You are asked to evaluate a healthy 9-year-old girl with an itchy rash on her face, neck, and hands for a week. She had a similar eruption 1 month ago that resolved over several days. Although she has a history of poison ivy, her parents knew of no exposure. There was no history of new topical skin products. However, she had begun to eat more seasonal fruits recently, including strawberries, grapes, and mangos.
Modern Medicine Cases
A 13-year-old boy with poorly controlled type 1 diabetes (T1D) presents to the emergency department (ED) for evaluation of left ear pain and left facial weakness.
A previously healthy, 16-year-old Guatemalan girl presents to the emergency department (ED) with a 1-month history of dyspnea on exertion.
The Advisory Committee on Immunization Practices (ACIP) has updated its influenza vaccination recommendations for the 2014-15 influenza season.
The influenza strains in the 2014-2015 flu vaccine will be the same as last year, which means that children aged 6 months to 8 years who had at least 1 dose of the 2013-2014 vaccine last season will need only 1 dose this season, according to updated recommendations from the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention.
The worried parents of an 8-year-old girl bring her to your office late Friday afternoon for evaluation of a generalized, rapidly progressive, blistering eruption that started 24 hours earlier.
You are asked to evaluate a 12-year-old boy with minimally itchy papules on his chest and upper arms that suddenly appeared 2 years ago.
A 17-year-old white female is transferred from an outside hospital with the chief complaint being painful oral ulcers. Over the last 72 hours, the pain from her ulcers has progressively worsened, leading to the inability to speak or eat. She also has a diffuse papulopustular rash. There is an extensive family history of autoimmune disease, and she tested positive for mononucleosis 2 months prior to hospitalization.
You are asked to evaluate a healthy 18-year-old girl with a history of “mosquito bites” on her arms and legs that appeared after her first pregnancy 2 years ago. Although not symptomatic, the lesions become redder and more swollen intermittently, particularly when accidentally scratched or rubbed.
You are called to the emergency room to see an ill-looking, 13-year-old boy with a severe flare of his atopic dermatitis associated with fever, malaise, and chills, which started a week ago.