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Bacterial Conjunctivitis

Postpartum Remedies for Better Breast Milk

September 13, 2012

Functional foods for post-partum mothers include galactagogues to enhance breast feeding and teas to soothe colic.

Child Abuse-or Mimic? Retinal Hemorrhages in an Infant

August 24, 2012

The ophthalmologist was not able to rule abuse in or out based on his examination because of the number of retinal hemorrhages seen.

Young Girl With “Bumpy” Red Eye

February 08, 2011

Five-year-old girl with redness and light sensitivity of the right eye of 2 days' duration. She denied any significant pain or decreased vision. She initially presented to an urgent care clinic, where application of polymyxin B/trimethoprim eye drops 4 times a day was prescribed.

Orbital Cellulitis

October 08, 2010

This 14-month-old girl was brought for evaluation of marked swelling and erythema of the left eyelids (A) The mother had noticed a green discharge and mild swelling of the eye 2 nights earlier.

Asymptomatic Papular Rash in Infant With Rhinorrhea

July 07, 2010

A 10-month-old boy with an asymptomatic rash is brought to your office by his mother. The rash, which began on the legs and spread to the arms, face, and buttocks, has been present for 3 days. Other than rhinorrhea and nasal congestion for the past 3 to 5 days, the infant has been well, although fussier than usual, especially at night. His appetite is normal. The rash has persisted despite the application of bacitracin, petroleum jelly, and cortisone. He has had no sick contacts with a similar rash or illness. His immunizations are up-to-date.

Drug Eruptions: The Benign-and the Life-Threatening

June 09, 2010

“Drug rash” is a common pediatric complaint in both inpatient and outpatient settings. This term, however, denotes a clinical category and is not a precise diagnosis. Proper identification and classification of drug eruptions in children are important for determining the possibility of-and preventing progression to-internal involvement. Accurate identification is also important so that patients and their parents can be counseled to avoid future problematic drug exposures.

Complicated Cutaneous Anthrax

April 29, 2010

A 12-year-old girl presented to the emergency department with progressing generalized inflammatory symptoms (fever and malaise), visual difficulty, severe inspiratory dyspnea, and 2 painless lesions on the right upper lip that had persisted for a few days. She had been well until 2 days before presentation, when she noticed a small pimple-like lesion above the right upper lip that was followed rapidly by facial edema, erythema, and constitutional symptoms.

Rashes and Fever in Children: Sorting Out the Potentially Dangerous, Part 4

April 28, 2010

Most children who present with undifferentiated rash and fever-or fever and rash and nonspecific physical findings-have a benign viral illness. However, identifying those few who have an early or atypical presentation of a more serious disease is vitally important. Here-clues that can help.

Infant With Fat-Soluble Vitamin Deficiencies Caused by Cystic Fibrosis

February 09, 2010

A 3-month-old African American boy was referred for evaluation of poor weight gain and vomiting. The infant had been evaluated by his primary care physician 15 times within the past 6 weeks; he had no change in symptoms despite various treatments.