Pediatric Lymphadenopathy As has been highlighted in prior Morsels, our job in the Ped ED is to use our expert skills to pick out the needles of significant disease from amongst the large haystack of benign conditions. Lymphadenopathy occurring in…
A common theme of many of the PedEM Morsels has been the need to be ever vigilant. This is not in contradistinction to the adult side of the ED. Certainly vigilance is mandatory with all patient encounters; however, the fact…
You may wonder why over the past >3 years I have continued to write and distribute my beloved PedEM Morsels. You consider the fame and fortune that I have amassed and realize that… well, that cannot be it. Certainly knowing…
We have discussed intussusception before and have noted that it can be a difficult diagnosis to make as the “classic” triad of colicky abdominal pain, vomiting, and currant jelly stools only occurs in 21% of cases. Furthermore, the precipitating…
We’ve discussed how rashes often present to the ED… and often I don’t know what they are do to; however, we are trained to look for characteristics that may indicate a concerning etiology and warrant additional work-up (ex. Petechiae, purpura,…
Carrying along with the theme of unusual conditions presenting as the common illnesses (see also Kawasaki Disease, HUS and many other Pediatric conditions), let’s bring to mind Lemierre’s Syndrome. • Jugular Vein Thrombosis (JVT) associated with an anaerobic infection in…
· Leukokoria is seen in 50-60% of the patients with retinoblastoma· Retinoblastoma is the most common intraocular malignancy in children, usually detected in the primary care clinic (which the ED often is now).· Median age of diagnosis: unilateral = 24 months; bilateral =…