Abdominal pain is a challenging complaint. We have to discern between the critical abdominal conditions (ex, Appendicitis, Volvulus, Pancreatitis) from the less concerning causes (ex, CRAP, Constipation, Gastroenteritis). We also have to consider the causes that are not in the…
We are aware that obtaining a good social history is important and asking about sexual activity may change the evaluation of a patient, particularly the teenage child. Certainly, our jobs would be easier if there were no concerns for alcohol…
Diarrhea is no joking matter (although it can be the butt of many jokes – see what I did there?). It causes a large burden to patients (ex, dehydration), care providers, and the healthcare system. Fortunately, more often than not,…
Often the Ped EM Morsels discuss diagnoses that emphasize astute clinical skills and vigilance while minimizing the importance of laboratory testing. Appendicitis is a great example of this! Many of you already know my disdain for the ubiquitous WBC…
Morphine and Appendicitis “Don’t give the kid with potential appendicitis morphine!” the pediatric surgeon exclaims. Doing so will obscure their exam and delay the diagnosis… and that will make the surgeon angry… and you wouldn’t like it when the surgeon…