Category Orthopedic

Osgood Schlatter’s Disease

  Musculoskeletal complaints are common in the pediatric Emergency Department. As I sit here watching March Madness Basketball (for those not in the US, that is our college basketball tournament, during which my wife consistently humiliates me by picking the…

Patellar Dislocation

We all like to feel like we can heal with our hands.  For this reason, simple reductions are sometimes welcome complaints in your ED that is filled with copious rhinorrhea and voluminous emesis.  We have discussed feeling like Mr. Miyagi…

Osteomyelitis in Kids

In the past we have discussed how prolonged fever in the Pediatric Patient should cause you to think “outside of the box.”  Kawasaki Disease often comes to mind.  Naturally malignancy should also be considered and a thorough history (any Back…

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…

Pediatric Back Pain

The Ped EM Morsels often address common complaints that can be misconstrued as benign, but with vigilance subtle presentations of ominous conditions can be discerned.  Those of us who take care of adults also know all too well the complaint…

Toddler’s Fracture

The limping toddler offers the opportunity for us to contemplate a wide differential that includes some significant pathologic processes.  Does this child have avascular necrosis of the femoral head?  Is there slipped capital femoral epiphysis? Is there evidence of rheumatologic…

Compartment Syndrome

Happy New Year! Being as this is the 4th calendar year of the Ped EM Morsels, let’s deal with a significant medical emergency that can be tricky to diagnose, but devastating when missed: Compartment Syndrome. Compartment Syndrome Basics Condition where…