High Altitude Illness
In Charlotte, it has been unseasonably HOT and many of us have been considering escaping to the mountains. Maybe not exactly the way these people have, but at least something to help our families cool off. This lead Dr. Cathy…
Tag change in mental status
Carbon Monoxide Poisoning in Children
Currently, in the Northern Hemisphere, it is cold (Yes, I know my cold intolerance has been worsening as my hair gets more grey… but objectively, it is freezing!). The time of year certainly affects what conditions we must consider when…
Hypothyroidism and Myxedema Coma
When managing critically ill adults or even adults with “odd complaints,” we often think of the thyroid gland and its potential disorders. The same ease of contemplation when dealing with a child is not as effortless, but there are occasions…
Cerebral Venous Thrombosis
The patient complaint of “headache” often causes me to have a headache. There are so many things to ponder. We have previously covered some important conditions to consider when evaluating headache (ex, AVM, RMSF, Meningitis, Post-LP, Moyamoya, Migraine, Pseudotumor, and Pheochromocytoma).…
Agitation
The world can be a scary and dangerous place, but few things are as dangerous as an acutely agitated patient in your emergency department. While violent adults in the ED seem nearly commonplace (although still deserve provider’s vigilance), the agitated…
Intussusception & Altered Mental Status
Evaluating the child with altered mental status can be very challenging. As with adults, there are a myriad of potential etiologies and it can be difficult to prioritize the order of the evaluation. Does this patient have an intracranial process…
Hypertensive Crisis in Kids
I think that we’d all agree that 144/89 is not a normal blood pressure, but it is one that those of us who have the pleasure of caring for adults will look at with almost a sense of comfort –…