Category Orthopedic

Fever of Unknown Origin

Fever is one of the most common chief complaints in the Peds ED.  We are all very accustomed to the common considerations (ex, UTI, Croup, Bronchiolitis, Appendicitis, and Sinusitis).  We also know there are “zebras” that may try to trample us (ex, Kawasaki’s, Myocarditis,…

Septic Arthritis

We have discussed several entities that may lead to a child limping. We have covered osteomyelitis, plantar punctures, and toddler’s fractures.  We have also touched upon Osgood Schlatter’s Disease, SCFE, osteosarcoma and even Growing Pains. Now let us review a…

Subungal Hematoma

Kids love to explore their environment, but sometimes that environment (and their lack of agility and sluggish reflexes) leads to injuries. Fortunately, often these injuries are minor. Unfortunately, those minor injuries can lead to major headaches for you in your ED.  One…

Shoulder Dislocation

Kids always seem to test gravity… and continually find that it works.  While gravity certainly has its advantages, it also tends to lead to a fair amount of injuries for our pediatric patients.  We have covered numerous orthopaedic topics previous…

Growing Pains

  We have discussed previously how working in the Peds ED is like being tasked with finding the rare, life-threatening needle in the haystack of the benign and common.  In order to do this, it requires us to maintain a…

Lawn Mower Injuries

Well, in the northern hemisphere the weather is making my lawn look awesome!!  Why we are obsessed with green lawns, I don’t know, but I can’t judge as I also enjoy a lush lawn.  Unfortunately, all of this obsessive behavior…

Osteosarcoma

We all know that when you “hear hoofbeats, think of horses” and when you “see stripes, think of zebras.”  Unfortunately, the horses and zebras often look similar.  While tachypnea is most often due to a viral process like Bronchiolitis, or…