Category Infectious Disease

Typhlitis

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,…

Pneumonia Detection

Over time we all become quite confident in our clinical exam, which is routinely justified.  Occasionally, however, we do have to take a step back and ask ourselves whether our detective skills are refined enough to make the diagnosis all…

Hyperpyrexia

It is often said that fever never goes unnoticed by parents. I think most of us would agree with that and that there seems to be a direct correlation between the level of parental concern and the level of elevation…

Plantar Puncture Wound

The best lesson learned from the first Die Hard movie = never take your shoes off and shoot out glass windows. Ok, maybe I’m the only one who learned that lesson from the movie, but it is because I hate plantar…

Pica

Growing up, we all knew “the kid who eats dirt” and if you don’t remember “the kid,” it is likely because you were that kid.  And look at you now… you’ve grown up so nicely.  So how can eating dirt…

Periorbital Cellulitis

The complaint of “red eye” is frequently encountered in the Peds ED.  We have entertained some considerations with respect to Conjunctivitis (especially in neonates), but occasionally, instead of seeing the “red eye” we were expecting, we see a child who…

Relative Bradycardia

Relative Bradycardia There are several things that Jay-Z and I have in common, but one that might not be obvious is our mutual love for Big Pimping! Now, I realize that “pimping” residents and medical students has gone out of…