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…

Cannabinoid Hyperemesis Syndrome

Cannabinoid Hyperemesis Syndrome

HYPER-Emesis sounds gross! It sounds like something from a horror movie and invokes thoughts of demonic possession. Of course we deal with vomiting a lot (ex, Pyloric Stenosis, Malrotation, Testicular Torsion, Ovarian Torsion, Vertigo, Ogilvie’s Syndrome) and fortunately, we have…

Late-Presenting Congenital Diaphragmatic Hernia

Late Presenting Congenital Diaphragmatic Hernia

Part of the challenge with evaluating children is the ever present concern for an unusual emergent condition masquerading as a common condition with non-specific symptoms. It is, thus, important for us to remain vigilant for these conditions, while proceeding in…

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…

Carbon Monoxide Poisoning in Children

Carbon Monoxide Poisoning in Children

Currently, in the Northern Hemisphere, it is cold (Yes, I know my cold intolerance has been worsening as my hair gets more grey… but objectively, it is freezing!). The time of year certainly affects what conditions we must consider when…

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…

Hamman’s Syndrome and DKA

Hamman's Syndrome

Certainly there are many issues to consider while diagnosing and managing diabetic ketoacidosis (DKA), like the possibility of cerebral edema. Often, these ill patients complain of significant nausea and abdominal / chest pain as well. Before we just attribute those…