Erythema Multiforme

Presented by Tiffany Milner

Patient: A 12 month-old has been referred to the Emergency Department by the PCP. She has a rash, fever, and swelling.

Diagnosis: Erythema Multiforme
More than 50% diagnosed are < 20 years-old

2 Types:

1) EM Minor
a) Little/no mucus membrane involvement
b) Vesicles, no bullae
c) No systemic symptoms
d) Usually involves only extremities and face

2) EM Major
a) Most often a drug reaction
b) Mucus membrane involvement
c) Extensive confluent bullae
d) Systemic symptoms (fever, prostration, chelitis)

View my collection, "Erythema Multiforme" from NCBI

Erythema Multiforme

Breakfast with Ed

May 7: Hiatal Hernia presented by Laura Duty
Hiatal Hernia 5.7.2010

May 5: Wilms Tumor presented by Megan Harrison

Learning point: A toddler presents to the ED after running into a parent's knee while playing. Is it a traumatic injury or something more? When pain is out of proportion to the injury there could be something more than a traumatic injury involved in the diagnosis.

Wilms Tumor 5.5.2010

April 30: Advocacy: Homeless Youth presented by Nate Ostheimer and Danielle Smith


April 28: Oven Cleaner Ingestion presented by Brook Lang

View my collection, "Ingestion of Caustic Agents" from NCBI

TOXNET a toxicology data network

Infant Hypocalcemia?

An infant has been referred to the Emergency Department by the PCP. The parents complain that the newborn (8 days of life) is twitching and has rapid eye movement. He does not seem to be getting better.

Differential Diagnoses:
Parathyroid, Hypocalcemia, Hypomagnesemia, Disorder of Vitamin D Metabolism.

View my collection, "Infant Hypocalcemia?" from NCBI

AM Report Hypocalcemia in Children