Welcome back to the Osteo series - Whereas part one focused mainly on etiology, part 2 delves into making the diagnosis with a good history and physical. I should really say that your history and physical helps increase your index of suspicion - since osteo [...]
Thus begins the PEMBlog series on Osteomyelitis. In each edition I'll tackle a different question - ranging from diagnosis to therapy and hopefully review most of the finer points. There is no better place to begin than at the start. Osteo as it will now [...]
Here is a summary of clinical prediction models in pediatric community acquired pneumonia and the signs and symptoms most suggestive of pneumonia. The take home point is that there is such a wide variability that you should only test/treat if your clinical suspicion is high. [...]
Check out the Storify summary of today's pneumonia lecture [View the story "February 21st pneumonia live tweet" on Storify]
Certainly you will be seeing some sicker children with bronchiolitis this winter who have issues with feeding. The copious nasal congestion and increased work of breathing may preclude adequate oral intake. Some of these children will merit admission and generally we obtain IV access for hydration. But [...]
Something that I feel differentiates experienced from novice providers in the emergency department is a true recognition of the evidence and rationale behind why we do what we do. It is certainly important to recognize the right treatment for a given illness. Perhaps equally important [...]
In general it is a good idea to be familiar with the clinical practice guidelines of the American Academy of Pediatrics. We see enough UTIs in the ED that it is always helpful to review. Check it out here The big take home points are: [...]
Ted Brenkert sticks his neck out to educate you on retropharyngeal abscesses. RPAs can be an especially worrisome diagnosis in young children who will present with fever, sore throat and limitation of neck movement. Check it out here iTunes and streaming live via SoundCloud [...]
I recommend this article to anyone who cares for children in their practice - specifically anyone who will interpret CSF results. In 2007 the Pediatric Emergency Medicine Collaborative Research Committee (PECARN) published the following article in JAMA. Link The authors noted that few children who end [...]
A 14 year old male presents with a very sore throat and fever. The symptoms have been present for 4 days. His PMD saw him 2 days ago and performed a rapid strep test, and it was negative. Since then he has gotten worse and [...]