Tag Seizure

Rickets Presentations in the ED

Vitamin D Deficiency Rickets

In the Emergency Department, we are constantly juggling large lists of differential diagnoses. We become facile at sorting through the vast Ddx for seizures (ex, simple febrile seizures, complex seizures, neonatal seizures, eclampsia, seizure mimics) and syncope (ex, hair grooming…

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…

Vagal Nerve Stimulator

Pacemaker for the Brain

Managing seizures in pediatric patients is a common occurrence in the Emergency Department. We have discussed seizure related issues in the past: Seizure Mimics, Neonatal Seizures, Simple Febrile Seizures, and Complex Febrile Seizures.  Some seizures require us to remember unique pediatric…

Liquid Nicotine

Vape Danger

Tobacco smoke is a health hazard for children (and us children of all ages).  We know this.  So it seems like movement away for cigarettes is good for everyone; however, the thirst for nicotine is still quite strong and is…

PANDAS

Pediatric Autoimmune Neuropsychiatric Disorders Associated with Strep infections

We have previously addressed the notion that “Not All That Shakes is a Seizure.” Often, just by witnessing the “shaking” it is possible to lower the concern for seizures; however, refrain from being dismissive, as there are a number of…

Seizure Mimics

Few things will frighten parents more than seeing their child appear to shake all over.  Fortunately, many times seizure activity is due to benign causes like simple febrile seizures.  Unfortunately, our job is quite difficult and we need to deal…

Apparent Life-Threatening Event

Apparent Life-Threatening Event (ALTE) Being specialists of emergencies we are facile with managing events that have the potential to threaten a person’s life.  It is interesting, then, that when a child presents to the ED with an Apparent Life-Threatening Event…