Challenge your diagnosing abilities with 6 of our puzzler cases.
We know you love a good challenge so we’ve collected 6 of our most puzzling cases to test your diagnostic skills. Can you properly diagnose all 6?
A 17-month-old African American girl, with no significant past medical history, is brought to the pediatric emergency department with acute onset of swelling in the floor of her mouth.
A full-term male infant was born at 40.3 weeks gestational age via vaginal delivery to a 29-year-old single G6 P30204 mother with limited prenatal care (3 visits) and short interval pregnancy. The delivery was precipitous: Rupture of membranes was 3 hours in duration with clear fluid; no intrapartum medications were administered; and the infant’s Apgar scores were 9 and 9 at 1 and 5 minutes, respectively.
A 7-month-old male with severe hemophilia A (less than 1% factor VIII activity) presented to his pediatrician with fussiness and inability to sleep for 3 days. He had received his influenza vaccine 3 days earlier.
A healthy 11-day-old male infant is brought to the pediatric clinic for evaluation of rash. The rash started with a 2-mm papule on the left medial epicanthal fold 4 days before the clinic visit. A day before coming to the clinic, the rash had spread to the upper left eyelid and the nasal bridge.
A previously healthy 2-year-old African American female with braids presented to our hospital with 2 days of right-sided face and head swelling.
During a newborn's initial examination, doctors discovered a non-erythematous, midline, suprapubic dimple located 5 cm below the level of the umbilicus. The remainder of the examination was unremarkable. On the second day of life, the newborn had a wet diaper with urine appearing to originate from 2 separate sources, including the dimple.