News

You are the senior resident covering the pediatric intensive care unit (PICU) when you receive a call from the emergency department (ED) regarding a nearly 14-year-old Caucasian female patient with a diagnosis of "acute abdomen and suspected septic shock." Ten days before admission, she had had a lipoma removed from her back under general anesthesia.

A 6-year-old girl has peeling soles on her feet. Although the peeling is not usually symptomatic, her feet become cracked, fissured, tender, and occasionally infected during the middle of the winter and summer.

Paraphimosis

A 2-year-old boy presented with paraphimosis.This condition occurs when retraction of the foreskin behind the corona of the penis forms a tight ring that impairs blood and lymph flow from the glans and prepuce. Untreated, paraphimosis can lead to pain, urethral obstruction with urine retention and hydronephrosis, or tissue ischemia (with ulceration, penile gangrene, and auto-amputation of the penis).

Francis S. Collins, MD, PhD, the newly appointed head of the National Institutes of Health (NIH), promised pediatricians at the AAP conference that he aims "to focus on pediatric research as a very important priority."