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 [...]
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 [...]
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 [...]
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? [...]
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 [...]
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: [...]