Category Archives: Pediatrics

Pediatric Ovarian Torsion

Critical Case Conference Discussion by Annalisa Rudser MD Ovarian torsion Affects females of all ages 80% of cases < 50 y/o 1% of pediatric and adolescent girls — can be pre-menarchal but rare Cysts and neoplasms account for 94% of … Continue reading

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Respiratory Distress in Infants and Toddlers

Respiratory Distress in Infants and Toddlers — Pearls By Dr. Kara Seaton High Risk for respiratory failure with acute respiratory insult: Younger age (the younger they are, the higher the risk) H/o prematurity Neuromuscular compromise/hypotonia Pulmonary disease Cardiac disease Head/airway … Continue reading

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Traumatic Pelvic Injuries in Children

Presented at Regions Hospital Multidisciplinary Trauma Conference Elizabeth Weber MD Department of Orthopedic Surgery, Gillette Children’s Hospital Rare incidence Most common cause of death is concomitant CNS injury (vascular injury only accounts for 0.3% mortality — 10 times greater in … Continue reading

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Newborn Pearls and Hirschsprung’s Disease

Within 2 weeks babies should return to birthweight Greater than 10% weight loss from birthweight or not returning to baseline birthweight in those 2 weeks is worrisome Ask about feeding regimen: Normal breast feeding in the 1st month: 8-12x/day every … Continue reading

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Neuroblastoma

Critical Case Conference August 2, 2012 — Dr. Funmi Salami Most common cancer in children < 1 year old, median age at diagnosis 17 months Arises anywhere in sympathetic nervous system Most (40%) in adrenal gland Presenting signs and symptoms … Continue reading

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Anaphylaxis — July 5, 2012

Regions Emergency Medicine Critical Case Conference Discussion led by Dr. Wendy Woster Anaphylaxis Younger children more likely to have severe food allergy — most commonly seen in teenagers but can see new food allergies in the elderly By definition, 2 … Continue reading

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Anterior Mediastinal Mass — January 5, 2012

Critical Case Conference — Discussion by Dr. Jennifer Longo Anterior Mediastinal Mass Four T’s: Thyroid, teratoma, thymoma, terrible lymphoma (also dermoid cyst, hemangioma) Peds: 1/3 present in children < 15 years of age, 1/2 are symptomatic, 1/2 of symptomatic are … Continue reading

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Seizures — December 1, 2011

Pediatric Seizure Pearls — Discussion by Dr. Bjorn Peterson during Critical Case Conference Febrile Seizure: Age 6 mos-5 years, 33% recurrence, 2% incidence of epilepsy (vs 1% general population) Simple — neurologically normal before and after, single generalized seizure < … Continue reading

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Pediatric SVT — November 3, 2011

Pediatric SVT — Discussion by Won Chung, MD MS Infants (< 1 year old) Most have structurally normal hearts AV reentrant tachycardia (AVRT), includes WPW — more common in infants AV nodal reentrant tachycardia (AVNRT) — more common in adults … Continue reading

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Pediatric Stroke

Pediatric Stroke — Discussion by Dr. Felix Ankel and Dr. Timothy Feyma Incidence: 2-63/100,000 children per year in the US — 3000 kids/year vs 700,000 adults ED Work up: CT/MR, CBC, Coags, ESR, CRP. Consider LP if all else negative … Continue reading

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