Category: Pediatrics
Keywords: Childhood Cancers, Leukemia, Lymphoma, pallor, fatigue (PubMed Search)
Posted: 12/28/2007 by Sean Fox, MD
(Updated: 8/14/2024)
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Pediatric Leukemia/Lymphoma Presentation in the ED
Jaffe D, Fleisher G, Grosflam J. Detection of cancer in the pediatric emergency department. Pediatr Emerg Care. 1985 Mar;1(1):11-5.
Category: Pediatrics
Keywords: Limp, Antalgic Gait, Trendelenburg Gait, Septic Arthritis, Legg-Calve-Perthes Disease, SCFE (PubMed Search)
Posted: 12/21/2007 by Sean Fox, MD
(Updated: 8/14/2024)
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Child with a Limp
Grossman, Emblad, Plantz. Orthopedic Emergencies in Pediatric Emergency Medicine Board Review. 2nd Edition. 2006. p305.
Category: Pediatrics
Keywords: Child Abuse, Fractures (PubMed Search)
Posted: 12/14/2007 by Sean Fox, MD
(Updated: 8/14/2024)
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Child Abuse
Category: Pediatrics
Keywords: Neonatal Respiratory Distress Syndrome, RDS, Cold Stress, Surfactant (PubMed Search)
Posted: 12/7/2007 by Sean Fox, MD
(Updated: 8/14/2024)
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The Premature Infant Delivered in Your Department
An ode to my final NICU Call… just because you don’t work in a Pediatric ED, doesn’t mean you won’t encounter premature infants.
What do you need to remember when a premature infant is born in your ED (or the ambulance / cab / car)?
Category: Pediatrics
Keywords: Pediatric Airway, Pierre Robin Syndrome, Micrognathia, Emergent Tracheostomy, LMA (PubMed Search)
Posted: 11/30/2007 by Sean Fox, MD
(Updated: 8/14/2024)
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Pierre Robin Syndrome
Baraka, A. Laryngeal Mask Airway for Resuscitation of a Newborn with Pierre-Robin Syndrome. Anesthesiology. 83(3):646-647, September 1995.
Category: Pediatrics
Keywords: Proteinuria, Orthostatic Proteinuria, Creatinine (PubMed Search)
Posted: 11/23/2007 by Sean Fox, MD
(Updated: 8/14/2024)
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Proteinuria
Chandar J, Gomez-Martin O, del Pozo R, et al. Role of routine urinalysis in asymptomatic pediatric patients. Clin Pediatr (Phila). 2005; 44:44-48.
Hogg RJ, Portman Rj, Milliner D, Lemley KV, Eddy A, Ingelfinger J. Evaluation and management of proteinuria and nephritic syndrome in children recommendations from a pediatric nephrology panel established at the National Kidney Foundation Conference on Proteinuria, Albuminuria, Risk, Assessment, Detection, and Elimination (PARADE). Pediatrics. 2000; 105: 1242-1249.
Category: Pediatrics
Keywords: Stroke, Embolus, Retinal artery occlusion (PubMed Search)
Posted: 11/16/2007 by Sean Fox, MD
(Updated: 8/14/2024)
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Atrial Myxomas:
Majeed Al-Mateen, et al. Cerebral Embolism From Atrial Myxoma in Pediatric Patients. Pediatrics, Aug 2003; 112: e162 - e167.
Category: Pediatrics
Keywords: Rheumatic Fever, Jones Criteria, Heart Disease, Salicylates, Chorea (PubMed Search)
Posted: 11/9/2007 by Sean Fox, MD
(Updated: 8/14/2024)
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Rheumatic Fever
Category: Pediatrics
Keywords: Heart Transplantation, Rejection, Syncope, Chest Pain (PubMed Search)
Posted: 11/2/2007 by Sean Fox, MD
(Updated: 8/14/2024)
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Children s/p Heart Transplantation – Rejection
Woods, WA. Care of the Acutely Ill Pediatric Heart Transplant Recipient. Pediatric Emergency Care. 23(10):721-724, October 2007.
