Febrile Seizure Evaluation
On this April Fool’s Day, do not let the seizing patient with a fever make a fool of you. Naturally, anytime a patient has a fever and a seizure, the first concerning diagnosis that comes to mind is meningitis; however,…
Category Procedures / Tips
Interosseous Access for the Neonate in Need
Interosseous Access for the Neonate in Need The neonate in shock strikes fear into even the most veteran physicians (and certainly makes my brain slip a gear or three). Part of the reason is that it happens relatively infrequently (why…
MRSA Abscess – To Give Abx or Not To Give Abx?
1. Our Surgical colleagues often would like us to believe that a scalpel can fix any problem – in this case, they may be correct. 2. We often prescribe antibiotics after drainage of a simple abscess… perhaps to make us…
Child Abuse
An estimated 2,815,600 children are harmed or endangered by their caretakers annually Bruises and Fractures are the most common injuries seen with abuse, but also occur frequently from accidents (I’ve certainly seen more accidental bruises and broken bones than abusive……
Nasal Foreign Bodies
Nasal Foreign Bodies – Positive Pressure Technique We have all been there… whether at work at home… looking at a child in disbelief: “why would you put that up there?” Inevitably, what goes up, must come down. But how?…
Neonatal Conjunctivitis / Ophthalmia neonatorum
This is one of those conditions that can generate a lot of confusion and debate among intelligent people… and is therefore fun to think about. Neonatal Conjunctivitis As the name suggests, it is conjunctivitis that develops within the 1st 4…
Pseudosubluxation
Happy New Year!!!! Inevitably the coming days will be a pain in the neck, or at least present you with the opportunity to evaluate kids with pains in their necks. When that happens, recall that kids have several normal radiographic…