Medical Music Mondays: Constipation Nation
The Rome IV criteria are how you diagnose constipation. Also X-Rays don't help. And "The Red Hot Chili Poopers" would be a great name for a tribute band.
Scope This! A Podcast on Gastroesophageal Reflux and Gastritis
In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast, host Brad Sobolewski delves into gastroesophageal reflux (GER) and gastritis in children. He distinguishes between gastritis, diagnosed via endoscopy, and symptom-based dyspepsia. The episode covers GER/GERD's pathophysiology, diagnostic strategies, lifestyle and dietary management, and pharmacological treatments, including PPI and H2 blockers. Sobolewski stresses the importance of proper diagnosis and evaluation, differentiating from other conditions like pancreatitis and gallstones, to optimize care in pediatric emergency settings.
Medical Music Mondays: Batteries Down the Hatch
Swallowing button batteries is a dumb idea. It can melt your esophagus and stuff. Endoscopy is the way to remove them. But if you have a long delay there are sucralfate protocols. But just don’t swallow them in the first place.
You don’t need X-Rays to tell if a child is constipated
X-Rays are generally not necessary for making the diagnosis of constipation or assessing the stool burden. In fact, they may obscure another diagnosis.
A podcast episode on high-powered magnet ingestions
This episode of PEM Currents: The Pediatric Emergency Medicine Podcast focuses on high-powered magnet ingestions in children and was a collaboration with Elizabeth Curtis - @egcurtismd and Libby Ireson - @LibbyIreson, two Categorical Pediatrics Residents at Cincinnati Children's who served as producers and guest hosts. This episode is equal parts clinical advice and advocacy in action and will help you discuss these potentially dangerous magnets with families and manage a child in case they swallow one.
Briefs: Bloody baby barf (Hematemesis in the newborn)
Bloody baby barf is scary for parents and medical professionals. Learn about the differential diagnosis and management in this post.
EmergiQuiz: Acute abdominal pain – beyond the basics
This post is an excellent overview of consideration when encountering patients with abdominal pain and urges you to think systematically beyond the basics. It is a companion to an EmergiQuiz presentation at the 2019 AAP National Conference and Exhibition.
An interview about the best practices for diagnosing and managing constipation in the ED
Constipation is an incredibly common problem in the Pediatric Emergency Department and amongst children who visit the Emergency Department with complaints of abdominal pain. This episode of PEM Currents, the Pediatric Emergency Medicine podcast features an interview with Danny Mallon, a Gastroenterologist from Cincinnati Children's who is an expert in managing pediatric constipation. Our discussion focused on diagnosis in the Emergency Department, management and why you don't need an X-Ray to make there diagnosis.
The case of a well appearing baby with bloody stools
A well appearing infant with streaks of blood in the diaper. What could it be? Read on to find out.
A concise video synopsis of David Schnadower’s study on probiotics in gastroenteritis from the New England Journal of Medicine
In an effort to better disseminate high quality and high impact research I am delighted to present to you this video that I recorded with James Gray and David Schnadower from Cincinnati Children's. I provides a quick synopsis of the recent study on probiotics in gastroenteritis and offers advice on how you can discuss this issue with parents.