Category Endo/Met/Tox

Reye’s Syndrome

Reye's Syndrome

Call me crazy, but discussing Measles last week got me feeling nostalgic. Mumps, Tetanus, and Chicken Pox similarly harken back to the early days… you know, when safe and reliable vaccines didn’t exist. I distinctly remember having chicken pox personally…

Ingested Lead Foreign Bodies: Not a Typical FB

Lead Weight and Bullet Ingestion

Foreign Bodies (FBs) are so commonly encountered in the Peds ED, sometimes it seems like they are not so “foreign.” FBs end up everywhere we look: in the Nose, Ear, Skin, Esophagus and Airway! Often they are relatively “easy” to…

Hyperkalemia

Hyperkalemia in Children

We all can take things for granted. Certainly I do all of the time: like Gravity, or that a post-menarche female will have a urinary pregnancy test done, or that the kid with altered mental status will have a finger…

Loperamide Abuse and Overuse

Loperamide Abuse

There are many conditions to consider when dealing with a patient who presents with altered mental status. Is there a significant intracranial pathology (ex, AVM, Trauma)? Is there a serious bacterial infection? Is there a terrible abdominal catastrophe (ex, Intussusception)?…

Horner Syndrome in Children

Horner's Syndrome

Despite what some may think, medical school wasn’t that long ago for me (stop laughing people!). I remember learning by making associations. Rash on “palms and soles” meant to think of syphilis. Horner Syndrome meant to think of a pancoast…

Hypothyroidism and Myxedema Coma

Myxedema Coma and Hypothyroidism

When managing critically ill adults or even adults with “odd complaints,” we often think of the thyroid gland and its potential disorders. The same ease of contemplation when dealing with a child is not as effortless, but there are occasions…

Failure to Thrive

Failure to Thrive

Children have very few responsibilities and even fewer jobs (just ask my kids). The one job young children have is growing. We have discussed some Growth and Development topics previously (ex, Milestones, Infant Formula, Growth Estimates). Occasionally, that single job…