Category: Pediatrics
Keywords: Severe Asthma, Refractory to standard therapy, intubation, atrovent, magnesium, noninvasive ventilation, heliox, ketamine, singulair (PubMed Search)
Posted: 10/26/2007 by Sean Fox, MD
(Updated: 8/14/2024)
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Severe Asthma in Pediatrics (Using “the kitchen sink” when all else fails)
Every effort should be made to avoid intubating an asthmatic pt. Here are some possible options to consider:
Category: Pediatrics
Keywords: Sepsis, Shock, Tachycardia, Hypotension (PubMed Search)
Posted: 10/19/2007 by Sean Fox, MD
(Updated: 8/14/2024)
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Pediatric Septic Shock
Goldstein B, Giroir B, Randolph A. International pediatric sepsis consensus conference: definitions for sepsis and organ dysfunction in pediatrics. Pediatr Crit Care Med. 2005 Jan;6(1):2-8.
Category: Pediatrics
Keywords: Foreign Body, Button Battery, Heliox, Respiratory Distress (PubMed Search)
Posted: 10/12/2007 by Sean Fox, MD
(Updated: 8/14/2024)
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Foreign Bodies
• No object should be left in the esophagus for >24 hrs
• Unusual FB’s:
==> Very Sharp or pointed objects may perforate the GI tract and should be removed endoscopically.
==> Long objects (>6cm) or wide (>2cm) objects may not pass and should be remove endoscopically.
• Button Batteries
==> 9% of cases involve more than one battery (x-ray mouth to anus)
==> Hazards:
(1) Heavy metal leakage (Mercury) – low risk but real
(2) Electrical Discharge (Local tissue injury)
(3) Pressure Necrosis
(4) Leakage of Corrosives
==> 85% Pass without symptoms
(1) No intervention if pass the esophagus and pt is without symptoms
• Consider Heliox as a temporizing measure in children with respiratory distress, while awaiting endoscopy/bronchoscopy.
Category: Pediatrics
Keywords: Concussion, Second Impact Syndrome, Sports Medicine (PubMed Search)
Posted: 10/5/2007 by Sean Fox, MD
(Updated: 8/14/2024)
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Concussions
Colorado Medical Society School and Sports Medicine Committee. Guidelines for the management of concussion in sports. Colo Med 1990;87:4.
Category: Pediatrics
Keywords: Growth, Failure to thrive, Weight Gain (PubMed Search)
Posted: 9/28/2007 by Sean Fox, MD
(Updated: 8/14/2024)
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Category: Pediatrics
Keywords: Henoch-Schonlein Purpura, abdominal pain, Vasculitis, Nephritis (PubMed Search)
Posted: 9/21/2007 by Sean Fox, MD
(Updated: 8/14/2024)
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Category: Pediatrics
Keywords: Humeral Fracture, Supracondylar Fracture, radius fracture, Compartment Syndrome (PubMed Search)
Posted: 9/14/2007 by Sean Fox, MD
(Updated: 8/14/2024)
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Category: Pediatrics
Keywords: Arnold-Chiari (Chiari II) Malformation, Stridor, Sycope, Respiratory Distress, Weakness, Herniation (PubMed Search)
Posted: 9/7/2007 by Sean Fox, MD
(Updated: 8/14/2024)
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Category: Pediatrics
Keywords: Pediatric Congenital Heart Disease, Hyperoxia test, Prostaglandin E, Shock, CHF (PubMed Search)
Posted: 8/31/2007 by Sean Fox, MD
(Updated: 8/14/2024)
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Category: Pediatrics
Keywords: Lead Poisoning, Toxicology, Plumbism, CaEDTA, BAL, DMSA, Lead Lines, Basophilic Stippling (PubMed Search)
Posted: 8/24/2007 by Sean Fox, MD
(Updated: 8/14/2024)
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Category: Pediatrics
Keywords: Hypoglycemia, Neonate, Glucagon, Dextrose (PubMed Search)
Posted: 8/18/2007 by Sean Fox, MD
(Updated: 8/14/2024)
Click here to contact Sean Fox, MD