Tag fever

Neonatal Acute Otitis Media

Neonatal Acute Otitis Media

Ears! They are the focus of many ED visits! Things get stuck in them (ex, Ear Canal Foreign Body, Cerumen). They can become inflamed from swimming (ex, Swimmer’s Ear). Infection, though, is what we most often encounter. We are all…

Central Line and Fever

Central Line and Fever

Yes. It is indubitable. Children will present for evaluation of fever. Many, if not most, will be well and likely have a self-limited illness (but, do NOT say “it’s just a virus”!). Some, however, will have fevers associated with other…

Poor Utility of WBC Count for the Evaluation of Fever

WBC Count is Last Bastion of Intellectually Destitute

When I was a resident (Not that long ago people! Come on!!), I was taught by Dr. Mattu (@amalmattu) that the WBC Count is “the last bastion of the intellectually destitute.” These words were meant to encourage me to avoid…

Neonatal Mastitis

Neonatal Mastitis

We have previously discussed my distrust of neonates (ALTE, BRUE) and this may be why so many of the Morsels focus on neonatal issues. Recently a dear friend, colleague, and full-time appreciator of UMMS Shock Trauma Pink Scrubs, Dr. Jessica…

Neutropenic Fever

Neutropenic Fever in Children

We all are well aware of the prevalence “fever” as a presenting complaint. We are also well aware that not all “cc: fever” are created equal. Fever in a neonate may be due to a virus, but we can’t bet…

Honey for Cough

Honey for Cough

Cough is a very common symptom in children. Certainly, we need to consider that an ominous cause may be lurking (Asthma, Occult Aspirated Foreign Body, Croup, Sinusitis, Pneumonia, Acute Chest Syndrome, etc.). Most often, though, the cough is due to a…

Moyamoya

Puff of Smoke

One of the refreshing aspects of taking care of children is that, generally, they don’t have a mile long list of medications or an extensive known past medical history, unlike their adult counterparts.  Unfortunately, this generality can lead us to become…