Wilms’ Tumor
Despite being able to ignore many odd occurrences in the house, there are several things that will classically attract acute attention from a parent: fever; a child “not eating;” not pooping for a day; lumps and bumps; and rashes. The…
Tag hematuria
Renal Papillary Necrosis and Sickle Cell Disease
Blood shooting out of the urethra will catch people’s attention! While it may be due to a relatively benign issue, there are a number of considerations that immediately come to our minds: Renal Trauma, Abdominal Trauma, Renal Stones, UTI. While…
Post-Streptococcal Glomerulonephritis
Often our clinical role is similar to that of a detective. We carefully search a patient’s history and physical exam to discover the obscure clues that help us to provide excellent care. Is that pyoderma gangrenosum? We need to consider…
Renal Trauma
Seeing blood in a child’s urine will catch a parent’s attention. We’ve discussed several causes of blood in the urine (ex, Microscopic Hematuria, Sickle Cell Trait, Kidney Stones, UTI), but the one that deserves special attention is Abdominal Trauma. Since accidental…
Endocarditis in Children
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…
Sickle Cell Trait
We have discussed many medical “myths” previously (ex, Atropine for RSI, Cuffed ETTs, ORT vs IVF, Morphine for Appendicitis), but recently one of my esteemed PEM Fellows enlightened me about another. We have touched on some of the complications that…
Microscopic Hematuria
Obtaining a urinalysis is often part of the management plan in the Ped ED to screen for a condition. Often it is obtained to look for possible infection. Sometimes we are evaluating unusual swelling with concern for proteinuria. What, however,…