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Unusual presentation of fever and abdominal pain in a 15-year-old femaleAn undocumented, Spanish-speaking, 15-year-old female presented to the emergency department with 3 weeks of fever (>101℉) and 3 days of abdominal pain. What's the diagnosis?
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Itchy black spots: Poison ivy or something else?A 16-year-old girl presents for evaluation of a rash on her left forearm, which was 2 enlarging red areas that became increasingly pruritic and edematous. What's the diagnosis?
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Telephone triage nurses and telemedicine providers: Key strategies for teamwork in pediatric officesCOVID-19 has brought telemedicine to the forefront of medical care. Here's some strategies that can help streamline the process, using teamwork.
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A fever, liver abnormalities, and pancytopeniaA previously healthy 5-week-old former term newborn male presented to the emergency department with the chief complaint of fever ranging from 101-104°F for 2 days. He also had been fussy and not been eating well. The infant remained febrile despite his mother’s administration of Infant Tylenol every 4 hours at home. His mother denied any cough, rhinorrhea, bleeding or bruising, diarrhea, vomiting, and reported stool and urine had been normal. What's the diagnosis?
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Dehydrated infant with fast breathing and sunken anterior fontanelA 9-month-old girl with a history of grunting and poor weight gain for a few months is evaluated in the emergency department for dehydration and respiratory distress. What’s the diagnosis?
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Exploring the link between kids with ADHD and unhealthy eatingA recent study found a negative association between children with attention-deficit/hyperactivity disorder (ADHD) and health eating patterns.
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Red papulonodule with central crusting on a neonate’s cheekA newborn boy born via normal vaginal delivery at 38.6 weeks gestation to a 33-year-old G5P2022 mother presented at birth with an asymptomatic 8-mm red, papulonodule with central crusting on the right cheek. What's the diagnosis?
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How to become a better communicator and negotiatorSome of the essential characteristics of being a good communicator are to be concise, specific, pleasant, approachable, and most of all, to be a good listener.
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Higher pregnancy risks associated with maternal hidradenitis suppurativaA study of over 1 million births in Quebec reveals that pregnant women with hidradenitis suppurativa face increased risks of pregnancy complications and long-term health issues for both themselves and their offspring.
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Muscle spasms in a 19-year-old maleA 19-year-old male presents to the emergency department (ED) with headache and fever of 4 days’ duration. Six days earlier, his left palm had been punctured by a rusty nail. What's the diagnosis?
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Vulvar ulcerations in a pre-adolescent girl following COVID-19 vaccinationCan you diagnose this patient with a tender bump on the labia majora accompanied by fever and sore throat?
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Bridging the Gap for T1D ManagementExpert endocrinologists provide final thoughts on addressing unmet needs and improving the management of T1D.
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Medical errors in the pediatric emergency department: Don't make these mistakes!A medical error is not an unusual event, although most are minor. The emergency department is one place where medical errors are more likely because of the chaotic nature. Here's a look at common mistakes and some cases where mistakes were made.
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Racism in pediatric health: How to talk to children about racismBoth the protests in the summer of 2020 for racial justice and the news that non-White Americans are disproportionately affected by COVID-19 have highlighted the urgent need to address racism everywhere, including in pediatric practice.
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Friction-induced blistering on a child’s feetYou are called to the hospital nursery to evaluate a healthy full-term newborn boy who developed painful flaccid blisters and erosions on the tops of his feet and ankles shortly after birth. His mother had a history of similar recurrent skin lesions that healed with scarring. She also had oral and gastrointestinal tract involvement. What's the diagnosis?
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Bridging the Gap for T1D ManagementExpert endocrinologists provide final thoughts on addressing unmet needs and improving the management of T1D.
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Economics of developmental/mental health screening at well-child visitsFreely available measures may seem initially like a bargain, but their excess demands on staff time not only are expensive but often deter one of the central goals of well-child visits.
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Clinical Pearls for the Management of ALGSExperts in pediatric hepatology share advice for the optimal management of Alagille syndrome.
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Uncharacteristic skin findings in a toddler with a history of dermatitisThe patient’s medical history included several episodes of mild diaper dermatitis and erythematous rashes during periods of teething.
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Children and headaches: Red flags, triggers, and rescue treatmentsHeadaches are common in children, but not all headaches are the same. This article offers a review of triggers and treatments.
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Painful passage of vaginal mass after discontinuing OCPCan you diagnose the patient in this edition of puzzler?
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Update on pediatric COVID-19 vaccination*Co-first authorship was earned, as each equally contributed to the methodical and rigorous review of the literature, writing, and editing of this article.
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Congenital hypopigmented macules on a healthy childYou are asked to evaluate an African American boy aged 4 years with a birthmark on his back and right arm. He is healthy with normal growth and development. What's the diagnosis?
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A case of progressive joint pain and rash in a 5-year-oldA 5-year-old nonverbal boy with autism spectrum disorder and global developmental delay presented to the emergency department with bilateral lower-extremity bruising and progressive difficulty ambulating. What's the diagnosis?
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Youth cannabis use and depression, suicidal behavior, with Jesse Hinckley, MD, PhDAt PAS 2025, Jesse Hinckley, MD, PhD, presented data showing cannabis use sharply increases odds of depression and suicidal behavior in youth.
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Mother-to-child hepatitis b transmission presents economic trade-offsExpanding peripartum prophylaxis could be more cost-effective, but would likely lead to significant over-treatment.
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Leriglitazone demonstrates lesion growth deceleration in pediatric cerebral adrenoleukodystrophyMinoryx's leriglitazone showed a decrease in matrix metalloproteinase-9 concentrations in pediatric patients with cerebral adrenoleukodystrophy, according to a 24-week analysis.
