Category Infectious Disease

Delayed Diagnosis of Kawasaki Disease

  Vigilance can be the most difficult part of our job.  After being inundated with kids who have all started back to school and swapped their various viruses with one another and now have new fevers (after having just got…

Traumatic Lumbar Puncture

Lumbar Punctures are commonly done in the Emergency Department and we have discussed several important issues pertaining to them in the past (Positioning, Variance of Analysis based on Age, and Neonatal HSV), but we have yet to discuss the most…

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…