Pediatric EM Morsels

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Juvenile Dermatomyositis

Pediatric EM Morsels

We have previously discussed our “love” of rashes ! Ok, maybe we are still lukewarm when it comes to skin eruptions, but we cannot deny the important clues that we may decipher from a good derm exam! This is especially true when we are facing the complaint of weakness and muscle pain. There are a lot of considerations on our list when we are pondering the child who complains of muscle weakness !

ALS 144
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TXA (Tranexamic Acid) in Pediatrics 

Pediatric EM Morsels

Kids get hurt. And they get sick. Its inevitable. Whether their fingers get caught accidentally in a car door or bedroom door slamming closed, or they trip and fall while running on their uncooperative little toddler legs , or catching all the germs as their immune systems slowly struggle to fight off every known virus to mankind. While most of the time, the injuries and illnesses are minor and self-resolving, every once in a while, there is major injury or illness, and significant bleeding is i

E-9-1-1 231
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Mycoplasma Genitalium (AKA Mgen)

Pediatric EM Morsels

Sexual Transmitted Infections in Children ? Dr. Jackson, are you gonna have us talk to teens about sex again? Yes. Yes I am. Whether I am in Charlotte or B’awlmer (currently hanging out as Faculty at Johns Hopkins), I will strive to make us all uncomfortable… so that we can be more comfortable in having important conversations with our pediatric patients!

ACS 130
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Mycoplasma Pneumonia in Children

Pediatric EM Morsels

Its been a BIG year for Mycoplasma! If your EDs have been anything like ours, youve been seeing more patients with Mycoplasma Pneumonia than you expected. Many kids are presenting to the ED for failure of outpatient antibiotic therapy of community acquired pneumonia, only to find out thats because they werent on the right meds! Let’s debrief on this atypical bug.

ED 167
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Parvovirus Infection In Children

Pediatric EM Morsels

Rashes are, as we know, a common complaint in the pediatric ER and one of the most difficult things to diagnose ( in my opinion ). Many of them look the same and distinguishing between what is a benign rash vs something sinister can always be a challenge. As we sort through the potential concerning ailments, it is also good to keep in mind the stereotypic causes of mild pediatric rashes.

ALS 167
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BECTS (Benign Epilepsy with CentroTemporal Spikes) Seizures / Benign Rolandic Epilepsy of Childhood

Pediatric EM Morsels

Seizures are super scary for a parent to witness, but not all seizures mean danger. There is actually a diagnosis of seizures that has “ BENIGN” in the name! Have you ever had that feeling of falling that rapidly wakes you from sleep? While it’s unlikely that you were having Benign Epilepsy with CentroTemporal Spikes (BECTS) seizures or a benign Rolandic seizure, that tenuous state between sleeping and waking is a time when some odd neurologic things can happen, including BECTS.

ALS 157
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Gianotti-Crosti Syndrome in Children

Pediatric EM Morsels

As I have said before ( and I’m sure others of you have nodded along in agreement ), “ I hate rashes.” My disdain for rashes , however, only seems to ensure that every shift presents me with another opportunity to find clever and reassuring ways to say “ viral exanthem.” Clearly, not all rashes are related to viral infections (ex, DRESS , RMSF , HSP , Diaper Dermatitis ) and we have previously discussed an approach to pediatric rashes.