A mom brings her six year old son into the ED with concerns of fever and rash. She is concerned that he caught his sister's pneumonia - and that he is super uncomfortable because of his sunburn. On exam he looks OK, and has a fever of 38.7 C. His vitals, aside from a HR of 110 BPM are not [...]
You are seeing a 2 year old boy with a high fever who is irritable and refuses to look up. His parents think he has a sore throat. You are appropriately worried about a retropharyngeal cellulitis/abscess and obtain the following X-Ray. Widened prevertebral soft tissue space consistent with a retropharyngeal cellulitis/abscess Fortunately he is adequately protecting his airway. [...]
Recently I have seen a few preschoolers with true vertigo - one even told me that it felt like he just "spinned on a baseball bat." For those of you without a clear mental image of what he meant check out this video. Both had a history of recent URI symptoms, and ultimately we diagnosed one with acute otitis media and the [...]
You are seeing a six year old with a type III supracondylar fracture of the humerus. He fell on his outstretched arm while playing on some monkey bars. He has some mild difficulty flexing his thumb when he makes a fist. Where is his neurapraxia? Answer: The Anterior Interosseous Nerve It is the most common nerve injured in extension type [...]
Cue the Michael Buffer intro... Yes, then age old question surfaces again. This is also probably something that most of us don't think about on a regular basis. many of our patients' parents may swear by on or the other (usually Ibuprofen) but is there any evidence to support the superiority of one agent over another? Let's take a look [...]
Fractures in any infant or toddler are concerning, but not all fractures are equally associated with non-accidental trauma (NAT). A 2008 systemic review from BMJ reviewed over 30 studies concerned with all manner of fractures in children under 18 years of age. The following was noted: Fractures resulting from abuse were more common in infants (<12 months) and toddler's (age 1-3 [...]
