Pediatrics: Bronchiolitis vs. Croup

While the first is a disease of bronchioles and lower airway with resulting wheezing and crakles, the second one is inflammation of the larynx, causing stridor and braking cough. Both are caused mainly by a viral infection and both may present at the ED with rhinorrea, coughing, fever and signs of increased work of breathing….

Pediatrics: Viral meningitis in children.

Most feverish children who are brought to the ED may only have “tos and mocos” (coughing, rhinorrea, a common cold) and perhaps a non severe viral infection associated rash. The challenge may be identifying children who are at risk of having a bad disease, such as Meningitis. The following illustration reviews the clinical presentation of…