CT before LP?

If you think CT will show a cause for the headache, do a CT If a CT is indicated for other reasons (depressed conscious level, focal neurology), do a CT If a GCS 15 patient is to undergo LP for suspected (or to rule out) meningitis, and they have a normal neurological exam (including fundi), […]

Detecting Child Abuse in the Emergency Department

When there is concern for physical abuse, the physical examination should be completed with the child undressed (in a gown), with specific attention to the skin, scalp and fontanel, mouth and oral cavity (including frena), ears, genitalia, and growth chart. Any injury in a preambulatory child, including bruises, mouth injuries, fractures, and intracranial or abdominal […]

Emergency Medicine Kenya Foundation