Infected kidney stones in children and adolescents
Infected stones are urologic emergencies and need prompt antibiotic therapy and decompression by Urology.
Happy Holidays!
Happy Holidays everyone! I won't be posting new content until after the new year. Why? Because I am working several shifts during the holiday week and you all should be spending time with friends and family instead of reading my silly little blog. See you in 2023!
Briefs: Abdominal Migraines
Abdominal migraines are a real thing and are characterized by abdominal pain that is dull, constant, periumbilical and hard to localize. Children also have at least two of the following; pallor, anorexia, nausea, and/or vomiting.
It’s a peritonsillar abscess podcast!
Peritonsillar Abscesses are the most common deep neck infection in adolescents and young adults. You will see them in grade schoolers as well. Learn about the diagnosis and management, including making the choice between needle aspiration versus wielding a scalpel for incision and drainage.
A podcast that reminds you that you don’t have to suture most tongue lacerations
Tongue lacerations are surprisingly common in the Emergency Department. Fortunately most of them don't require any specific interventions. You just let them go and they heal on their own. Really. But if you do have to repair I offer advice in this brief podcast episode.
Dealing with angry and frustrated families who want to “speak to the supervisor”
This post details ways to deal with a situation where the patient / family "Wants to talk to your supervisor"
What to do when a family demands “a test”
There are many demands in the emergency department. Perhaps the most important ones come from patients and their families. This post looks at those situations in which patients/parents are requesting – nay demanding specific tests.
A bronchiolitis podcast resource you can share with patients and families
Here is a podcast episode that I recorded for Cincinnati Children's show "Young & Healthy" entitled "Parents, We Need Your Attention: Babies and Kids are Sick, Children’s Hospitals are Full, Wait Times are Long." It addresses why our EDs, Urgent Cares, and Hospitals are so busy, and offers caregiver focused advice on Bronchiolitis management.
Amoxicillin suspension is on shortage… seriously
There's an amoxicillin shortage right now... seriously. This post includes guideline resources and alternative option recommendations like tablets and capsules.
You read the post, now listen to the podcast on periorbital cellulitis
Perioribital cellulitis (AKA Preseptal cellulitis)is a soft tissue infection of the eyelids and skin anterior to the orbit. It must be differentiated from the more invasive and dangerous orbital cellulitis. Treatment varies depending on the original source (sinusitis, local trauma, stye etc,.). Learn all about periorbital cellulitis in this brief episode of PEM Currents: The Pediatric Emergency Medicine Podcast.