Bronchiolitis is the most common lower respiratory infection in infants. – Characterized by acute inflammation, edema and necrosis of epithelial cells lining small airways, increased mucus production, mucous plugging, bronchospasm and V/Q mismatch. – Diagnosis is based on clinical history…
The American Heart Association just published the updates to CPR for both adults and children. Below are the Pediatric highlights: 5-15% of pediatric arrests are V.Fib: Peds arrest is primarily due to a respiratory insult (we are aware of this).…
Certainly we have been seeing (and will continue to see) a lot of nonspecific diarrheal illness in the Ped ED. Before you dismiss the patient as having “gastroenteritis,” consider whether this is something else,…
Often it is stated that fever and petechial rash equates to meningococcemia (or serious bacterial blood stream infection) until proven otherwise… is that correct? Yes and No. You should have this on your differential, but nothing in life is that…
Often our job requires us to consider the presence of needles of significant illness in the haystack of nonspecific symptoms. Inborn Errors of Metabolism For the child with neurologic abnormalities, vomiting, acidosis, hypoglycemia, organomegaly, or cardiopulmonary arrest remember to consider…
Urinalysis A Urinalysis consists of 3 components: Macroscopic (color, clarity, specific gravity) Reagent Strip (chemical analysis) Microscopic There is often variation in providers working regarding which method should be used to evaluate a patient for a…
Cerebral Spinal Fluid Analysis When evaluating a neonate for possible meningoencephalitis, we often do not rely on what the Cerebral Spinal Fluid Analysis is, because it is well known that a neonate may have normal indices yet still have a…