News

A retrospective look at the origins of nursing bottles is further proof that necessity is indeed the mother of invention.

The angry mother of a 15-year-old girl has called the office multiple times asking for the laboratoryresults from her daughter’s office visit last week and demanding to know whether the teen was “put on the pill.” Along with other lab work, tests for sexually transmitted infections (STIs) and pregnancy were performed, and the patient was given a prescription for a hormonal contraceptive.

Caudal regression syndrome (caudal dysplasia sequence) is characterized by complete or partial agenesis of the sacral and lumbar vertebrae, along with pelvic deformity. Multiple other anomalies-including femoral hypoplasia; clubbed feet; flexion contractures of the lowerextremities; GI, genitourinary, and heart abnormalities; and neural tube defects-may also be associated with the syndrome.1

The CDC and the Department of Health and Human Services co-hosted a Web "town hall" Q+A session about swine flu on Thursday.

A 2-month-old girl who lost 30 g over 7 days is noted to have multiple hepatic masses during abdominal ultrasonography to rule out pyloric stenosis; she is referred for further evaluation. She has a history of physiological jaundice and gastroesophageal reflux (GER). She continues to vomit despite treatment with ranitidine.

An 18-month-old white boy is brought to his well-care visit by his parents, who are concerned that for the past month he has been less social and active. He has appeared weak and has refused to walk or play with his siblings. He has also had a decreased appetite and has lost about 2 kg. He has vomited several times but with no bile or blood.

The chief residents at the Children’s Hospital of The King’s Daughters in Norfolk, Va, handle about 1 or 2 cases per week. About once a month, they have a great teaching case in their morning report. These standout cases challenge the residents’ diagnostic acumen and underscore key points that are both applicable to daily practice and likely to appear as questions on future board certification examinations.

This baby boy was born at 40 weeks’ gestation via repeated cesarean section without any distress after uncomplicated antenatal and perinatal periods. Weight was 6 lb 4 oz. Apgar scores were 9 and 9 at 1 and 5 minutes, respectively. He was noted to have lower lip asymmetry. While at rest, the lower lip protruded slightly on the right but otherwise appeared normal (A). During vigorous crying, the lower lip pulled downward to the right (B). All other physical findings were normal.

The SAFEKIDS Initiative is a cleverly-named program with a wholly positive goal: to determine the effects of sedatives and anesthetics in the developmental skills of very young children.