Toddler With Microcephaly, Growth Delay, and Subtle Facial Changes: What Diagnosis Besides Strabismus and Developmental Delay?October 26th 2011
A 2-year-old girl has been followed for developmental delays and slow weight gain by her pediatrician and early childhood intervention therapists. The 17-year-old, first-time mother was also a runaway and had avoided early prenatal care. More details and questions for you, here.
Unexplained Bruising in a Teenager: Abuse-or Mimic?September 8th 2011
A 14-year-old boy presented to the abuse clinic at the request of child protective services. The boy’s gym teacher had noticed multiple large bruises on his back, arms, and legs. School officials had previous experience with the child’s “volatile” stepfather and thought him “capable of abuse.” There were also unofficial concerns of past domestic abuse. A 14-year-old boy presented to the abuse clinic at the request of child protective services. The boy’s gym teacher had noticed multiple large bruises on his back, arms, and legs. School officials had previous experience with the child’s “volatile” stepfather and thought him “capable of abuse.” There were also unofficial concerns of past domestic abuse.
Premature Infant With Motor DelaysAugust 1st 2011
This 1-year-old African-American boy is being followed for developmental delays. His 35-year-old mother has no known health problems, and this was her third pregnancy.Premature delivery at 27 weeks was uncomplicated, yielding appropriate birth weight and Dubowitz scores for gestational age.
A Young Boy With Painful, Erythematous Nodules on Lower ExtremitiesJuly 20th 2011
A 5-year old boy presented with these nonpruritic nonsuppurative painful erythematous nodules on his lower extremities. The rash had appeared about 1 week after the onset of a dry hacking cough.
This 7-year-old boy was brought in for a routine well-child visit. His history included profound sensorineural hearing loss, (for which he had received cochlear implants) and congenital heart disease (a small ventricular septal defect, subaortic ridge, right ventricular conduction delay, and mild left ventricular dilatation).
Boy With Growth Retardation, Craniofacial Anomalies, and HemihyperplasiaJune 30th 2011
A 4 1/2 year-old Hispanic boy is referred to the pediatric clinic because of failure to thrive and growth retardation. He was born at full-term in Mexico and weighed 1.9 kg at birth (lower than the 3rd percentile).
A 3-Year Old Girl with a Rash on Left Arm, Flank, and ThighJune 27th 2011
A 3-year old girl presents with a 4-week history of rash on her left arm, flank, and thigh. The rash is non-pruritic and non-painful. The patient is taking no medications and is up-to-date on all immunizations.
Vaccinations: Immunizations Do Not Cause Autism Spectrum Disorder . . . They Prevent DiseaseJune 25th 2011
In response to publicity about an alleged but erroneous link between vaccination and autism, the number of children who are being immunized has decreased. This is of concern because many vaccine-preventable diseases have potentially devastating and even lethal consequences.
Would you continue acne therapy for a teenage boy with severe scarring?March 2nd 2011
This 16-year-old boy has had severe nodulocystic acne that has responded to isotretinoin therapy. Unfortunately, this therapy was initiated after the scarring process-shown here on the back and shoulder-had developed.
Unexpected Finding in Young Girl After Arm InjuryMarch 2nd 2011
A 10-year-old girl had pain in her left arm after falling off a bunk bed 4 days earlier. She denied fevers or other trauma. Since the fall, she had had difficulty in bearing weight on the arm. Her medical and family histories were unremarkable.
A 7-year-old boy was brought for evaluation of a rash on the chin that had appeared 2 weeks earlier. It was slightly itchy. The mother had applied a topical corticosteroid for a few days but then stopped because of worsening of the lesion.
Abdominal Mass in Teenage Girl: Hair's the DiagnosisFebruary 8th 2011
A 14-year-old girl had fatigue, a slight sore throat, and low-grade fever for a week. The mother was concerned that she had “mono” like her older sister who had the same symptoms and in whom the illness was diagnosed 2 months earlier.
Young Girl With “Bumpy” Red EyeFebruary 8th 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.