommendations. Yes, it can be frustrating, but it is also rewarding to be in a career that will never…
Neutralize Button Battery in the Esophagus
Last week was a highly productive week for my educational enlightenment. I learned that not all Compartment Syndrome is Acute… it can be Chronic as well. I also learned that there is a cross over between the application of Honey…
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…
Stress Dose Steroids
Caring for patients is extremely rewarding… but it can also be rather Stressful. There are many complex math problems to solve and risk-benefit ratios to balance. Even the seemingly elementary problems can mentally taxing, especially in children who are prone…
Cannabinoid Hyperemesis Syndrome
HYPER-Emesis sounds gross! It sounds like something from a horror movie and invokes thoughts of demonic possession. Of course we deal with vomiting a lot (ex, Pyloric Stenosis, Malrotation, Testicular Torsion, Ovarian Torsion, Vertigo, Ogilvie’s Syndrome) and fortunately, we have…