Category Genitourinary

Phimosis

We have mentioned before how knowledge of some “less glamorous conditions” can really help make your day go more smoothly in the ED. Knowing how to manage rectal prolapse, constipation, recurrent abdominal pain, or cerumen impaction may not be what got you…

Maintenance Fluids

Within the PedEM Morsels, we have addressed many topics that involve fluid management. We have discussed the importance of considering glucose in all of your patients. We have also entertained the possibility of using hypertonic saline in critically ill patients.…

Nephrotic Syndrome

We have previously discussed several kidney related issues: Hypertension Crisis, Kidney Stones, HSP, Rhabdomyolysis and Proteinuria. Wanting to remain vigilant for the big, bad, and ugly conditions that may be lurking, let us explore another renal related condition: Nephrotic Syndrome. Nephrotic…

Ovarian Torsion

              We all know that abdominal pain is a common complaint that in the ED.  The differential is vast and includes some terrible conditions (ex, Intussusception, Necrotizing Enterocolitis, Malrotation) as well as rather common…

Varicoceles

We have discussed testicular issues, like Torsion and HSP associated pain in the past and we are all aware that a painful scrotal mass should be considered torsion until proven otherwise.  The common way to assess for that is with…

Rhabdomyolysis

Vigilance in the face of apparently common or benign presentations is a common theme of the PedEM Morsels.  As we have said, Grandma can diagnose the gastroenteritis; we need to consider the other sinister ailments that masquerade as the benign. …

HSP and Testicular Pain

HSP and Scrotal Pain

Just one more curve ball in the game of medicine.   There are several common themes that run throughout these PedEM Morsels (apparently I am not creative enough to develop other ideas).  We have discussed how we must be “ever…