Category Gastrointestinal

Options to Intravenous Fluids

The Morsels have focused a lot on pediatric dehydration topics in the past. We have covered the utility of Probiotics and the need to be vigilant against Hypoglycemia. We have discussed specific infections, like Salmonella, and whether antibiotics are necessary. …

Down’s Syndrome Considerations

During the course of a shift in the Emergency Department, I occasionally need to remind myself to rethink my diagnosis.  Fighting diagnostic momentum can be difficult.  That is why we look thoroughly for “Red Flags” (like we’ve talked about with…

Diarrhea and Dehydration

We have all been there: listening to the family describe, with great concern, the apparent tremendous volume of emesis that their child produced prompting the ED visit.  Everyone is knowledgeable about “dehydration” and is aware of the potential dangers it…

Necrotizing EnteroColitis

Over the years (yes, we have been doing the Ped EM Morsels that long), we have covered several intestinal disasters: for example, HSP and Intussusception, Malrotation, Intussusception, Hirschsprung’s and Enterocolitis. Yes, the differential for the neonate or young child with…

Pica

Growing up, we all knew “the kid who eats dirt” and if you don’t remember “the kid,” it is likely because you were that kid.  And look at you now… you’ve grown up so nicely.  So how can eating dirt…

Morphine and Appendicitis

Morphine and Appendicitis “Don’t give the kid with potential appendicitis morphine!” the pediatric surgeon exclaims.  Doing so will obscure their exam and delay the diagnosis… and that will make the surgeon angry… and you wouldn’t like it when the surgeon…

ProBiotics for AGE

Probiotics for Acute Gastroenteritis (AGE) We are all very familiar with the battle that is waged daily in pediatric emergency departments everywhere: the battle against dehydration due to vomiting and diarrhea!  We are well versed in the determination of degrees…