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Massive splenomegaly in a 6-year-old girlA 6-year-old female with history of previously resolved iron-deficiency anemia presents to the emergency department (ED) for numerous episodes of nonbloody, nonbilious vomiting and diffuse abdominal pain that began on the day of presentation. She had initially presented to her pediatrician who felt a large left-upper-quadrant abdominal mass and referred her to the ED for further evaluation. She has no associated diarrhea or urinary symptoms. What's the diagnosis?
Latest:
Massive splenomegaly in a 6-year-old girlA 6-year-old female with history of previously resolved iron-deficiency anemia presents to the emergency department (ED) for numerous episodes of nonbloody, nonbilious vomiting and diffuse abdominal pain that began on the day of presentation. She had initially presented to her pediatrician who felt a large left-upper-quadrant abdominal mass and referred her to the ED for further evaluation. She has no associated diarrhea or urinary symptoms. What's the diagnosis?
Latest:
Massive splenomegaly in a 6-year-old girlA 6-year-old female with history of previously resolved iron-deficiency anemia presents to the emergency department (ED) for numerous episodes of nonbloody, nonbilious vomiting and diffuse abdominal pain that began on the day of presentation. She had initially presented to her pediatrician who felt a large left-upper-quadrant abdominal mass and referred her to the ED for further evaluation. She has no associated diarrhea or urinary symptoms. What's the diagnosis?
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Considerations for diagnosing ADHDAttention-deficit/hyperactivity disorder (ADHD) and its comorbidities can pose significant challenges for children in your practice. It's imperative to know key symptoms as well as the criteria for the condition.
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Epinephrine autoinjectors for anaphylaxisEpinephrine is essential for treating anaphylaxis in children, and autoinjectors are the preferred method for administering epinephrine in an anaphylactic emergency. There is no one-size-fits-all approach to the optimal dose for all children, so here is expert advice about how to choose what’s best for your patient.
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Epinephrine autoinjectors for anaphylaxisEpinephrine is essential for treating anaphylaxis in children, and autoinjectors are the preferred method for administering epinephrine in an anaphylactic emergency. There is no one-size-fits-all approach to the optimal dose for all children, so here is expert advice about how to choose what’s best for your patient.
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14 questions to assess safety skills in a child with autismChildren with autism spectrum disorder are at risk of wandering or elopement. Asking parents some key questions about how their child’s communication skills and how the child acts in public areas can help keep the child safe. Here are 14 questions that can help keep these children safe.
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14 questions to assess safety skills in a child with autismChildren with autism spectrum disorder are at risk of wandering or elopement. Asking parents some key questions about how their child’s communication skills and how the child acts in public areas can help keep the child safe. Here are 14 questions that can help keep these children safe.
Latest:
14 questions to assess safety skills in a child with autismChildren with autism spectrum disorder are at risk of wandering or elopement. Asking parents some key questions about how their child’s communication skills and how the child acts in public areas can help keep the child safe. Here are 14 questions that can help keep these children safe.
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Why boys are not getting HPV vaccine and how to fix thisA noticeable gender gap exists between boys and girls when it comes to vaccination rates for human papillomavirus (HPV). Here’s why healthcare providers need to up their game when it comes to HPV vaccine for boys.
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Thyroid disorders: Manifestations, evaluation, and management in children and adolescentsThyroid disorders present with overt symptoms or insidiously with few signs of disease. Here’s how pediatricians can identify and effectively treat children with thyroid disease or refer patients for further evaluation.
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Thyroid disorders: Manifestations, evaluation, and management in children and adolescentsThyroid disorders present with overt symptoms or insidiously with few signs of disease. Here’s how pediatricians can identify and effectively treat children with thyroid disease or refer patients for further evaluation.
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Emergent itchy rash in a 5-year-old boyA healthy 5-year-old boy with a 6-month history of asymptomatic 2-mm to 3-mm papules on his legs presents for evaluation of a red, slightly itchy rash that just developed on the back of his right knee. What's the diagnosis?
