Case Studies

His vital signs in clinic were within normal limits, and the only additional finding at this time was a nontender, nonpruritic, and nonpalpable petechial rash on the bilateral lower extremities.

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The patient described the headache as “pressure-like,” episodes that occurred for 1 to 2 hours with high severity.

Infant is closely monitored at subsequent well visits and rechecked after 3 months, showed full resolution of the skin lesion over the heel area.

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Can you diagnose this patient?

On physical examination, the patient appeared to be in significant respiratory distress. Her oxygen saturation was 96% on high-flow nasal cannula.

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Can you diagnose this patient? Take our poll and find out! Then check back for the full case, differential diagnosis, and correct diagnosis.

The patient’s medical history included several episodes of mild diaper dermatitis and erythematous rashes during periods of teething.

Read the full case presentation of a 21-month-old with a history of "skin tags" involving her gluteal cleft,noted at birth.

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13-year-old female with altered mental status, headache and emesis. What is the diagnosis?

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What's the diagnosis of this linear eruption on an adolescent girl's leg?

Take your best guess and try to diagnose this 9-year-old girl's linear eruption on the back of her left thigh and leg. Stay tuned for the full case presentation and correct diagnosis!

On exam, the patient is found to have circular, slightly raised, blanching, erythematous papules on the lower extremities and abdomen.

Can you diagnose this patient in our most recent puzzler poll?

His mother reported that the nail had developed a green discoloration and had begun to detach approximately 1 week prior to the visit.

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The patient had increased her vape use recently, but did not disclose when she started, or how much she vaped.

Medical advice was sought on the fifth day of symptoms, and by this time, the child was improving clinically.

The photos in this case were taken soon after the painful and red papules appeared.

Can you diagnose the patient in this edition of puzzler?

Can you diagnose this patient with a tender bump on the labia majora accompanied by fever and sore throat?

A 5-year-old boy with a history of asthma presented for a 1-year history of multiple episodes of emesis. What's the diagnosis?

An 11-year-old boy with a history of asthma and allergic rhinitis presented to the emergency department (ED) with worsening fatigue, minimal responsivity to external stimuli, and diffuse muscle weakness for 2 months.

A 9-year-old boy was seen for follow-up of a neck mass noted several years earlier. He first presented with this finding at 3 years of age, when during an otherwise unremarkable examination, he became upset, and a protuberant swelling was noted in the anterior aspect of the right side of his neck. What's the diagnosis?

Take this Contemporary Pediatrics quiz, and see if you can correctly diagnose the patient in this case study. Submit your answer to see if you were correct.