Yes. It is indubitable. Children will present for evaluation of fever. Many, if not most, will be well and likely have a self-limited illness (but, do NOT say “it’s just a virus”!). Some, however, will have fevers associated with other…
We have previously explored some issues with one of my “favorite” topics: Apparent Life Threatening Events (See ALTE and Never Trust a Neonate). Recently, it has been recommended that the term “Apparent Life Threatening Event / ALTE” be removed from…
Sickle Cell Disease is a terrible disease and can be associated with many complications that cause patients to present to the emergency department. We have previously touched on several clinical issues related to sickle cell disease. We have covered Acute…
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…
We have discussed several entities that may lead to a child limping. We have covered osteomyelitis, plantar punctures, and toddler’s fractures. We have also touched upon Osgood Schlatter’s Disease, SCFE, osteosarcoma and even Growing Pains. Now let us review a…
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…
Something that is certainly unique about the practice of emergency medicine is the approach to problems from the “worst first” perspective. Now, generally, I would consider myself as someone who minimizes testing and prefers to spend a few extra minutes…