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How to perform a physical exam of shoulder pain in an athletePhysical exams for shoulder pain in young athletes can be performed in the primary care setting. Here are 6 tests to help diagnose the source of the pain.
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Boy’s white patches signal pigmentary disorderA 9-year-old boy presents for evaluation of white spots on his hands, elbows, knees, and legs. There is also a ring around a mole on his back. The patient’s parents first noted areas of depigmentation on his trunk and extremities, and his lesions have spread particularly in areas of trauma. The lesions were most noticeable in the summer when tanning increased the contrast between the involved and uninvolved areas of his body.
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Spina bifida: Top 10 things for physicians to knowThe pediatrician's role is to support both the child with spina bifida and the family as they come to terms with this chronic illness. This article presents the 10 actions that are most important in preparing for and caring for a child with this complex health need.
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Teenager with sudden diffuse dermatitisA 16-year-old boy develops a diffuse, rapidly progressive eruption on his trunk, face, and extremities 4 days after starting oral amoxicillin for presumed strep throat. He presents to the emergency department (ED) where Stevens-Johnson syndrome is considered. The ED physician notes no mucous membrane involvement.
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JUULING: What kids don’t know will hurt themHealthcare providers must communicate to their adolescent and young adult patients the dangers of electronic nicotine delivery systems.
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JUULING: What kids don’t know will hurt themHealthcare providers must communicate to their adolescent and young adult patients the dangers of electronic nicotine delivery systems.
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How to bring oral health to primary careOral health should be central to your patients' daily routines, but it's too often buried in a long list of priorities.
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How to bring oral health to primary careOral health should be central to your patients' daily routines, but it's too often buried in a long list of priorities.
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Fever, headache, arthralgias, and rashA 15-year-old Caucasian male with a past medical history of attention-deficit/hyperactivity disorder presents to the hospital emergency department with a 1-week history of fever, headache, arthralgias, vomiting, and rash.
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Fever, headache, arthralgias, and rashA 15-year-old Caucasian male with a past medical history of attention-deficit/hyperactivity disorder presents to the hospital emergency department with a 1-week history of fever, headache, arthralgias, vomiting, and rash.
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Anaphylaxis essentials for infantsThe American Academy of Pediatrics’ (AAP) has updated its Allergy and Anaphylaxis Emergency Action Plan for the treatment of infants at risk for an allergic emergency.
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8 questions for a thorough history to diagnose migrainesWhen evaluating and diagnosing migraines in pediatric patients, a thorough medical history is key to giving a diagnosis. These 8 questions are structured to pinpoint concerning headache patterns earlier in the diagnosing process.
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8 questions for a thorough history to diagnose migrainesWhen evaluating and diagnosing migraines in pediatric patients, a thorough medical history is key to giving a diagnosis. These 8 questions are structured to pinpoint concerning headache patterns earlier in the diagnosing process.
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Infant with febrile neutropenia and a hepatic massA 7-month-old girl presents to her pediatrician’s office with a 1-week history of fevers and upper respiratory symptoms. What's the diagnosis?
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Infant with febrile neutropenia and a hepatic massA 7-month-old girl presents to her pediatrician’s office with a 1-week history of fevers and upper respiratory symptoms. What's the diagnosis?
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Infant with febrile neutropenia and a hepatic massA 7-month-old girl presents to her pediatrician’s office with a 1-week history of fevers and upper respiratory symptoms. What's the diagnosis?
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Boy with red bumps all in a rowThe worried mother of an 11-year-old boy arrives at the office for evaluation of an asymptomatic bumpy rash that appeared suddenly in his right groin a month ago, and that has now extended all the way down to his right ankle. What's the diagnosis?
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12 ways to reduce medication errorsAvoiding medication errors can be even easier if you use these 12 tips.
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Congenital cytomegalovirus: Impact on child healthDespite the high prevalence of congenital cytomegalovirus, many pediatricians and even obstetricians lack knowledge and awareness of the adverse sequelae of this disease on children.
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More than stubborn diaper rash?An 11-month-old boy was brought to the doctor by anxious parents for the evaluation of persistent diaper dermatitis. Despite trying multiple barrier creams and over-the-counter antifungal products, the rash did not resolve.
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Failure to thrive: Early intervention mitigates long-term deficitsOutpatient pediatric providers have an essential role in the ongoing monitoring and care of a child with failure to thrive (FTT). Here’s how routine growth assessments help to identify FTT and determine effective multidisciplinary treatment.
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A 3-week-old girl with vesicular rashA 3-week old girl comes to an emergency room with vesicular eruptions and recent mild nasal congestion and fussiness. What’s the diagnosis?
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Infant’s pustular eruption is not scabiesAn anxious mother brings her healthy 4-month-old daughter for evaluation of itchy pustules on both hands and feet. The eruption has persisted despite 2 courses of permethrin for scabies. The infant also was diagnosed with hand-foot-and-mouth syndrome and dyshidrotic eczema, but neither of these diseases fit clinically.
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Let’s all stop making medication errors in kidsPhysicians, parents/caregivers, and school personnel must ensure that children are not harmed by medication errors in the provider’s office, at home, or at school.
