Pediatric Cholelithiasis After feeling the synapses in my brain start to misfire while contemplating the multitude of potential medical problems and drug interactions that my adult patients present with, I relish being able to evaluate a pediatric patient who has…
Hypercalcemia in the Pediatric Patient in your ED. I would confidently announce that we, generally, order less reflexive blood work in the pediatric ED. I would like to think that this is because we have consciously and carefully considered the…
We are all proficient at the management of asthma exacerbations. Regardless of the season, there are always innumerable triggers of reactive airway disease and, hence, we have become very adept at its management. Certainly, though, it can still generate significant…
Pediatric EM can be quite difficult. We have discussed how it requires vigilance to see through the mountains of patients presenting with vomiting due to gastroenteritis to find the one kid with an inborn error of metabolism. Additionally, the super…
We all realize that obesity plays a tremendous role in the health of adults (associated with more comorbidities, more complications, and makes management more difficult). Unfortunately, this reality is becoming more prevalent on the pediatric side of the ED…
One of the most unique aspects of pediatrics is growth and development… and how these impact your evaluation. Even in the emergency department these must be considered. For instance, when determining if that 6 month old was able to crawl…
Excited to work in the ED this St. Patrick’s Day/Weekend? Me too! Keep this in mind though: Ethanol Poisoning Ethanol is found in many beverages and products (liquor, mouthwash, cold preparations, cologne, perfume, after-shave). The classic triad of Ethanol overdose…
Certainly we have been seeing (and will continue to see) a lot of nonspecific diarrheal illness in the Ped ED. Before you dismiss the patient as having “gastroenteritis,” consider whether this is something else,…
Often our job requires us to consider the presence of needles of significant illness in the haystack of nonspecific symptoms. Inborn Errors of Metabolism For the child with neurologic abnormalities, vomiting, acidosis, hypoglycemia, organomegaly, or cardiopulmonary arrest remember to consider…
