Infants with fever and positive flu don’t need the full bacteremia work-up

Constipation in children may seem mundane, but it’s no joke. Here are the tried-and-true treatment options for kids who are all jammed up.

An 8-year-old girl is experiencing mysterious bruising on her left shoulder. A thorough H&P reveals nothing remarkable, so you head to the computer...

Everyday, in EDs across the planet, children are poked and prodded. We draw blood, we clean wax out of ears – little things, but they are painful for our patients. Here are a few things that are relatively easy to do, that can reduce the pain we sometimes inflict.

Everyone knows that newborn babies are just different. Heck, there’s an entire field of medicine dedicated to taking care of neonates. They make a lot of folks nervous in the ED and justifiably so – the list of weird things young babies can do in those early days of life can give you gray hairs. One time-honored complaint, “my baby is blue”, is guaranteed to get your attention. Here are some blue baby stories to help illustrate some of the common causes of neonatal cyanosis.

Pediatric Journal Club

The next patient is a sick metabolic kid, the kind you dread because you can never remember all those metabolic pathways from medical school. Citrullinemia, maple syrup urine disease, gluteric acidemia – it makes your eyes cross.

A 2-year-old female was brought in by parents for a 2-day history of  fever, coryza, cough and had been noted to have difficulty walking. This persisted to the point that she had refused to walk for the 4-6 hours prior to ED  arrival.

 A 29-year-old, G2 P1010, six-week pregnant female complained of abdominal pain for several hours. Past medical history was unremarkable except for a first trimester, spontaneous miscarriage.