Unexplained Bruising in a Teenager: Abuse-or Mimic?
September 8th 2011A 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 Delays
August 1st 2011This 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.
Boy With Growth Retardation, Craniofacial Anomalies, and Hemihyperplasia
June 30th 2011A 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).
Vaccinations: Immunizations Do Not Cause Autism Spectrum Disorder . . . They Prevent Disease
June 25th 2011In 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 2011This 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 Injury
March 2nd 2011A 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.
Abdominal Mass in Teenage Girl: Hair's the Diagnosis
February 8th 2011A 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 Eye
February 8th 2011Five-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.