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Toddler with lesions on cheeks, ears, and armsAlarmed parents bring their healthy 14-month-old son to the office for evaluation of a rash that appeared on his face and arms 3 days ago. He had a fever and runny nose at that time, but the fever has since resolved and he is behaving normally.
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Neonate with acute respiratory distressAfter an otherwise normal pregnancy, a male infant was born at 37 weeks gestational age via emergency cesarean delivery for decreased or absent fetal movement with multiple late and variable heart rate decelerations.
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Vesicular rash in an infant with eczemaThe parents of a healthy 6-month-old boy with eczema bring him to the office for evaluation of a rapidly progressive rash on his arms, legs, face, and back. He had a low-grade fever and loose stools for 2 days last week.
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Hypothermia and emesis in a newbornThe patient, a 7-day-old, small-for-gestational-age female (birth weight, 2.21 kg), born by vaginal delivery at 37 weeks to a G1P0 mother, presented to the pediatric emergency department for hypothermia and emesis at the recommendation of her pediatrician.
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Hypothermia and emesis in a newbornThe patient, a 7-day-old, small-for-gestational-age female (birth weight, 2.21 kg), born by vaginal delivery at 37 weeks to a G1P0 mother, presented to the pediatric emergency department for hypothermia and emesis at the recommendation of her pediatrician.
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Hypothermia and emesis in a newbornThe patient, a 7-day-old, small-for-gestational-age female (birth weight, 2.21 kg), born by vaginal delivery at 37 weeks to a G1P0 mother, presented to the pediatric emergency department for hypothermia and emesis at the recommendation of her pediatrician.
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Who is at risk following outpatient tonsillectomy? (VIDEO)For Contemporary Pediatrics, Dr Bobby Lazzara looks at a cohort study published in JAMA Otolaryngology - Head & Neck Surgery that looked at risk factors following outpatient tonsillectomy.
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Boy with fever, cough, and oral lesionsA previously healthy, 16-year-old Hispanic boy initially presents to the clinic with a 5-day history of tactile fevers, achy malaise, congestion, and a dry cough. He was afebrile with negative rapid strep and monospot tests, but was prescribed fluticasone, benzonatate, and ibuprofen for a presumed upper respiratory infection. He was encouraged to return if symptoms did not improve.
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Boy with fever, cough, and oral lesionsA previously healthy, 16-year-old Hispanic boy initially presents to the clinic with a 5-day history of tactile fevers, achy malaise, congestion, and a dry cough. He was afebrile with negative rapid strep and monospot tests, but was prescribed fluticasone, benzonatate, and ibuprofen for a presumed upper respiratory infection. He was encouraged to return if symptoms did not improve.
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Recognize & Refer: Focus on retinoblastomaThis month’s spotlight is Pediatric Oncology as Contemporary Pediatrics sits down exclusively with pediatric oncologist Lisa Diller, MD, vice chair, Clinical Affairs, and medical director, Clinical Cancer and Blood Disorders Service Line, Dana-Farber Cancer Institute, Boston, Massachusetts, to discuss the one key condition for which she believes community pediatricians should be especially aware-retinoblastoma.
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Sexting, dignity, and what we can learn from one anotherPediatricians often find themselves sitting across from teenagers trying to counsel them on wise and safe sexual practices. Unsure how much or what kind of information parents provide about sex, these conversations can be as awkward as they are important.
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Pearl-like mass on a girl’s tympanic membraneDuring a routine office visit for mild acute nasal congestion and possible diminished hearing, an isolated, small, pearl-like mass was noted just posterior to the umbo of the left tympanic membrane of a 5-year-old girl.
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Dyslexia: What you need to knowBy being vigilant to signs of dyslexia, dispelling the myths, and helping to coordinate care, pediatricians can help children with dyslexia enjoy success in school and in daily life.
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5 steps for assessing dyslexia from a reading specialistHere are 5 steps to assist pediatric care providers with the assessment of dyslexia in children and referral of these patients to the appropriate specialists.
