Heliox – Part of the Kitchen Sick
From the first party where we had balloons that floated, I think we have all had a fascination with the most Noble of the Noble Gases – Helium! While it is fun to make your kids think that you are…
Category Pulmonary
Traumatic Pneumothorax
We all know that kids are not little adults (seriously, how many times can we hear that?), but when we consider procedures it important to appreciate that there are differences. The most important being that EVERYTHING is just smaller, which…
Transillumination for and Aspiration of Pneumothorax in Neonates
We mentioned in last week’s Morsel that for neonates not responding to resuscitative efforts, that you can transilluminate the chest to determine if there is a pneumothorax present. Let’s finish that discussion: Neonates are prone to developing a pneumothorax. Lack…
Lemierre’s Syndrome
Carrying along with the theme of unusual conditions presenting as the common illnesses (see also Kawasaki Disease, HUS and many other Pediatric conditions), let’s bring to mind Lemierre’s Syndrome. • Jugular Vein Thrombosis (JVT) associated with an anaerobic infection in…
Community Acquired Pneumonia
It is certainly the season for pneumonias (even my little daughter had a significant one – see above)… and you will encounter community acquired pneumonia… so, let’s talk therapy. Large Disclaimer – there is no perfect recommendation that can easily…
Bronchiolitis – “Seriously, what should I do?”
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…
Bacterial Tracheitis
Epiglottitis? Think Tracheitis too! • Considered bacterial tracheitis in a patient who has fever, stridor, and symptoms that does not respond to therapy for croup (racemic epinephrine and steroids). • Additionally, that toxic appearing child that you think looks like…