Kawasaki Disease, AKA Mucocutaneous Lymph Node Syndrome, is one of the most common vasculitides of childhood. The hallmark is fever ≥5 days plus 4/5 of the following; mucous membrane changes, conjunctivitis, polymorphous rash, extremity changes and lymph node enlargement. It can also lead to coronary artery aneurysms, which is why its so important to make an accurate diagnosis.
Don't hold you breath while listening to this podcast - because you'd be doing so for longer than 20 seconds - and you will have apnea. Do however, listen to learn more about cyanotic and pallid breath holding spells so that you can be prepared to diagnose and manage them in the Emergency Department.
As a follow up to the education session this past Friday from the Emergency Department rotation at Cincinnati Children's (and for the benefit of my readers on the inter webs) I wanted to share this brief didactic video on paroxysmal supraventricular tachycardia.
Chest pain is a scary presenting chief complaint. This patient and family focused video from Dr. Nicolas Madsen at Cincinnati Children's can help you do a better job dealing with concerns in the ED.
Check out these resources that reinforce concepts taught in a recent education session at Cincinnati Childrens.
Up to 40% of patients that have syncope have some manner of convulsions that are often mistaken for seizures. The purpose of this post is to examine how we differentiate between convulsions in a epileptic seizure versus those that occur when a patient faints.
Many healthy adolescents with chest pain have subtle elevations in the ST segment. Check out this post to learn how to differentiate benign early repolarization from left anterior STEMI.
In conjunction with Taming The SRU and the University of Cincinnati Department of Emergency Medicine's Annals of B Pod I am proud to present this article on pediatric SVT.
In contrast to Emergency Departments in which the clientele are mostly grown ups, patients with chest pain in the Pediatric Emergency Department have mostly benign causes. I wanted to review some of the findings associated with benign causes of non traumatic chest pain. Tenderness to palpation of the chest wall In children tenderness of chest chest wall very much suggests [...]
So you've gone ahead and diagnosed supra ventricular tachycardia. While getting ready to place an IV and draw up adenosine somebody (a seasoned RN perhaps) suggests that you try vagal maneuvers. Perhaps you're feeling pessimistic that day, and wondering if they ever work. And, which one should you choose anyway? Let's answer both questions. How should vagal maneuvers be performed [...]
