19-month-old female presents to the ED for evaluation of shortness of breath and wheezing, seen in walk in clinic just prior to arrival and noted to be 87% on room air. She has been eating and drinking slightly less but has had adequate urine output and has had no noted fevers at home. In arrival …
Category: Pediatric Pearls
Multisystem Inflammatory Syndrome in Children (MIS-C)
Introduction Throughout the worldwide pandemic of COVID, the general understanding became that pediatric patients were not only less susceptible to the virus but also to the clinical symptoms that accompany it. Albeit rare, Multisystem Inflammatory Syndrome in Children (MIS-C) is a relatively new differential diagnosis that does not necessarily need positive COVID testing and in …
Continue reading Multisystem Inflammatory Syndrome in Children (MIS-C)
Pediatric Pearls – Kawasaki Disease
A 3 year old male presents to the emergency room with a fever. His parents state that the fever has been present for 5 days and is associated with rash, lymphadenopathy, erythema of the lips, and “pink eye.” A case presentation such as this one is obviously pointing towards Kawasaki disease, however many cases presenting …
Pediatric Pearls – Case of the Month (September)
EMS calls to let you know that they have a 7 year old male with an acute asthma exacerbation. They report that the child has increased work of breathing and is currently receiving a duoneb treatment. Five minutes later they arrive. The child appears uncomfortable, grey and tired on arrival. He has a respiratory rate …
Continue reading Pediatric Pearls – Case of the Month (September)
Pediatric Pearls – Case of the Month
A 10 y.o f presented to the ED with a rash. The patient had a recent history of several days of tactile fevers as well as URI like symptoms per the mother that resolved, but then a rash began to develop. The rash was initially on the patient’s back but then began to spread diffusely …
Pediatric Pearls – Bronchiolitis
Bronchiolitis is a diagnosis frequently made in the setting of the emergency department and a major cause of illness in infants and children less then 2 years of age. It is most commonly a result of viral infection, typically respiratory syncytial virus (RSV) and is more common in winter months. It is characterized by upper airway …
Pediatric Pearls
An 8-day-old female presents to the emergency department with productive cough and worsening discharge from the left eye for two days. The patient’s mother also reported nasal congestion, cough, and wheezing. The patient had recently been evaluated 1 day prior in an ED and diagnosed with left lacrimal duct obstruction. At that time, no purulent …
Pediatric Pearls
A 2 year old male presented to the ED for groin swelling. His mom stated that everything started with a viral illness 2 weeks ago, which then progressed into multiple areas of swollen joints associated with pain and the inability to walk. One day prior to presentation a red, non painful rash appeared on his …
AOMC FOAMed 
You must be logged in to post a comment.