Koplik Spots
We all know that our diagnosis is built upon the foundation of the history and physical exam. One of the challenges in caring for children in the ED is that the physical exam can be, at times, difficult to…
Category Infectious Disease
Mollaret’s Meningitis
The best part of working in the Emergency Department at Carolinas Medical Center is being surrounded by so many brilliant colleagues. I learn something new every shift (and, in truth, is where the majority of these Morsels are baked). Today’s…
Sinusitis
The ART of medicine is much more difficult to learn than the science of medicine; however, it is through becoming comfortable with the “grey areas” that we often experience our greatest ability to help others. It is also what prevents…
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…
Bicillin CR vs LA
Last week we discussed the value of the tried and trusted antibiotic, Penicillin, for pneumonia. In the past we have also mentioned Acute Rheumatic Fever and the management of Strep Pharyngitis. We know that the therapy of choice for Strep Pharyngitis…
Penicillin for Pneumonia
Infectious diseases are commonly considered when dealing with pediatric patients. We have covered topics in this realm numerous times (I believe that this would be the 64th Morsel in the ID category). One of the more prevalent considerations is pediatric…
Osteomyelitis in Kids
In the past we have discussed how prolonged fever in the Pediatric Patient should cause you to think “outside of the box.” Kawasaki Disease often comes to mind. Naturally malignancy should also be considered and a thorough history (any Back…