Category: Pediatrics
Keywords: Retropharyngeal Abscess, Neck Pain, Torticollis, Fever (PubMed Search)
Posted: 5/16/2008 by Sean Fox, MD
(Updated: 8/14/2024)
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Retropharyngeal Abscess
Craig, FW and Schunk, JE. Retropharyngeal Abscess in Children: Clinical Presentation, Utility of Imaging, and Current Management. Pediatrics. 2003;111;1394-1398
Category: Pediatrics
Keywords: Acute Otitis Media, Topical Lidocaine, Wait and See, Analagesia (PubMed Search)
Posted: 5/9/2008 by Sean Fox, MD
(Updated: 8/14/2024)
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Topical Lidocaine for Acute Otitis Media
Spiro, D. Tay, K. Wait-to-see prescription for the treatment of acute otitis media. JAMA 2006, 1235.
Bolt, P., Barnett, P., Babl, F., Sharwood, L. Topical lignocaine for pain relief in acute otitis media: results of a double-blind placebo-controlled randomised trial. Arch Dis Child. 2008; 93: 40-44.
Category: Pediatrics
Keywords: Burns, Parkland, Burn Percent, Burn Classification (PubMed Search)
Posted: 5/1/2008 by Sean Fox, MD
(Updated: 8/14/2024)
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Pediatric Burns
Duffy BJ, McLaughlin PM, Eichelberger MR. Assessment, Triage, and Early Management of Burns in Children. Clinical Pediatric Emergency Medicine. 2006; 7:82-93.
Burn Service Manual, Children’s National Medical Center. Emergency, Trauma and Burn Services, Children’s National Medical Center, Washington, DC.
Category: Pediatrics
Keywords: Inuries, Falls, Poisoning, Drowning (PubMed Search)
Posted: 4/25/2008 by Sean Fox, MD
(Updated: 8/14/2024)
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Pediatric Accidental Non-Fatal Injuries
Karin A. Mack, Julie Gilchrist, Michael F. Ballesteros. Injuries Among Infants Treated in Emergency Departments in the United States, 2001—2004. Pediatrics; May 1 2008; 121 (5), 930-937.
Category: Pediatrics
Keywords: Acute Chest Syndrome, Sickle Cell Disease, Fever, Chest Pain (PubMed Search)
Posted: 4/18/2008 by Sean Fox, MD
(Updated: 8/14/2024)
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Acute Chest Syndrome
NHLBI. Acute chest syndrome and other pulmonary complications. Management of Sickle Cell Disease. June 2003; 25 – 29. http://www.nhlbi.nih.gov/health/prof/blood/sickle/index.htm.
Kathleen Ryan, RN, MPH, Anju Chawla, MD and Matthew Heeney, MD. Management of Acute Chest Syndrome in Sickle Cell Disease. New England Pediatric Sickle Cell Consortium. 2005.
Category: Pediatrics
Keywords: Neonatal Fever, HSV, Acyclovir (PubMed Search)
Posted: 4/11/2008 by Sean Fox, MD
(Updated: 8/14/2024)
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Consider HSV
Whitley R, Davis EA, Suppapanya N. Incidence of neonatal herpes simplex virus infections in a managed-care population. Sex Transm Dis. 2007 Sep;34(9):704-8.
Benson PC, Swadron SP. Empiric acyclovir is infrequently initiated in the emergency department to patients ultimately diagnosed with encephalitis. Ann Emerg Med. 2006 Jan;47(1):100-5. Epub 2005 Nov 8.
Category: Pediatrics
Keywords: Analgesia, Oral Sucrose, topical lidocaine, Lumbar puncture (PubMed Search)
Posted: 4/4/2008 by Sean Fox, MD
(Updated: 8/14/2024)
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Tips for Common Painful Procedures:
EMSC Panel (Writing Committee) on Critical Issues in the Sedation of Pediatric Patients in the Emergency Clinical policy: Critical issues in the sedation of pediatric patients in the emergency department. Ann Emerg Med. 2008 Apr;51(4):378-99, 399.e1-57
Category: Pediatrics
Keywords: Hypertension, HUS, Coarctation, renal disease (PubMed Search)
Posted: 3/28/2008 by Sean Fox, MD
(Updated: 8/14/2024)
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Hypertension
Belsha, CW. Pediatric hypertension in the emergency department. Ann Emerg Med. 2008 Mar;51(3 Suppl):S21-3. Epub 2008 Jan 11.
