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A newborn with fever and tremors
July 12th 2021In a newborn nursery, a newborn boy shows signs of irritability, high tone, and tremors on day of life 1. His mother’s past medical history is significant for preeclampsia, previous opiate and cocaine abuse, and current tobacco use and she was incarcerated during the pregnancy. What's the diagnosis?
Shoulder pain following a hornet sting in a 2-year-old
June 15th 2021A 2-year-old girl with a 36-hour history of left shoulder redness and pain. She developed a fever 24 hours prior to presentation. She was stung by a hornet on multiple areas of her left upper extremity 10 days earlier. What’s the diagnosis?
Red papulonodule with central crusting on a neonate’s cheek
January 14th 2021A 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?
A case of terra firma—forme dermatosis
During the evaluation of a healthy 7-year-old boy, an asymptomatic brown “dirt-like” rash is found on the anterior neck. It has progressed over the last 2 months and does not clear with routine bathing and aggressive scrubbing by his mother with soap and water.
Newborn presents with jitters and tremors after delivery
May 19th 2020A full-term male infant was born at 40.3 weeks gestational age via vaginal delivery to a 29-year-old single G6 P30204 mother with limited prenatal care (3 visits) and short interval pregnancy. The delivery was precipitous: Rupture of membranes was 3 hours in duration with clear fluid; no intrapartum medications were administered; and the infant’s Apgar scores were 9 and 9 at 1 and 5 minutes, respectively. What's the diagnosis?
Toddler’s unusual oral trauma is troubling
A 17-month-old African American girl, with no significant past medical history, is brought to the Pediatric Emergency Department with acute onset of swelling in the floor of her mouth. What's the diagnosis?
Boy’s chronic lesions change with the seasons
November 8th 2019A healthy 10-year-old male presents for evaluation with a 3-year history of an asymptomatic and progressive, mildly pruritic rash over his head and trunk. The first lesion appeared on his back 3 years ago, and numerous other lesions developed insidiously afterward. The patient’s father states that the lesions fade during the winter and become more prominent during the summer. Failed treatment included hydrocortisone. What's the diagnosis?
8-year-old girl with pain in her neck
October 17th 2019A mildly overweight 8-year-old Hispanic female in rural Colorado is brought to her primary care provider’s office with right neck pain and right-sided neck swelling of a day’s duration. The patient’s mother also stated that her daughter had a maximum temperature (T-max) of 102°F that started that morning. The patient denied any sore throat, rash, headache, rhinorrhea, cough, nasal congestion, abdominal pain, vomiting, or diarrhea. What's the diagnosis?
Erythematous plaque on an infant’s cheek
October 10th 2019A healthy, afebrile, 12-month-old girl presents for evaluation with an asymptomatic nodule on her left cheek that has been present for 3 weeks. She was initially seen by her pediatrician, diagnosed with cellulitis, and prescribed an oral antibiotic, which was not administered by her parents.
Sudden neutropenia and emesis in an SGA infant
August 21st 2019A 24-year-old G2P1001 African American female at 38.2 weeks of gestation was induced for labor for a fetus with prenatally diagnosed intrauterine growth restriction (IUGR). She subsequently delivered via normal spontaneous delivery. The infant initially latched well at the breast, was normoglycemic and normothermic, but shortly after birth had had a significant episode of blood-tinged emesis (not deemed to be swallowed maternal blood) and was transferred to the transitional nursery for further evaluation.