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Infant with failure to thrive and hypotoniaA 4-month-old girl arrives at the clinic for a well-child visit. Her mother voices concerns about the infant’s poor weight gain, slow feeding habits, and physical delays such as head lag, poor grasp reflex, and rolling over.
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Pruritic vesicles erupt on a boy’s legsA healthy 12-year-old boy with eczema shows up at the office with an incredibly itchy rash on his legs that has exploded over the last 48 hours. He has a history of dry skin to which his mother regularly applies various moisturizers, including calendula oil.
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Infant with failure to thrive and hypotoniaA 4-month-old girl arrives at the clinic for a well-child visit. Her mother voices concerns about the infant’s poor weight gain, slow feeding habits, and physical delays such as head lag, poor grasp reflex, and rolling over.
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Boy’s progressing rash could delay surgeryA preoperative evaluation is requested for a 15-year-old boy who is a renal transplant patient maintained on oral mycophenolate mofetil and tacrolimus. His parents are worried that an itchy rash on his hands and feet, which has been progressing over the last 4 months, will result in postponement of his surgery.
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Right question resolves teen’s pain dilemmaA 16-year-old girl presents to an emergency department (ED) accompanied by her boyfriend to report a 24-hour history of right lower quadrant pain. The pain is associated with midline lower back pain and light vaginal bleeding (1 to 2 tampons per day). She has experienced some nausea but no vomiting.
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Trauma-informed care helps children in foster careApproximately 500,000 children spend time in foster care annually, and the majority of children in foster care have complicated and unmet healthcare needs.
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Trauma-informed care helps children in foster careApproximately 500,000 children spend time in foster care annually, and the majority of children in foster care have complicated and unmet healthcare needs.
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Be ready for an in-office 911Focusing on emergencies became our platform to address the far more important goals of situational awareness, team integration, and effective communication. As we build increasingly matrixed systems of care that surround our littlest of patients, having addressed these goals inspires us with confidence that we can do so with the child’s safety at top of mind.
Latest:
Be ready for an in-office 911Focusing on emergencies became our platform to address the far more important goals of situational awareness, team integration, and effective communication. As we build increasingly matrixed systems of care that surround our littlest of patients, having addressed these goals inspires us with confidence that we can do so with the child’s safety at top of mind.
Latest:
Newborn‘s rash is more than skin deepA healthy newborn girl returns for a follow-up visit at age 7 days, and she is exhibiting multiple disseminated red macules and papules of varying sizes. While in the nursery, several red blanching macules had been noted on her trunk at age 2 days.
Latest:
Newborn‘s rash is more than skin deepA healthy newborn girl returns for a follow-up visit at age 7 days, and she is exhibiting multiple disseminated red macules and papules of varying sizes. While in the nursery, several red blanching macules had been noted on her trunk at age 2 days.
Latest:
Newborn‘s rash is more than skin deepA healthy newborn girl returns for a follow-up visit at age 7 days, and she is exhibiting multiple disseminated red macules and papules of varying sizes. While in the nursery, several red blanching macules had been noted on her trunk at age 2 days.
Latest:
Erythema and ecchymosis after newborn’s phototherapyA male infant is born and delivery is remarkable for yellow amniotic fluid and a jaundiced infant. Following delivery he is given intensive phototherapy and then develops erythema, which later becomes ecchymosis. What's the diagnosis?
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Erythema and ecchymosis after newborn’s phototherapyA male infant is born and delivery is remarkable for yellow amniotic fluid and a jaundiced infant. Following delivery he is given intensive phototherapy and then develops erythema, which later becomes ecchymosis. What's the diagnosis?
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Boy with ear pain and facial weaknessA 13-year-old boy with poorly controlled type 1 diabetes (T1D) presents to the emergency department (ED) for evaluation of left ear pain and left facial weakness.
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Boy with ear pain and facial weaknessA 13-year-old boy with poorly controlled type 1 diabetes (T1D) presents to the emergency department (ED) for evaluation of left ear pain and left facial weakness.