Category: Pediatrics
Posted: 3/21/2008 by Sean Fox, MD
(Updated: 8/14/2024)
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Diarrhea and the Petting Zoo
Now that it is Spring Time, trips to the Zoo and to Pools will become more frequent… consider them as potential environmental exposure sites.
Petting Zoos, Farmers Markets and Fairs, and Swimming Pools (especially kiddie swimming pools) are known sources of enteropathogens that can cause diarrhea (sometimes bloody).
Consider these on your DDx of vomiting/diarrhea.
Ask about these possible exposure sites along with Travel History and Nontraditional Pets.
Category: Pediatrics
Keywords: Gonorrhea, Chlamydia, Syphilis, Sexual Abuse, Trichomonas (PubMed Search)
Posted: 3/14/2008 by Sean Fox, MD
(Updated: 8/14/2024)
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Sexual Abuse
Category: Pediatrics
Keywords: Appendicitis, Delayed Surgical intervention, Perforation (PubMed Search)
Posted: 3/7/2008 by Sean Fox, MD
(Updated: 8/14/2024)
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Acute Appendicitis – Delayed Surgery option?
Category: Pediatrics
Keywords: Delayed Umbilical Cord Separation, Omphalitis, Leukocyte Adhesion Deficiency (PubMed Search)
Posted: 2/29/2008 by Sean Fox, MD
(Updated: 8/14/2024)
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Umbilical Cord Problems
Category: Pediatrics
Keywords: DKA, Cerebral Edema, Mannitol, Risk Factors (PubMed Search)
Posted: 2/22/2008 by Sean Fox, MD
(Updated: 8/14/2024)
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Cerebral Edema in Patients with DKA
Category: Pediatrics
Keywords: Ferbrile Seizures, Bacteremia, Fever (PubMed Search)
Posted: 2/15/2008 by Sean Fox, MD
(Updated: 8/14/2024)
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Febrile Seizures
Category: Pediatrics
Keywords: Neonatal Conjunctivitis, Chlamydia, Gonorrhea, Red Eye (PubMed Search)
Posted: 2/2/2008 by Sean Fox, MD
(Emailed: 2/8/2008)
(Updated: 8/14/2024)
Click here to contact Sean Fox, MD
Neonate with Red Eye
Category: Pediatrics
Keywords: Laceration, Dermabond, cyanocrylate (PubMed Search)
Posted: 2/1/2008 by Sean Fox, MD
(Updated: 8/14/2024)
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Tissue adhesives:
Cyanocrylate Tissue Adhesive is an excellent product to use when repairing linear lacerations.
A few things to remember:
The wound needs to be irrigated as you would any other wound prior to closure.
Gravity works. Consider where the product may drip to before you apply it (Eyes, Ears, Nose, etc).
Use Surgi-Lube (or other petroleum product) to create a barrier to limit the flow of the cyanocrylate.
For long lacerations, you may use steri-strips to help approximate edges before applying the tissue adhesive.
What to do if the glue gets out of control and drips onto the eyelids... may also apply to Krazy-Glue:
Use copious irrigation and then Mineral Oil (not acetone or alcohol - which won't go well in the eyes).
Often there will be an associated corneal abrasion... treat it as other corneal abrasion.
Category: Pediatrics
Keywords: Back Pain, Leukemia, Lymphoma, Neuroblastoma (PubMed Search)
Posted: 1/24/2008 by Sean Fox, MD
(Emailed: 1/25/2008)
(Updated: 8/14/2024)
Click here to contact Sean Fox, MD
Pediatric Back Pain
Category: Pediatrics
Keywords: Ketamine, RSI, TBI (PubMed Search)
Posted: 1/18/2008 by Sean Fox, MD
(Updated: 8/14/2024)
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Ketamine and RSI for pts p TBI
Category: Pediatrics
Keywords: ITP, Leukemia, Steroids, IVIG, Anti-Rh(d), Bone Marrow Aspiration (PubMed Search)
Posted: 1/11/2008 by Sean Fox, MD
(Updated: 8/14/2024)
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Pediatric ITP – Bone Marrow Aspiration
Category: Pediatrics
Keywords: RSV, Apnea, Congenital Heart Disease, Chronic Lung Disease, Prematurity, Rapid testing (PubMed Search)
Posted: 1/4/2008 by Sean Fox, MD
(Updated: 8/14/2024)
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Bronchiolitis: Use of RSV rapid testing
Purcell K, Fergie J. Concominant serious bacterial infections in 2396 infans and children hospitalized with respiratory syncytial virus lower respiratory tract infections. Arch pediatr adolesce med. 2002; 156: 322-324.