Category Endo/Met/Tox

Pheochromocytoma

  The PedEM Morsels often focus on remaining vigilant. That certainly does not mean ordering a million unnecessary tests, but rather strives to augment our awareness of the complex systems we evaluate and appreciate that certainty is a fool’s proclamation.…

Dystonic Reactions

Our job can be deeply satisfying. When you are able to relieve a patient’s pain or able to help detect impending disaster and avoid it, you feel like a superhero. Sometimes something as simple a fixing a Nursemaid’s Elbow will…

Laundry Detergent Pod Toxicity

  We have discussed previously how poisonings (Childhood Injury) is one of the top leading causes of death in children.  Obviously, knowing your friendly, neighborhood toxicologist or the number to the local Poison Control Center is very helpful when working in…

Eating Disorders

            Most of us entered into the practice of medicine to “make a difference.”  {Having read a lot of applicants’ personal statements, I know this to be true.}  The realm of Pediatric Emergency Medicine often…

Cerebral Edema and Diabetic Ketoacidosis

  Cerebral edema is the most feared emergent complication of pediatric diabetic ketoacidosis.  Fortunately, it is relatively rare, but the rarity can lead to some confusion when it comes to its management.  We recently discussed the use of mannitol and…

Hypoglycemia

No one likes to be made to look like a fool, but overlooking the potential for hypoglycemia is a guaranteed way to cause you to facepalm yourself. Having been on the receiving end of the facepalm over missed hypoglycemia too…

Rhabdomyolysis

Vigilance in the face of apparently common or benign presentations is a common theme of the PedEM Morsels.  As we have said, Grandma can diagnose the gastroenteritis; we need to consider the other sinister ailments that masquerade as the benign. …