Pyoderma Gangrenosum
Many of us enjoy the aspect of medicine that requires our refined detective skills to not only find clues in the haystacks of chief complaints and presentations, but also use those clues to deduce a diagnosis. It is one of…
Category Gastrointestinal
Ogilvie’s Syndrome
Caring for people, particularly children, can be very humbling. Just when you think you have a grasp of the potential hazards and pitfalls, a new zebra runs you over. While focusing extensively on “zebras” can be counterproductive, it is useful…
Gastrostomy Tube Complications
While most often the pediatric patient’s past medical history is rather concise, there are children whose medical complexity rivals any of their adult counterparts. These children often present with various “technologic gear” (ex, VP Shunt, Baclofen Pump, PICC lines) and one…
Pneumatosis Intestinalis
Air may be considered the sine qua non of life (without it there is nothing); however, we prefer to have it in specific areas, like our lungs. Finding air where it isn’t supposed to be can often portend serious medical…
Hereditary Angioedema
We have previously discussed Chronic Recurrent Abdominal Pain. Certainly, this is not a sensational topic, yet it is one that is encountered often and can not only derail your shift, but may also obscure our view of the true underlying,…
Lead Poisoning
Poisonings certainly get practitioners’ attention; but some may present in a very subtle manner, making our task quite challenging. Lead Poisoning does not often present with acute symptoms either, making it even more difficult to think of, but it is…
Small Bowel Intussusception
Intussusception is a common concern that we manage when faced with a child with abdominal pain and/or vomiting. We have discussed multiple aspects of the evaluation and management of intussusception (ex, Intussusception, Intussusception and HSP, Change in Mental Status, and…