Tag vomiting

Stress Dose Steroids

Stress Dose Steroids
Caring for patients is extremely rewarding… but it can also be rather Stressful. There are many complex math problems to solve and risk-benefit ratios to balance. Even the seemingly elementary problems can mentally taxing, especially in children who are prone…

Sigmoid Volvulus

Sigmoid Volvulus in Children
The threat of impending intestinal catastrophes is always lurking in the Pediatric ED. It is contemplated with each patient with abdominal pain or vomiting. While the symptoms may be related to non-emergent etiologies (ex, CRAP, Epiploic Appendagitis), our vigilant minds…

Cecal Volvulus in Children

Cecal Volvulus in Children
Abdominal Pain is a common complaint in children and may be due to a wide variety of conditions, both severe and benign (ex, Appendicitis, Strep Throat, Constipation, and Chronic Recurrent Abdominal Pain). It really can test our clinical skills. Is…

Short Gut Syndrome

Short Gut Syndrome
Sometimes it seems like the intestines are connected to every organ system as children present with abdominal complaints related to so many conditions. These can be intra-abdominal issues (ex, CRAP, Appendicitis, Intussusception, Hirschsprung’s) as well as extra-abdominal issues (ex, Strep Pharyngitis, Pneumonia, Testicular Torsion, HSP).  Unquestionably, the…