Category Endo/Met/Tox

Ketogenic Diet and Seizures

Ketogenic Diet and Pediatric Seizures During this holiday season many people are looking for the perfect diet to help them balance out all of the high caloric intake. What could be more perfect than trying to loose your excess holiday…

Apparent Life-Threatening Event

Apparent Life-Threatening Event (ALTE) Being specialists of emergencies we are facile with managing events that have the potential to threaten a person’s life.  It is interesting, then, that when a child presents to the ED with an Apparent Life-Threatening Event…

Cholelithiasis

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…

Pediatric Hypercalcemia

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…

Hydration and Status Asthmaticus

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…

Congenital Adrenal Hyperplasia

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…

Pediatric Obesity – just when you thought your job was difficult enough…

  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…