A 6 day old infant male vomits a large amount of bright red blood at home and is taken to a rural emergency department. The child looks good, but the amount of blood on the baby’s blanket brought in by his mother is very impressive.
Appendicitis is a common diagnosis in ED, and once it is confirmed clinically or on ultrasound, the patient usually goes pretty quickly to theatre for an appendectomy. But is a course of antibiotics just as effective as taking these kids to theatre?
A 7 year old female is brought to the ED with a chief complaint of abdominal pain. She vomited once and feels weak. Emesis occurred about 1 hour after eating saimin (a local soup/noodle dish, also called ramen) from a neighborhood lunch/snack truck (a small mom and pop type business).
This week’s recommendation is a podcast from the awesome PEM ED Podcasts.
Recognising irreducible hernias and hernias at risk of incarceration will save a ball…Recognising undescended testes can save a ball…
Early diagnosis of testicular torsion will save a ball…
4 year old Dudley is brought into your emergency department by his hysterical mother. In between breathless sobs she tells you how she accidentally slammed the car door shut on his hand. She is convinced he has lost a finger given how much he is screaming.
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.
A two-year old female has a chief complaint of coughing up some blood. There has been a one-month history of coughing and wheezing. She has seen her pediatrician three times in the past month. The child has been treated with salbutamol liquid and amoxicillin.
Jasmina, a five old girl, is brought in by her mother after a Sunday afternoon barbecue. Having had very little for breakfast she became very excited when the burgers came out and reached out to grab one from the grill burning her hand. Bottom line Simple first aid is often forgotten and cold running water…
Sam, a 9 day old boy, is rushed into the paediatric emergency room by his distraught parents. Bright red blood is soaking through the front of his cloth nappy.
Examining for a cleft palate
Davis, T. Examining for a cleft palate, Don't Forget the Bubbles, 2014. Available at:
http://doi.org/10.31440/DFTB.6398
A 6 week old baby is referred with poor feeding. On examination you notice a cleft palate that has been previously undetected at the earlier babychecks. What is the best way to examine newborns in order to detect all cleft palates? The RCPCH and NICE have released a joint consensus guideline (October 2014) on best…