Brown Sound: Point-Of-Care Ultrasound Diagnosis of Pyloric Stenosis

An ex-full term six-week old male presented to the pediatric emergency department with three weeks of forceful, non-bloody, non-bilious emesis. He was having two to four episodes of vomiting that occurred after feeding. Three weeks prior, the patient had been transitioned from breast milk to formula, and attempts to thicken the formula by adding rice had not improved his vomiting. More recently, he had poor PO intake and his parents were concerned about his weight. He had no fevers, no change in number of wet diapers or stooling, and no other acute complaints…

Ultrasound, PediatricsSean ReidApril 17, 2020Ultrasound, Pyloric stenosis, pediatricsComment

Pediatric Strangulation

Strangulation injuries are defined as any injury that results from a compressive force to the neck, leading to vascular and airway occlusion. Such forces might include hanging or strangulation (postural, ligature, or manual). Strangulation is implicated in 10% of violent deaths in the United States, while hanging is the second most common form of death by suicide…

Pediatrics, TraumaJosh KaineMarch 9, 2020pediatrics, strangulation, hanging, ARDS, cervical injuryComment

Dental Pain and a Rash

A 6 year-old otherwise healthy male presented to the emergency department accompanied by his parents. They note that 5 days prior to presentation, the patient developed a rash on his legs which was described as multiple “small red dots” with no other associated symptoms. On further history, they state that they just returned from a hiking vacation to Pennsylvania…

Infectious Disease, PediatricsJosh KaineJanuary 28, 2020EBV, Infectious Disease, Pediatrics, Rash, ThrombocytopeniaComment

Not Just Honey: A Case of Infantile Botulism

A 4 month-old ex-full term infant presents to the ED unresponsive. He is immediately brought to the trauma room and history is gathered from his mother…

Critical Care, Infectious Disease, Pediatrics, ToxicologyBrett MurrayDecember 6, 2019Pediatrics, Toxicology, Infectious Disease, BotulismComment

This is Not the Appendix You're Looking For

A previously healthy 11 year-old male presents to the ED with three days of lower abdominal pain. The patient was evaluated at an urgent care center prior to arrival and was sent to the ED to “rule out appendicitis.” The patient reports intermittent “stabbing” pain that was initially suprapubic, but moved to the right lower quadrant today. The patient states the pain comes and goes without a clear trigger, but he has been able to eat normally and go to school. His mom became concerned today when they were about to eat dinner and the patient had an episode of severe pain that caused him to lie down. His mom gave him acetaminophen with some relief. He has not had fever, nausea, vomiting, or diarrhea. He has no sick contacts. He denies dysuria and penile discharge…

Radiology, GU, Pediatrics, UltrasoundJessie WernerNovember 29, 2019Emergency Radiology, UrologyComment

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