Though the PEMPix presentation is scheduled for Saturday 9/16/17 at the AAP NCE in Chicago there were so many great cases this year that I decided to share three of them online prior to the conference. This is the third case "Little Circle." All three cases will also be available at PEMPix.com.
Learn about recognition and management of peritonsillar abscesses in this edition of PEMBlog Briefs.
3-5% of patients will have bleeding following tonsillectomy. you will see these patients in the ED. it is important to know how to assess and manage, and when ENT is needed emergently.
Kids eat stuff they're not supposed to. Most of the time foreign bodies pass harmlessly through the GI tract. Occasionally they will get stuck. It is your job to figure out who has an impacted foreign body, and how to diagnose and manage it. Listen to this podcast to learn more.
Tonsillectomy is one of the most common procedures performed in children. Post op hemorrhage is either primary (within 24 hours) or secondary/delayed ≥24 hours. Primary hemorrhage is more rare and is seen in 0.2-2% of cases. Secondary hemorrhage is a bit more common, especially in the Emergency Department as kids have been home for several days. rates vary, but estimates settle [...]
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 it is hard for him to open his mouth fully. Per his mother it sounds [...]
A young man comes to the ED with severe pain in his nose - specifically the left nostril. He states that he was punched in the face yesterday while "minding his own business." The initial swelling over his nose has improved, and he states that the initial nose bleed stopped. The pain in his nose was so severe that it [...]
The Case A 14 year old male was tackled while playing football and has pain along the angle of his jaw. He can open and close his mouth without pain. He does have pain to palpation along the body of the mandible adjacent to 2nd/3rd left inferior molars. There are no loose teeth and he feels that they are in normal [...]
A 3 year old male was jumping in his bed. He jumped one time too many and landed on his dresser, hitting his chin and biting his tongue in the process. He then ran downstairs and bloodied the carpet. Mom grabbed a towel sopped up some mouth blood, then scooped him up and threw him to the ED. On exam [...]
A surprisingly common complaint that I deal with in the pediatric ED is epistaxis. While I find that many cases come down to worried parents who haven't applied appropriate measures to get the bleeding to stop, I still figured it was a good topic to review since most residents are going to run across a blood nose at some point. [...]
