Remove Consulting Remove Diagnose Remove Diagnosis Remove Presentation
article thumbnail

You don’t need X-Rays to tell if a child is constipated

PEMBlog

Constipation is a clinical diagnosis and does not require testing, yet as many as 70% of children who are given a diagnosis of constipation in the emergency department have an abdominal x-ray completed. The diagnosis of constipation should be made based on a good history and clinical exam.

Diagnosis 122
article thumbnail

More than the rule of 2s: All about Meckel Diverticulum

PEMBlog

The most common presentation in children under 5 years of age is rectal bleeding, which may be intermittent or massive. STAT Pearls, 2023 Wrap Up Meckel diverticulum is a congenital anomaly of the small intestine that can present with various clinical manifestations, including rectal bleeding and obstruction. ” An et.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

PEMPix 2024 Online Case #2: Flight of Passage

PEMBlog

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. This year, in addition to the 10 finalists Maneesha Agarwal will be presenting at the National Conference and Exhibition we will be sharing four cases online in advance of the conference. What’s the Diagnosis?

article thumbnail

“Antibiotic Failure” – Mike Rose

The Clinical Problem Solvers

She has been evaluated three times over this period, and each time she was diagnosed with cellulitis. Why isn’t she getting better? Dx Issues: The first step in investigating potential “antibiotic failure” is to reevaluate our working diagnosis. Vascular surgery and podiatry were consulted, and a toe amputation was performed.

article thumbnail

You don’t need labs to medically clear a psych patient

PEMBlog

However, the vast majority of pediatric patients with psychiatric complaints do not present with undifferentiated acute psychosis; rather, they are seen for behavioral concerns or suicidal ideation. These presentations include behavior concerns, depression, anxiety, and harm to self or others. Ann Emerg Med. 2014;63(6):666-675.e663.

article thumbnail

Advanced Imaging of Children in the ED: Ultrasound, CT, and MRI

PEMBlog

Learning Objectives Demonstrate the ability to use shared decision-making strategies when discussing imaging options with families of pediatric patients presenting to the Emergency Department. And I think that when we’re faced with a child who has one of these diagnoses, that’s where we need to weigh the risks and benefits.

Family 101
article thumbnail

You don’t need to order comprehensive viral panels for most patients

PEMBlog

The diagnosis of a virus illness is generally made clinically with a history and clinical exam and does not require confirmatory testing. Remember most healthy children don’t have any indication for testing and a positive test does not necessarily mean that the virus is causing the present symptoms. isolation for SARS-CoV-2).