Status epilepticus

The batphone rings at 5am. You are given a 5 minute ‘heads up’ by paramedics regarding a 3 year old child they are rushing to you with lights & sirens. She has a history of seizure disorder and has been actively seizing for 45 minutes….

Finding the fever

Jed is a thriving 8 month old brought in by his parents with a fever of 38.8oC; he’s tachycardic and grumpy. His fever began twelve hours ago, and aside from crankiness, he is otherwise well. He is fully immunised and there are no sick contacts at home. You get a call from your Mixed Emergency…

Torn frenulum

Marcus, 15, looks very embarrassed as he is brought into the fast track cubicle by his mother. His shuffling gait and poor eye contact suggest he has a ‘personal problem’ but he doesn’t want to discuss it until his mother leaves.

Do antibiotics affect CSF results?

Paediatricians often have to make a decision about whether to just go ahead and give antibiotics in suspected meningitis, or wait for a lumbar puncture (LP) – this could be due to parental refusal, an unstable patient, or a failed attempt. There is often a discussion about repeating the LP later that day, or even…

Peri-orbital vs orbital cellulitis

6-year-old Chardonnay is brought to the emergency department by her mother.  Two or three days ago she noticed what appeared to be a bite on her daughter’s eyelid.  Despite warm compresses her eyelid has become progressively more red and inflamed with the swelling now extending onto her cheek.