Tag meningitis

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…

Acute Cerebellar Ataxia

Cerebellar Ataxia

Hooven animals are complicated creatures (just like humans). They can be majestic, but rambunctious. They can be wild, yet tamed. In medicine, we often try to distinguish between them: Horses versus Zebras. While searching among the horses for the zebras,…

Orbital Cellulitis

Orbital Cellulitis

Infections are common topics considered when evaluating children in the ED. We have covered MANY (108 as of this Morsel). Often, we consider infections as being on a spectrum of simple to complicated. Acute Otitis Media can be simple, or…

Pediatric Lyme Disease

Pediatric Lyme Disease

Infections and children seem to go hand in hand (seriously, their little hands are like petri dishes!). We have covered many common infections (ex, Abscess, Pneumonia, Otitis Externa, UTI)and some unusual ones as well (ex, Rabies, Mumps, Measles). Aside form…

Rabies

Rabies in the ED

There are many conditions that are rarely encountered, but warrant great concern due to the level of morbidity and mortality associated with them.  HSV comes to mind. RMSF is another good example.  Some of these conditions were once more common,…

Bulging Fontanelle

Bulging Fontanelle

We are all very smart people (objectively, this is a true statement).  Sometimes, however, we can outsmart ourselves.  Don’t strain yourself too much to determine how the laws of thermodynamics may have lead a neonate to be febrile; rather, just…

Mumps

There are many conditions that I have learned about, yet never seen. Some conditions I was not wise enough to diagnose.  Others conditions patient rarely develop have because of vaccinations!  Unfortunately, despite vaccinations, there are still outbreaks of these important…