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Posterior Reversible Encephalopathy Syndrome in Children

Posterior Reversible Encephalopathy Syndrome in Children

2020! What a great year to focus on good clinical vision! Obviously, in children, what we most often see is, fortunately, the benign conditions; however, it takes our vigilant vision to spot the unusual to help us avoid the life…

Hemoptysis in Children

Hemoptysis in Children

A child spewing bright red blood across the room will likely grab your attention, and potentially ruin your day. Fortunately, it is a rare event, but it is the life-threatening rare event that we must remain vigilant for! The post-tonsillectomy…

Cardiac Tamponade in Children

Cardiac Tamponade in Children

We have discussed, previously, how the unique anatomic and physiologic differences kids have may make conditions more subtle and challenging to detect and diagnose. Additionally, the rarity of some dangerous conditions makes it difficult to easily consider these conditions. One…

Fever of Unknown Origin

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,…

Osteosarcoma

We all know that when you “hear hoofbeats, think of horses” and when you “see stripes, think of zebras.”  Unfortunately, the horses and zebras often look similar.  While tachypnea is most often due to a viral process like Bronchiolitis, or…

Neonatal Leukemia

We have discussed numerous common neonatal issues (ex, Analgesia, Umbilical Granuloma, Neonatal Tooth, Hyperbilirubinemia).  Many of us have learned that neonates are challenging and demand respect.  Even the most proficient practitioner will be apprehensive of the sick neonate, given that there are…

Lymphadenopathy

Pediatric Lymphadenopathy As has been highlighted in prior Morsels, our job in the Ped ED is to use our expert skills to pick out the needles of significant disease from amongst the large haystack of benign conditions. Lymphadenopathy occurring in…