Pediatric Catatonia

Catatonia is a syndrome that consists of motor and behavioral signs and symptoms in the setting of neurochemical insult. It can be seen with psychiatric, neuromedical, and substance induced conditions. Though the prevalence of catatonia among the general pediatric population has not been established, it is estimated to be between 0.6% and 17% among child and adolescent psychiatric inpatients [1]. Pediatric patients with catatonia are mostly likely to have a primary diagnosis of psychotic disorder (18.3%) or a neurologic, developmental, and inflammatory illness, such as autoimmune and infectious processes (11.8%) [2]. In comparison, adult patients have a higher proportion of underlying mood disorders, especially bipolar disorder [4].

From Slip on Skateboard to Slip of Femoral Head: A Case of Pediatric Slipped Capital Femoral Epiphysis

SCFE is a pediatric condition in which the femoral epiphysis (what will later become the femoral head) “slips” from its location on the growth plate. The direction of slipping is most often posteriorly and inferiorly in relation to the growth plate, also called the femoral physis, and the metaphysis. The slipped appearance on x-ray is often compared to a scoop of ice cream sliding off a cone.

Tummy Troubles & Twists: Exploring Pediatric Abdominal Pain and Ovarian Torsion

A 14-year-old female presented to the Pediatric Emergency Department (PED) with one week of intermittent right lower quadrant (RLQ) abdominal pain. The pain was sudden, sharp, and moderate to severe in intensity, but it spontaneously resolved and was not present at the time of evaluation. She reported no urinary symptoms, and the pain…

Pediatrics, Emergency MedicineDerek ScottFebruary 4, 2025pediatric EM, OB/Gyn, Emergency Medicine

Hemolytic Uremic Syndrome in Pediatric Patients

An 8-year-old healthy male presents with non-bloody vomiting, diarrhea, abdominal pain, fatigue and subjective fevers for the last 4 days. ..

The Acutely Agitated Child in the Emergency Department

A 9-year-old boy with a history of oppositional defiant disorder, as well as prior admissions to a psychiatric hospital for behavioral concerns, presents to the Emergency Department (ED) of an academic children’s hospital with acute agitation. The patient is brought to the ED via ambulance by emergency medical services and police...

Pediatrics, Social EM, PsychiatryTaylor MarquisSeptember 10, 2024pediatric EM, agitation, safety, PsychiatryComment

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