Life is complex and even the common can become complicated. Yes, “simple viruses” can wreck havoc (COVID is certainly reminding us of this now… but let’s not forget Measles and Mumps and Varicella to name a few). Sure pneumonia is…
The child with altered mental status certainly grabs our attention (rightfully so) and we have discussed several related topics. We often consider the infectious concerns (ex, Encephalitis, Meningitis, Sepsis) and traumatic etiologies (ex, head injury, hemorrhagic shock). We are always…
Most chief complaints generate a clear Differential Diagnosis (Ddx) list in your mind. There are the well-known, “big ticket” issues that need to be considered (Abdominal Pain -> Appendicitis; Chest Pain -> Pericarditis; Headache -> Meningitis) as well as the…
2020! What a great year to focus on good clinical vision! Obviously, in children, what we most often see is, fortunately, the benign conditions; however, it takes our vigilant vision to spot the unusual to help us avoid the life…
Children can have major conditions disguised as relatively minor problems. We often think of Inborn Errors of Metabolism presenting as innocuous vomiting or Late Onset GBS infection presenting as poor feeding. Obviously, conditions like these don’t remain innocuous for long…
Have you ever looked at your handy ultrasound and wondered: “What else can I scan with this?” Certainly, over the past ~2 decades, our point of care ultrasound has evolved into an indispensable asset. When used correctly, it is a…
Oh, once again, Homer is correct! Physics does matter. As does Anatomy and Physiology with respect to caring for children. We’ve previously discussed how these aspects have significance when evaluating ill and injured children (ex, Thoracic Trauma, Abdominal Trauma), but…
There are numerous conditions that we all learned about in medical school, but then quickly allowed to fall to the deep recesses of our mind (some of us may find to difficult to find them in those chasms now). While…
Evaluating children in the ED is challenging. They often have a difficult time describing specific symptoms. Moreover, the symptom description is commonly “interpreted” by a third party (that wild and crazy party otherwise known as their parents/guardians). This can make…
No one likes to feel dizzy and, certainly, no one likes feeling as if the the room is spinning (unless you are competing in a game of Dizzy-Bat). When an adult has vertigo, I get queasy too. The severe causes can…
