Oh, the cacophony of coughing: it is like the theme music to the Pediatric ED during the winter months. While often benign, we do need to consider many conditions that may be the cause (ex, Pneumonia, Bronchiolitis, Asthma, Heart Failure).…
The skin is the largest organ, yet we often undervalue its importance. Ok, maybe it is just me being less than comfortable with all of the oddities that can present with skin findings (ex, pyoderma gangrenosum). This is why I…
There are a number of conditions that were once very prevalent that immunizations have made less commonplace. While they may be less common, they may still occur and we should remain vigilant for them (see, Measles, Mumps, Tetanus, Pertussis). Recently,…
Caring for patients is very humbling. I once described the EM Mindset as being one that requires Humble Arrogance (See EMDocs.net) – requiring humility to know you can’t know it all and arrogance to believe that your skills can make a…
Once again, a common theme of the Morsels is a need for vigilance. Unfortunately, sometimes those seemingly straight forward cases of vomiting in fact are due to an Inborn Error of Metabolism and it requires our vigilance to make the diagnosis.…
We all enjoy treating “fixable” problems. If you can couple that with simple diagnosis and the ability to bill Critical Care time (ok, perhaps that last criteria is a bit too jaded for our newest of residents), then you have…
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…