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A 13-year-old boy presented with marked periorbital swelling of the left eyelid that started 12 hours earlier. His eyelashes and lid were matted with yellow discharge. He did not wear contact lenses or eyeglasses and denied ocular trauma or foreign bodies. He had been nauseated and vomited once; his mother attributed these symptoms to an antibiotic he had been taking for 5 days for a sinus infection. The medical history was noncontributory; there was no family history of ocular problems.

Tainted baby food

Consumers are warned not to use certain jars of Earth's Best Organic 2 Apple Peach Barley Wholesome Breakfast baby food, because of a risk of Clostridium botulinum contamination. The affected foods were sold in individual jars and in variety packs (containing four jars of the apple peach barley in the pack along with other types). This line of food is a part of the "2nd Vegetables, Fruits, and Blends" intended for infants six months and older. Distribution was through retail stores and the Earth's Best Web site. Consumers should not use and destroy any of this product, even if it does not look or smell spoiled.

There is increasing evidence that environmental toxicants affect kids' health. Given this reality, pediatricians need to know the most important environmental health questions to ask, and what resources to draw from.

There is increasing evidence that environmental toxicants affect kids' health. Given this reality, pediatricians need to know the most important environmental health questions to ask, and what resources to draw from.

There is increasing evidence that environmental toxicants affect kids' health. Given this reality, pediatricians need to know the most important environmental health questions to ask, and what resources to draw from.

It is early evening when a previously healthy 2-year-old Hispanic girl is brought to the hospital by her mother. The girl has a history of fever to 100.2 F axillary, and skin lesions that began four days earlier. The skin lesions are described as following a progressive course. The lesions would begin as non-itchy red patches with a central vesicle that would burst, leaving an ulcer with a black base.

Cayenne pepper boy

You are asked to evaluate a healthy 14-year-old boy who is peppered with asymptomatic golden brown spots. What's the diagnosis and how would you manage him?

Deciding whether to mandate protection of the public involves consideration of evidence, and risk and burden.