We evaluate a lot of patients with abdominal pain. We are actively search for appendicitis and get a slight sense of self-satisfaction when we diagnose it. Conversely, constipation is many times the default diagnosis in the patient with unclear…
Abdominal pain in the Pediatric ED is an exceedingly common complaint. Typically, it is due to relatively common etiologies (ex. Appendicitis, pneumonia, UTI, Torsions, constipation) and we are all adept at looking for these potential issues. Often we consider other…
Jaundice can be a normal part of the neonatal period (certainly both of my kids looked like the Yellow M&M for a short period in their beginnings); however, hyperbilirubinemia also generates the concern for the development of kernicterus (abnormal accumulation…
Now that it is “Summer Time”, and everyone is out of school (driving their respective parents crazy (or at least in my home)), there will be more frequent trips to the Zoo and to Pools. This effort to save some…
Certainly, we all are concerned about intussusception when we see a child with vomiting without diarrhea. But the management often seems to be different depending on the day of the week and the phase of the moon. Here’s my humble…
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…
We all will recognize that delayed passage of meconium (no BM in the first 48 hours of life) is concerning for Hirschsprung’s Disease. Well, that should mean that it isn’t an entity that I need to consider in the ED…