Otitis Media and Subcutaneous Fat Necrosis

December 12, 2012

A 22-day-old neonate (gestational age, 37 weeks; weight, 4 kg) with otitis media was seen by his pediatrician. On presentation, he was febrile and looked jaundiced. His bilirubin level was slightly above the upper limit of normal.

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QUESTION 1:

A 22-day-old neonate (gestational age, 37 weeks; weight, 4 kg) with otitis media was seen by his pediatrician. On presentation, he was febrile and looked jaundiced. His bilirubin level was slightly above the upper limit of normal.


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QUESTION 2:

A 2-week-old neonate was brought to the emergency department for evaluation of a "lump" on the back. The lesion was first noted shortly after birth, but had been expanding since then. The delivery process had been long and complicated

 

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QUESTION 3:

A 7-year-old girl was brought to the Child Advocacy Center for a sexual assault examination. The child had indicated that her stepfather had sexually assaulted her.


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QUESTION 4:

Pediatric head trauma is one of the most common complaints seen in the emergency department.


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QUESTION 5:

A teenager sought medical attention after noting gradual alterations in all 20 nails. He had no associated symptoms. He had not experienced hair loss, nor development of any other cutaneous or scalp lesions. A diagnosis of twenty-nail dystrophy (or "sandpapered nails") was made.

 

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ANSWER KEY:

Question 1. Answer: d

Question 2. Answer: c

Question 3. Answer: a

Question 4. Answer: c

Question 5. Answer: e