1. Coarctaction of the Aorta – congenital heart defect due to a “crimp” in aorta leading to bounding brachial and radial pulses and decreased femoral pulses.
2. Kawasaki Disease – vasculitis causing high fever for over 5 days, conjunctivitis, strawberry tongue, and edema of hands and feet.
3. Commotio Cordis – chest trauma resulting in V Fib or Asystole.
4. Caregiver’s diluting formula – causes hyponatremia and risk of seizures.
5. Volvulus – malrotation of bowel causing bilious vomiting, surgical emergency.
6. Intussusception – telescoping of bowel causing currant-jelly stool and sausage-shaped mass. Treat with barium enema.
7. Henoch-Schoenlein Purpura (HSP) – vasculitis with purpuric rash and fever.
8. Glomerulonephritis – brown foamy urine and peripheral edema after strep throat.
9. MVC Lap-restraint only - small bowel rupture and chance fracture.
10. Straddle injury – bicycle, bathtub, or sports injuries, GU consult if difficulty urinating.
11. Legg-Calve-Perthes – avascular necrosis of the femoral head, seen in shorter males, present with a limp.
12. Slipped Capital Femoral Epiphysis – hip disorder in obese adolescents.
13. Hair tourniquet – remove hair immediately by cutting or hair remover.
14. Down’s Syndrome – risk of atlantoaxial instability.
15. Measles – the 3 C’s – cough, coryza, and conjunctivitis, with Koplik spots.
16. Reye’s Syndrome – Chicken pox or flu, treated with aspirin.
17. Diphtheria – grey pseudomembranous coating in the back of the throat.
18. Prenatal vitamin ingestion – Treat with chelating agent Desferal to bind with iron.
19. Alkaline battery ingestion – causes liquification necrosis so remove ASAP.
20. Tick paralysis – numbness and tingling starting in lower extremities, after tick attachment.