Category Gastrointestinal

Crohn’s Disease Red Flags

Crohn’s Disease Red Flags We are all certainly familiar with the patient who presents with abdominal pain and all of the various concerns that we mentally filter through.  We are also aware that Chronic Recurrent Abdominal Pain (CRAP) can be…

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…

HSP and Intussusception

  We have discussed intussusception before and have noted that it can be a difficult diagnosis to make as the “classic” triad of colicky abdominal pain, vomiting, and currant jelly stools only occurs in 21% of cases.  Furthermore, the precipitating…

Meckel’s Diverticulum

  Previously, we have discussed conditions that lead to kids presenting with GI Bleeding.  A recent outbreak of Salmonella inspired some conversation.  Additionally we have touched upon intussusception, which is often considered, occasionally encountered, and always asked about on board…

Salmonella Gastroenteritis

We all love to eat raw eggs in our morning protein shake (with extra peanut butter), but occasionally an outbreak of Salmonella will cause us to rethink our dietary choices.  So, should we reconsider how we manage gastroenteritis in patients…

Malrotation

    A common theme of each week’s Ped EM Morsels seems to center around how difficult our jobs can be.  I don’t want you to think that I am trying to accentuate a defeatist’s attitude, but rather highlight how the…