Category Infectious Disease

Fever of Unknown Origin

Fever is one of the most common chief complaints in the Peds ED.  We are all very accustomed to the common considerations (ex, UTI, Croup, Bronchiolitis, Appendicitis, and Sinusitis).  We also know there are “zebras” that may try to trample us (ex, Kawasaki’s, Myocarditis,…

Septic Arthritis

We have discussed several entities that may lead to a child limping. We have covered osteomyelitis, plantar punctures, and toddler’s fractures.  We have also touched upon Osgood Schlatter’s Disease, SCFE, osteosarcoma and even Growing Pains. Now let us review a…

C. Diff in Kids

Obviously diarrheal illness can be quite debilitating and even devastating in children.  Often the main concern is Dehydration and that focusing on Oral Rehydration Therapy many of these children will do just fine.  While most often the diarrhea is due to…

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…

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…