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Sudden neutropenia and emesis in an SGA infantA 24-year-old G2P1001 African American female at 38.2 weeks of gestation was induced for labor for a fetus with prenatally diagnosed intrauterine growth restriction (IUGR). She subsequently delivered via normal spontaneous delivery. The infant initially latched well at the breast, was normoglycemic and normothermic, but shortly after birth had had a significant episode of blood-tinged emesis (not deemed to be swallowed maternal blood) and was transferred to the transitional nursery for further evaluation.
Latest:
Sudden neutropenia and emesis in an SGA infantA 24-year-old G2P1001 African American female at 38.2 weeks of gestation was induced for labor for a fetus with prenatally diagnosed intrauterine growth restriction (IUGR). She subsequently delivered via normal spontaneous delivery. The infant initially latched well at the breast, was normoglycemic and normothermic, but shortly after birth had had a significant episode of blood-tinged emesis (not deemed to be swallowed maternal blood) and was transferred to the transitional nursery for further evaluation.
Latest:
Sudden neutropenia and emesis in an SGA infantA 24-year-old G2P1001 African American female at 38.2 weeks of gestation was induced for labor for a fetus with prenatally diagnosed intrauterine growth restriction (IUGR). She subsequently delivered via normal spontaneous delivery. The infant initially latched well at the breast, was normoglycemic and normothermic, but shortly after birth had had a significant episode of blood-tinged emesis (not deemed to be swallowed maternal blood) and was transferred to the transitional nursery for further evaluation.
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Newborn presents with jitters and tremors after deliveryA 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. What's the diagnosis?
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Examining COVID-19 in PediatricsAs all pediatricians can attest, children are not just small adults. It's important to recognize that COVID-19 has a different disease course in pediatric patients and that COVID-19 can be severe.
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Oxygen delivery in the home settingSupplemental oxygen can be delivered safely to patients in their home. Here experts discuss the indications for oxygen therapy, the amount needed, and the interface for delivery.
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Oxygen delivery in the home settingSupplemental oxygen can be delivered safely to patients in their home. Here experts discuss the indications for oxygen therapy, the amount needed, and the interface for delivery.
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Segmental hemangioma on a newborn’s faceA healthy 5-week-old girl presents for evaluation of rapidly growing, flat-topped red papules on the left side of her face.
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Segmental hemangioma on a newborn’s faceA healthy 5-week-old girl presents for evaluation of rapidly growing, flat-topped red papules on the left side of her face.
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Early introduction of the “Big Eight” allergenic foodsThere is now compelling evidence that the early introduction of allergenic foods to infants might very well prevent the development of food allergy.
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Port wine stains in infants: Optimizing outcomes with early treatmentWhen a baby is born with a disfiguring port wine stain, parents may be anxious for options to eliminate the lesion. Laser treatment is an effective option, and it is best begun early.
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Taking on a strategy to tackle COVID-19COVID-19 has rapidly changed many aspects of life and nowhere is this more apparent than in medical offices.
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Erythematous plaque on an infant’s cheekA healthy, afebrile, 12-month-old girl presents for evaluation with an asymptomatic nodule on her left cheek that has been present for 3 weeks. She was initially seen by her pediatrician, diagnosed with cellulitis, and prescribed an oral antibiotic, which was not administered by her parents.
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Erythematous plaque on an infant’s cheekA healthy, afebrile, 12-month-old girl presents for evaluation with an asymptomatic nodule on her left cheek that has been present for 3 weeks. She was initially seen by her pediatrician, diagnosed with cellulitis, and prescribed an oral antibiotic, which was not administered by her parents.
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Looking at anesthetic neurotoxicity in pediatric sedationPediatricians need to have informed discussions with parents and caregivers about procedures for their children requiring sedation or general anesthesia. This evidence can help with those decisions.
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How social media responds to suicidal messagesWhat if someone is posting suicidal messages or something disturbing on social media? Some social media sites also have a process to report suicidal content and get help for the person posting the message. Each offers different options on how to respond. Here's how 6 of the most popular ones do it.
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How to make postpartum depression screening a success in primary carePediatricians are the ideal first-line providers to help identify, refer, and support new mothers affected by postpartum depression.