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Peeling rash in a 4-year-old boyThe mother of a 4-year-old boy, whose family recently emigrated from Haiti, brings him to the pediatric mobile clinic for evaluation of a rash that had begun 11 days earlier as an eruption of vesicular, pruritic papules on the bilateral lower extremities and had spread to the buttocks and medial thighs with sparing of the face. The skin eruption was followed by desquamation of the skin on his palms and soles.
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Parents’ stigmatizing beliefs about HPV vaccineParents who reported the stigmatizing belief “My child is not having sex” were much more likely to rely on health care providers as a source of information than parents who did not report this belief.
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Peeling rash in a 4-year-old boyThe mother of a 4-year-old boy, whose family recently emigrated from Haiti, brings him to the pediatric mobile clinic for evaluation of a rash that had begun 11 days earlier as an eruption of vesicular, pruritic papules on the bilateral lower extremities and had spread to the buttocks and medial thighs with sparing of the face. The skin eruption was followed by desquamation of the skin on his palms and soles.
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Urolithiasis in childrenUrolithiasis occurrence is increasing in both adults and children in the United States, with nearly 1 in 11 adults having a stone at some time in their life. Unfortunately, stone occurrence in children also appears to have increased from 1% to 2% in the 1950s to 1970s to almost 10%.
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Treat plays trick on a 3-year-old boyA 3-year-old boy presents to the emergency department (ED) with a 1-day history of irritability and listlessness. According to his parents, he was well until the night before when he began to behave abnormally, becoming excessively tired approximately 2 hours after eating dinner. During the night, the boy slept poorly, sporadically awakening with crying followed by brief periods of calmness. The morning of presentation, he was difficult to arouse with intermittent fussiness and reluctance to ambulate.
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Teenaged girl distressed by persistent rashA 16-year-old girl presents for evaluation of an asymptomatic brown rash over her central chest and back that developed over the preceding 6 months. She is embarrassed by the appearance.
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Infant with facial lesions and respiratory distressA 2-month-old Hispanic girl is transferred by her pediatrician to the emergency department (ED) for evaluation of decreased oral intake, failure to thrive, and large bleeding facial hemangiomas.
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ACEs: Caught in the cross fireA physician’s curiosity leads to discovery of both the cause and a “cure” for the effects of adverse childhood experiences (ACEs) on patient health.
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Infant with facial lesions and respiratory distressA 2-month-old Hispanic girl is transferred by her pediatrician to the emergency department (ED) for evaluation of decreased oral intake, failure to thrive, and large bleeding facial hemangiomas.
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Infant’s disseminated rash is twice misdiagnosedA frustrated mother carries her 2-month-old son into the office for evaluation of a diffuse bright red rash with dramatic hypopigmentation. Scalp, neck, axillary, and diaper areas are involved.
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Newborn with persistent hypoglycemiaA full-term male infant was born to a 33-year-old gravida 3, para 3 mother. The prenatal course was uncomplicated, without gestational diabetes; the mother received prenatal care at an out-of-state institution. At the delivery, however, the baby was notably macrosomic, with shoulder dystocia and perinatal distress requiring positive pressure ventilation.
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Infant with facial lesions and respiratory distressA 2-month-old Hispanic girl is transferred by her pediatrician to the emergency department (ED) for evaluation of decreased oral intake, failure to thrive, and large bleeding facial hemangiomas.
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The Independent Pediatrician: The Challenges and Rewards of IndependenceThis issue focuses on pediatricians like you who stand up for what they believe in - starting a business from scratch, fighting big insurance, or practicing in an economically disadvantaged community.
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The Independent Pediatrician: The Challenges and Rewards of IndependenceThis issue focuses on pediatricians like you who stand up for what they believe in - starting a business from scratch, fighting big insurance, or practicing in an economically disadvantaged community.
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Small-for-age toddler is unable to walkA 22-month-old African American boy born at 38 weeks by normal vaginal delivery presents to a local hospital from a private pediatric office for failure to thrive. He was seen by his pediatrician until aged 1 month but was lost to follow-up. His delay in walking prompted his mother to reestablish care at age 22 months.
