Category Endo/Met/Tox

Gross Growth Estimates

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…

Ethanol Poisoning

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…

Nonspecific diarrheal illness or HUS?

            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,…

Inborn Errors of Metabolism presenting in the ED

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…