SAEM Clinical Images Series: Pediatric Forehead Swelling

A 12-year-old male with a history of autism spectrum disorder and chronic sinusitis presented for forehead swelling. His mother reported that she noticed progressive forehead swelling for about one month. She had followed up with the patient’s pediatrician and ENT and was given oral cephalexin and fluticasone nasal spray which did not make any changes in his symptoms. The patient denied any fevers or headaches.

Emergency medicine physicians serve on the “frontline” every time we walk into a shift but would be remiss to not acknowledge the unique challenges we have faced over the last few months, both as a specialty and as individual clinicians. Prevention of burnout and active wellness management is more important now than it ever has been. This month on our “How I stay Healthy” series, we’re featuring Dr. Mike Paddock, Staff Physician with the Regions Hospital EM residency program who shares his down-to-earth wisdom regarding what he does to thrive as a physician, educator, advocate, father, and friend.