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…
Discussion of bleeding and bleeding disorders always garners attention. We have recently covered hemophilia, ITP, and hemorrhagic disease of the newborn, but let us turn our attention to the most prevalent bleeding disorder: Von Willebrand Disease. Certainly, making the diagnosis…
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…
I think that we would all agree that “bleeding” as the chief complaint catches your attention in the Peds ED (or any ED for that matter). We have previously covered Post-Tonsillectomy Hemorrhage, oropharyngeal trauma, Hemorrhagic Disease of the Newborn, ITP and the…
On several occasions we have discussed significant gastrointestinal conditions that may present in the young child (Intussusception, Malrotation, Necrotizing Enterocolitis, and even Crohn’s Disease). These conditions may present with blood being noticed in the stool (Meckel’s Diverticulum would also come…
We all care for many children who present with fever, nausea, and vomiting. Naturally, one of our first goals is to consider severe and life-threatening conditions and, fortunately, many times these are apparent on clinical exam. Unfortunately, certain patient populations,…
We have discussed previously (in Splenic Sequestration – Be a Spleen Detective!) how being vigilant for “badness” is paramount when caring for patients with sickle cell disease. Often, the dreaded complications that we are taught to look for don’t present…