Category Genitourinary

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…

Wilms’ Tumor

Wilms' Tumor

Despite being able to ignore many odd occurrences in the house, there are several things that will classically attract acute attention from a parent: fever; a child “not eating;” not pooping for a day; lumps and bumps; and rashes. The…

Ovarian Inguinal Hernia

Ovarian Inguinal Hernia

Have you ever seen a condition or complaint so many times that you feel that there is no way it can surprise you? Yeah… me neither. I am positive every condition can humble us at one point or another. That…

Renal Papillary Necrosis and Sickle Cell Disease

Renal Papillary Necrosis and Sickle Cell Disease

Blood shooting out of the urethra will catch people’s attention! While it may be due to a relatively benign issue, there are a number of considerations that immediately come to our minds: Renal Trauma, Abdominal Trauma, Renal Stones, UTI. While…

Post-Streptococcal Glomerulonephritis

Glomerulonephritis

Often our clinical role is similar to that of a detective. We carefully search a patient’s history and physical exam to discover the obscure clues that help us to provide excellent care. Is that pyoderma gangrenosum? We need to consider…

Testicular Workup for Ischemia and Suspected Torsion (TWIST) Score

Testicular Torsion and TWIST Score

A New Year begins. With it, personal resolutions are being made throughout the lands. If you have yet to select a worthwhile New Year’s Resolution, join me in striving toward an improvement goal that can benefit ourselves as well as…

Urinary Tract Infection (UTI) Algorithm

Urinary Tract Infection (UTI) Algorithm

It often seems that we are on the search for the omnipresent Urinary Tract Infection (UTI) in the Pediatric ED. “You have fever? Let’s check the urine.” “You have belly pain? Let’s check the urine.” “You think your urine smells funny?…