Category Gastrointestinal

Cyclic Vomiting Syndrome

Cyclic Vomiting Syndrome

I know that those of you looking forward to celebrating (in a responsible and socially distant manner) the 4th of July may be expecting a Morsel that is thematically appropriate (ex, Sparkler Injuries). That seems too quaint in times like…

Endometriosis in Adolescence

Endometriosis in Adolescence

“Adult” conditions don’t always adhere to age restrictions. We have previously discussed several conditions more commonly considered in adults that still can affect children (ex, Pulmonary Embolism, Cholelithiasis, Cholecystitis, Nephrolithiasis). Unfortunately, these conditions are more challenging to diagnosis in children…

Hyperammonemia

Hyperammonemia

The child with altered mental status certainly grabs our attention (rightfully so) and we have discussed several related topics. We often consider the infectious concerns (ex, Encephalitis, Meningitis, Sepsis) and traumatic etiologies (ex, head injury, hemorrhagic shock). We are always…

Cannabinoid Hyperemesis Syndrome

Cannabinoid Hyperemesis Syndrome

HYPER-Emesis sounds gross! It sounds like something from a horror movie and invokes thoughts of demonic possession. Of course we deal with vomiting a lot (ex, Pyloric Stenosis, Malrotation, Testicular Torsion, Ovarian Torsion, Vertigo, Ogilvie’s Syndrome) and fortunately, we have…

Late-Presenting Congenital Diaphragmatic Hernia

Late Presenting Congenital Diaphragmatic Hernia

Part of the challenge with evaluating children is the ever present concern for an unusual emergent condition masquerading as a common condition with non-specific symptoms. It is, thus, important for us to remain vigilant for these conditions, while proceeding in…

Bougienage for Esophageal Foreign Bodies in Children

Bougienage

Let’s be honest: our job is awesome … on so many levels! One of the most awesome aspects, though, is the ability to feel like a Superhero when you are able to make a patient actually feel better! Sometimes that…

Sigmoid Volvulus

Sigmoid Volvulus in Children

The threat of impending intestinal catastrophes is always lurking in the Pediatric ED. It is contemplated with each patient with abdominal pain or vomiting. While the symptoms may be related to non-emergent etiologies (ex, CRAP, Epiploic Appendagitis), our vigilant minds…