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Otitis Externa
Summertime brings many delightful activities that had been left hibernating during the cold winter months. With each activity, however, comes a variety of injuries and illnesses. Certainly, we are...
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Bad News
Unfortunately, delivering “bad news” to patients and families is part of a clinician’s job. Even more unfortunate is the fact that many of us are really poor at the art of delivering bad news. The...
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Guillain-Barre Syndrome
Aw, the Winter Season in the Ped ED… how we all love the viral pathology! Let us recall, however, that we must be vigilant in the face of the seemingly constant waves of children with fevers and...
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Phimosis
We have mentioned before how knowledge of some “less glamorous conditions” can really help make your day go more smoothly in the ED. Knowing how to manage rectal prolapse, constipation, recurrent...
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Scabies
“Scabies.” I know that you are already itching. Soon it will be uncontrollable. The Ped EM Morsels have covered several conditions that cause pruritus (ex, Eczema, Tinea Capitis, Hyperbilrubinemia) as...
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Cerumen Impaction
Certainly, knowing critical care topics (ex, ECMO in ED, Submersion Injuries, Optimize Chest Compressions, and Non-Invasive Ventilation) is vital to being effective in the ED, but mastery of less...
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ECMO in Ped ED
Remaining vigilant for the child with a subtle presentation of a severe illness is part of our job in the Ped ED; however, sometimes, the illness is not subtle and the child requires critical actions...
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Pelvic Fracture
Obviously, as the leading cause of mortality in children, traumatic injuries warrant significant attention. As such, the PedEM Morsels have covered various traumatic topics (ex, Abdominal Trauma,...
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Sickle Cell Disease and Fever
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...
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Torticollis
Neck problems will often grab our attention. Since the neck connects the head to the rest of the body, it seems reasonable that we pay particular attention to neck issues. Many issues are common and...
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Bulging Fontanelle
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...
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Down Syndrome Airway
The Ped EM Morsels strive to reinforce the notion that children are not an “alien population,” and while they deserve special attention, they should not be feared by us. Children are, rather, a...
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Mumps
There are many conditions that I have learned about, yet never seen. Some conditions I was not wise enough to diagnose. Others conditions patient rarely develop have because of vaccinations!...
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Lead Poisoning
Poisonings certainly get practitioners’ attention; but some may present in a very subtle manner, making our task quite challenging. Lead Poisoning does not often present with acute symptoms either,...
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Small Bowel Intussusception
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...
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Dental Trauma
We all know that kids like to test gravity and sometimes suffer the consequences (ex, Tongue Laceration, Eyelid Laceration, and Concussions). One of the most common consequences of testing gravity (or...
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Aplastic Anemia
Previously, the Ped EM Morsels have requested that we remove the phrase “it’s just a virus” from our lexicons. One simple reason is that viruses can lead to significant illness also (ex, myocarditis,...
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Intussusception Discharge
The Ped EM Morsels have discussed several medical myths (ex, Atropine, Morphine for Appendicitis, IV Fluids for rehydration), but remember that “myths” were not born from madness. Previously,...
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Microscopic Hematuria
Obtaining a urinalysis is often part of the management plan in the Ped ED to screen for a condition. Often it is obtained to look for possible infection. Sometimes we are evaluating unusual swelling...
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Diaper Dermatitis
We have previously mentioned my disdain for skin ailments, but we cannot avoid them, so it is best to address them directly. We have discussed a general approach to pediatric rashes and have covered...
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