Latest:
Boy with ear pain and facial weaknessA 13-year-old boy with poorly controlled type 1 diabetes (T1D) presents to the emergency department (ED) for evaluation of left ear pain and left facial weakness.
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Acute pruritic eruption on a child’s face and handsYou are asked to evaluate a healthy 9-year-old girl with an itchy rash on her face, neck, and hands for a week. She had a similar eruption 1 month ago that resolved over several days. Although she has a history of poison ivy, her parents knew of no exposure. There was no history of new topical skin products. However, she had begun to eat more seasonal fruits recently, including strawberries, grapes, and mangos.
Latest:
Acute pruritic eruption on a child’s face and handsYou are asked to evaluate a healthy 9-year-old girl with an itchy rash on her face, neck, and hands for a week. She had a similar eruption 1 month ago that resolved over several days. Although she has a history of poison ivy, her parents knew of no exposure. There was no history of new topical skin products. However, she had begun to eat more seasonal fruits recently, including strawberries, grapes, and mangos.
Latest:
Acute pruritic eruption on a child’s face and handsYou are asked to evaluate a healthy 9-year-old girl with an itchy rash on her face, neck, and hands for a week. She had a similar eruption 1 month ago that resolved over several days. Although she has a history of poison ivy, her parents knew of no exposure. There was no history of new topical skin products. However, she had begun to eat more seasonal fruits recently, including strawberries, grapes, and mangos.
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Four strategies cut newborn readmissionsPreventing readmissions has always been a high priority for the clinicians in hospital newborn nurseries. Here's how one program works on cutting down readmission rates.
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Delayed menarche with normal pubertal growthA 14-year-old female presents for a wellness visit. On history, she is noted to not have started her menstrual cycle but on physical exam has significant breast and pubic hair development since the age of 10 years.
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Delayed menarche with normal pubertal growthA 14-year-old female presents for a wellness visit. On history, she is noted to not have started her menstrual cycle but on physical exam has significant breast and pubic hair development since the age of 10 years.
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Persistent agitation in children with neurologic impairmentsCrying and agitation for no apparent reason in children with severe neurologic impairment is a common and frustrating problem for parents and providers alike. A methodical approach is helpful in dealing with this problem, yet sometimes the cause is not apparent, even after a thorough search. It is helpful to explain to parents and caretakers that the cause of the distress may take some time to figure out, and that diagnosis is often difficult. However, in most cases, a satisfactory treatment can be found.
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Father, son share similar blue bumpsA father brings his 8-year-old son to the office for evaluation of new, asymptomatic blue bumps that have appeared on the boy’s chest over the last several months (Figure). The dad notes that he has had similar lesions as well.
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AAP's first-ever action plan for epinephrine and anaphylaxisAnaphylaxis is a serious, life-threatening allergic reaction that can occur suddenly without warning. In children and adolescents, the leading cause of anaphylaxis is exposure to food allergens. Recently, the American Academy of Pediatrics (AAP) published 2 clinical reports that discuss guidance on appropriate epinephrine use for anaphylaxis and developing an emergency action plan for patients at risk.
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Teen vaping: Time to clear the airThe vaping culture of using non–cigarette tobacco and electronic nicotine delivery systems (ENDS) is the latest risky trend among adolescents and young adults. Vaping is the use of high-tech, advanced electronic devices such as electronic cigarettes (e-cigarettes), refillable atomizers, and other tobacco products as an alternative or in addition to regular cigarettes.
Latest:
Teen vaping: Time to clear the airThe vaping culture of using non–cigarette tobacco and electronic nicotine delivery systems (ENDS) is the latest risky trend among adolescents and young adults. Vaping is the use of high-tech, advanced electronic devices such as electronic cigarettes (e-cigarettes), refillable atomizers, and other tobacco products as an alternative or in addition to regular cigarettes.
Latest:
Girl’s blistering rash spreads to eyes and faceA healthy 9-year-old female presents with a 1-day history of fever, progressive rash, conjunctivitis, and superficial oral ulcers.
