Category Heme/Onc

Horner Syndrome in Children

Horner's Syndrome

Despite what some may think, medical school wasn’t that long ago for me (stop laughing people!). I remember learning by making associations. Rash on “palms and soles” meant to think of syphilis. Horner Syndrome meant to think of a pancoast…

Thromboelastagram and Trauma

Thromboelestagram and Trauma

Trauma and accidental injuries keep us all quite busy in the Emergency Departments across the country. Unfortunately, despite advances in prevention, trauma is still the leading cause of mortality in children. Appropriately, we have discussed numerous topics pertaining to trauma…

Pyoderma Gangrenosum

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…

Neutropenic Fever

Neutropenic Fever in Children

We all are well aware of the prevalence “fever” as a presenting complaint. We are also well aware that not all “cc: fever” are created equal. Fever in a neonate may be due to a virus, but we can’t bet…

Diabetes Insipidus

Diabetes Insipidus

Recently, @EMHighAK (Alex Koyfman) asked about any “teaching points” with respect to Pediatric DKA and Cerebral Edema. In addition to referencing an oldie, but a goodie morsel on Cerebral Edema, I also mentioned that we should all be careful not…

Sickle Cell Trait

Sickle Cell Trait

We have discussed many medical “myths” previously (ex, Atropine for RSI, Cuffed ETTs, ORT vs IVF, Morphine for Appendicitis), but recently one of my esteemed PEM Fellows enlightened me about another.  We have touched on some of the complications that…

Leukemia Clues

Leukemia Clues

Many of the PedEM Morsels accentuate the need to be vigilant, although reasonable, and guard against the significant pathology that may present in a benign manner. Often this merely requires maintaining an “active” mind when evaluating children.  The “active” mind…