Category Heme/Onc

Breath Holding Spell

Breath Holding Syncope

Kids do odd things.  Some of these “odd things” we attribute to exploring and learning about the world (ex, putting objects in nostrils, ears, or mouth). Other times the “odd conditions” are not quite explained, but are well described as…

Sickle Cell Disease and Fever

Sickle Cell Fever

Sickle Cell Disease is a terrible disease and can be associated with many complications that cause patients to present to the emergency department.  We have previously touched on several clinical issues related to sickle cell disease. We have covered Acute…

Torticollis

Torticollis

Neck problems will often grab our attention. Since the neck connects the head to the rest of the body, it seems reasonable that we pay particular attention to neck issues. Many issues are common and often benign, like “sore throat” (ex, Strep…

Aplastic Anemia

  Previously, the Ped EM Morsels have requested that we remove the phrase “it’s just a virus” from our lexicons. One simple reason is that viruses can lead to significant illness also (ex, myocarditis, Guillain-Barre). While ordering a million tests and…

Microscopic Hematuria

Obtaining a urinalysis is often part of the management plan in the Ped ED to screen for a condition.  Often it is obtained to look for possible infection.  Sometimes we are evaluating unusual swelling with concern for proteinuria. What, however,…

Facial Nerve Palsy

There are many conditions that exist in both Pediatric and Adult patients who present to the ED.  Some of them require special consideration when you are evaluating the special population of pediatric patients (please don’t say “kids aren’t little adults”……

Neonatal Leukemia

We have discussed numerous common neonatal issues (ex, Analgesia, Umbilical Granuloma, Neonatal Tooth, Hyperbilirubinemia).  Many of us have learned that neonates are challenging and demand respect.  Even the most proficient practitioner will be apprehensive of the sick neonate, given that there are…