Category Neurology

Agitation

Chemical Restraint

The world can be a scary and dangerous place, but few things are as dangerous as an acutely agitated patient in your emergency department.  While violent adults in the ED seem nearly commonplace (although still deserve provider’s vigilance), the agitated…

Breath Holding Spell

Breath Holding Syncope

Kids do odd things.  Some of these “odd things” we attribute to exploring and learning about the world (ex, putting objects in nostrils, ears, or mouth). Other times the “odd conditions” are not quite explained, but are well described as…

PANDAS

Pediatric Autoimmune Neuropsychiatric Disorders Associated with Strep infections

We have previously addressed the notion that “Not All That Shakes is a Seizure.” Often, just by witnessing the “shaking” it is possible to lower the concern for seizures; however, refrain from being dismissive, as there are a number of…

Torticollis

Torticollis

Neck problems will often grab our attention. Since the neck connects the head to the rest of the body, it seems reasonable that we pay particular attention to neck issues. Many issues are common and often benign, like “sore throat” (ex, Strep…

Bulging Fontanelle

Bulging Fontanelle

We are all very smart people (objectively, this is a true statement).  Sometimes, however, we can outsmart ourselves.  Don’t strain yourself too much to determine how the laws of thermodynamics may have lead a neonate to be febrile; rather, just…

Lead Poisoning

Poisonings certainly get practitioners’ attention; but some may present in a very subtle manner, making our task quite challenging. Lead Poisoning does not often present with acute symptoms either, making it even more difficult to think of, but it is…

Guillain-Barre Syndrome

  Aw, the Winter Season in the Ped ED… how we all love the viral pathology! Let us recall, however, that we must be vigilant in the face of the seemingly constant waves of children with fevers and rhinorrhea. We…