Consultant for Pediatricians Vol 4 No 10

A3-year-old boy was at home with his cousinwho was preparing for a fishing trip when afishhook accidentally became lodged in thedistal part of the child’s right middle finger(A).

A2¹⁄₂-year-old child is hospitalized with a 1-monthhistory of worsening persistent cough. She was initiallytreated with a 5-day course of oral amoxicillin, andher symptoms abated somewhat. However, for the pastweek, she has experienced high fever (temperatures upto 38.3°C [101°F]) and chills associated with right-sidedpleuritic chest pain.

The lesions in this newborn's mouth are Bohn nodules. These mucous gland cysts manifest as firm, small (less than 3 mm) grayish white nodules--usually in the mouth on the buccal or lingual aspect of the alveolar ridges. They occasionally occur on the palate, and may be confused with large Epstein pearls.