Many conditions may present subtly in children (ex, Inborn Errors of Metabolism, HUS, Pneumonia), but the subtle presentations of cardiac disease are often the most attention grabbing. We have previously discussed Subtle Signs of Heart Failure and Myocarditis. Let us take a…
Many of the PedEM Morsels accentuate the need to be vigilant, although reasonable, and guard against the significant pathology that may present in a benign manner. Often this merely requires maintaining an “active” mind when evaluating children. The “active” mind…
Ticks are disgusting (no offense ticks). They engorge themselves on our blood, becoming bloated sloth-like sacs of our serum. While that is certainly not appealing, what makes them most offensive is their tendency to transmit awful diseases to us. These…
Often, it seems as if the quest for “an answer” can cause us to see what is not there. This is particularly problematic with respect to the quest to decipher the cause of fever. Appropriately, we may consider the potential…
Fever is one of the most common chief complaints in the Peds ED. We are all very accustomed to the common considerations (ex, UTI, Croup, Bronchiolitis, Appendicitis, and Sinusitis). We also know there are “zebras” that may try to trample us (ex, Kawasaki’s, Myocarditis,…
Chest pain as a complaint warrants great concern in our adult patients, but in children it is often perceived as benign by default. Naturally, there are a number of entities that are of concern that should be considered before we…
The ART of medicine is much more difficult to learn than the science of medicine; however, it is through becoming comfortable with the “grey areas” that we often experience our greatest ability to help others. It is also what prevents…