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Teenager suffers diarrhea, emesis, and weight lossA 16-year-old male with a history of nephrotic syndrome and gastritis presents to the emergency department (ED) with worsening emesis, diarrhea, and abdominal pain of 3-weeks’ duration.
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Teenager suffers diarrhea, emesis, and weight lossA 16-year-old male with a history of nephrotic syndrome and gastritis presents to the emergency department (ED) with worsening emesis, diarrhea, and abdominal pain of 3-weeks’ duration.
Latest:
Teenager suffers diarrhea, emesis, and weight lossA 16-year-old male with a history of nephrotic syndrome and gastritis presents to the emergency department (ED) with worsening emesis, diarrhea, and abdominal pain of 3-weeks’ duration.
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Red flags for genetic disordersAt a minimum, the pediatrician should be familiar with genetic disease on the newborn screen and other genetic diseases they may see in their office. It’s also important to recognize the child with multiple medical issues who also may need referral to a genetic or metabolic specialist.
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Boy’s progressive extremity rash looks fishyA previously healthy 8-year-old boy presents to the dermatology clinic with a progressively worsening elbow rash over the course of the last week. The rash does not itch. He spent the previous weekend sailing on the Chesapeake Bay. His pediatrician prescribed a course of cephalexin as well as a trial of topical antiviral ointment, neither of which improved the rash. The patient denies any other new exposures.
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Kawasaki disease: AHA statement and recommendationsPediatricians must suspect Kawasaki disease (KD) in children with prolonged unexplained fever. This article reviews the latest scientific statement on KD from the American Heart Association that is of practical importance for all clinicians.
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Persistent pruritic rash in an 8-year-old boyAn 8-year-old boy is brought to the office for evaluation of a persistent itchy rash on his extremities, trunk, and face. Although the rash has been present for longer than 3 months, individual skin lesions change from hour to hour and occasionally the rash clears completely only to recur several hours later. He is otherwise healthy with no known allergies, changes in diet, medication use, or recent illness.
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Chronic cough in a 4-year-old boyA previously healthy 4-year-old male, born late preterm by urgent cesarean delivery with an uncomplicated postnatal course, presents to the outpatient clinic for a chief complaint of worsening cough over the past 5 months. He denies current fever, rhinorrhea, shortness of breath, diarrhea, or vomiting. His cough has been worsening in severity and frequency, and mostly occurs during the daytime.
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Lower-extremity nodules in a 2-year-old girlA 2-year-old girl presents with an itchy, bilateral leg rash. Additionally, the child had several bruises that felt like "hard welts" and were warm to the touch. What's the diagnosis?
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Groundbreaking guidelines issued for unexplained pediatric deathNew consensus guidelines clarify the procedural guidance for investigation, certification, and reporting of sudden unexplained pediatric deaths to help medical professionals and families through these crises.
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Cannabinoids as future treatment for epilepsyScientific evidence supporting the efficacy and safety of adjuvant cannabidiol use for specific pediatric seizures is accumulating, but long-term effects of use are still unknown.
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Infantile spasms: A frontline guide for pediatriciansDelaying diagnosis and treatment for this early childhood disorder can lead to worse outcomes, so early recognition is crucial.
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Two views of treating obesity in childhoodTwo pediatricians discuss the 10 commandments of obesity prevention for children and where the focus for treating obesity in childhood should be.
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Girl’s hands shrivel when exposed to waterA 16-year-old girl presents to the clinic for acne follow-up and mentions that her palms wrinkle significantly after only a few minutes of immersion in water. She is otherwise well and has no significant past medical history.
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Infant resists moving right shoulder or elbowAn 11-day-old, full-term male presents to the emergency department (ED) with a 2-day history of decreased range of motion of his right upper extremity.
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Infant resists moving right shoulder or elbowAn 11-day-old, full-term male presents to the emergency department (ED) with a 2-day history of decreased range of motion of his right upper extremity.
Latest:
Infant resists moving right shoulder or elbowAn 11-day-old, full-term male presents to the emergency department (ED) with a 2-day history of decreased range of motion of his right upper extremity.
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Attachment is the key to parent-child relationshipsOne physician’s personal agenda is to help parents understand how their own history of dealing with stress affects how they bond with their child.
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Streaky pigmentation suggests larger issuesThe parents of a 2-month-old boy return to the office for a well-child visit. The infant has a history of hypotonia and poor head control but is growing normally. His parents noted streaky patterns of hypopigmentation over his trunk and extremities shortly after birth and felt they were likely just “birthmarks.”
Latest:
Streaky pigmentation suggests larger issuesThe parents of a 2-month-old boy return to the office for a well-child visit. The infant has a history of hypotonia and poor head control but is growing normally. His parents noted streaky patterns of hypopigmentation over his trunk and extremities shortly after birth and felt they were likely just “birthmarks.”
Latest:
Streaky pigmentation suggests larger issuesThe parents of a 2-month-old boy return to the office for a well-child visit. The infant has a history of hypotonia and poor head control but is growing normally. His parents noted streaky patterns of hypopigmentation over his trunk and extremities shortly after birth and felt they were likely just “birthmarks.”
Latest:
9 ways to improve developmental screening referralsWhen improving the developmental screening process in a practice, a key area to focus on is improving the referral process. Here are 9 tips to ensure the referral process is effective.
Latest:
9 ways to improve developmental screening referralsWhen improving the developmental screening process in a practice, a key area to focus on is improving the referral process. Here are 9 tips to ensure the referral process is effective.
Latest:
9 ways to improve developmental screening referralsWhen improving the developmental screening process in a practice, a key area to focus on is improving the referral process. Here are 9 tips to ensure the referral process is effective.
Latest:
9 ways to improve developmental screening referralsWhen improving the developmental screening process in a practice, a key area to focus on is improving the referral process. Here are 9 tips to ensure the referral process is effective.
Latest:
9 ways to improve developmental screening referralsWhen improving the developmental screening process in a practice, a key area to focus on is improving the referral process. Here are 9 tips to ensure the referral process is effective.
Latest:
9 ways to improve developmental screening referralsWhen improving the developmental screening process in a practice, a key area to focus on is improving the referral process. Here are 9 tips to ensure the referral process is effective.
Latest:
9 ways to improve developmental screening referralsWhen improving the developmental screening process in a practice, a key area to focus on is improving the referral process. Here are 9 tips to ensure the referral process is effective.
Latest:
Left lower quadrant abdominal pain, vomitingA 4-year-old girl presents to the emergency department (ED) with a 12-hour history of progressively worsening episodic left lower quadrant (LLQ) abdominal pain and nonbilious emesis. There was no history of fever, diarrhea, hematochezia, constipation, or dysuria. The child was previously healthy, did not take any medications, and had no history of prior surgery.
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CAR T-cell therapy in pediatricsRecent developments in chimeric antigen receptor (CAR) T-cell therapy have shown promise in treating relapsed B-cell acute lymphoblastic leukemia in children.
