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…
Hernias can lead to significant pain and even emergent complications. We have previously discussed inguinal hernias and the need to always consider them as a cause of inconsolability or acute abdominal pain and/or vomiting in a child. It is really…
Often a little knowledge of primary care topics can help our evaluation and management of infants presenting to the ED. We have discussed some of these previously (ex, Growth, Developmental Milestones), but let us take a moment to review another…
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…
Often, it seems as if the quest for “an answer” can cause us to see what is not there. This is particularly problematic with respect to the quest to decipher the cause of fever. Appropriately, we may consider the potential…
Intussusception is a common concern that we manage when faced with a child with abdominal pain and/or vomiting. We have discussed multiple aspects of the evaluation and management of intussusception (ex, Intussusception, Intussusception and HSP, Change in Mental Status, and…
We all care for many children who present with fever, nausea, and vomiting. Naturally, one of our first goals is to consider severe and life-threatening conditions and, fortunately, many times these are apparent on clinical exam. Unfortunately, certain patient populations,…