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A 13-year-old girl with well-demarcated rash on back and chestA healthy 13-year-old girl presented with a 1-month history of an asymptomatic, well-demarcated rash on her back and upper chest. The eruption consisted of discrete, dark brown papules that coalesced into large, flat-topped plaques with mild superficial scale and accentuation of skin markings. What's the diagnosis?
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Red papulonodule with central crusting on a neonate’s cheekA newborn boy born via normal vaginal delivery at 38.6 weeks gestation to a 33-year-old G5P2022 mother presented at birth with an asymptomatic 8-mm red, papulonodule with central crusting on the right cheek. What's the diagnosis?
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CDC STI treatment guideline updatesA session of the American College of Obstetricians and Gynecologists 2021 annual meeting pointed to the dramatic increase in sexually transmitted infections (STIs) in the United States and presented highlights from the updated Centers for Disease Control and Prevention (CDC) STI guidelines.
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Acne in Skin of Color Patients: Preventing PIHTips for using patient education to help reduce the risk of postinflammatory hyperpigmentation.
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Harmful excipients for pediatric patientsEvidence suggests some pharmaceutical excipients in medications may have adverse effects on pediatric patients. Here’s what you should know.
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Return to sports for adolescents and children after recovery from COVID-19Coronavirus 2019 disease (COVID-19) is often mild, but can lead to cardiovascular harm. Ensuring the safe return to sports by affected children will be a necessity.
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Study suggests sleep influences risk of suicidal ideation in young peopleInvestigators suggest confronting sleep difficulties among patients with suicidal ideation through cognitive behavioral intervention could reduce effects of affective reactivity to interpersonal events.
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Responding to increasing parental vaccine hesitancyIn this article, declining trends in vaccination across the United States are discussed, along with how providers can reduce vaccine hesitancy.
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Addressing Vaccine Hesitancy Among GuardiansRavi Jhaveri, MD, shares approaches to addressing common concerns among parents and guardians regarding the flu vaccine for children.
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Breaking: FDA approves, authorizes updated monovalent COVID-19 vaccinesBivalent COVID-19 vaccines by both Moderna and Pfizer-BioNTech are no longer authorized for use in the United States.
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Bilateral blurry vision in a 9-year-old boyA 9-year-old boy with no significant medical history presented to the emergency department with 2 days of painless blurry vision. What's the diagnosis?
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Highlights from the 30th Pediatric Pharmacy Association MeetingA look at the highlights from the 30th annual Pediatric Pharmacy Association meeting.
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Multiple episodes of repetitive vomiting in a 5-year-old boyA 5-year-old boy with a history of asthma presented for a 1-year history of multiple episodes of emesis. What's the diagnosis?
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Segmental form of mosaic neurofibromatosis 1A healthy 16-year-old girl presented with asymptomatic lesions she had at birth. Examination revealed a 15 cm well-demarcated light brown hyperpigmented background patch localized to the right inguinal skin-fold and, within it, café-au-lait macules and patches, greater than 1.5 cm, with diffuse freckling.
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Four tips for succession planning at your medical practiceDon't wait until it's too late to start planning for practice succession.
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Navigating the current shortages of pediatric ADHD medicationsUnderstand how to naviate the current shortage of pediatric ADHD medications.
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Rainbow resilience: Addressing the mental health needs of sexual- and gender-diverse youthResearch has demonstrated that SGDY exhibit significantly elevated incidence of mental health diagnoses and conditions compared with their counterparts, including higher rates of suicidality, depressive and anxiety disorders, and substance misuse.
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What's next for interoperability?As health care leaders navigate our transition from life in a pandemic to a world where COVID-19 is an endemic disease, interoperability will likely be top of mind.
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The latest innovations to improve medication adherenceFrom smart pills to augmented intelligence, technology has presented the health care industry with a host of options to improve medication adherence and safety.
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Final Thoughts on the Management of Pediatric ADHDRobert L. Findling, MD, MBA; and Timothy Wilens, MD, share advice on the treatment of pediatric ADHD and new agents in the pipeline.
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Photoclinic: EuryblepharonDuring a neurologic evaluation for seizures, a 17-year-old boy with epilepsy was noted to have a deformity of both lower eyelids. According to the boy's mother, the deformity had been present since birth; it was not related to the patient's neurologic condition.
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Bone Pain, Bruising, and Epistaxisin a Young BoyA 5-year-old boy was brought for evaluation of ongoing thrombocytopenia before undergoing adenotonsillectomy for obstructive sleep apnea. The child had been given a diagnosis of "growing pains" after frequent evaluation for leg pain over the past 2 years.
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Two-Year-Old Boy With Ataxic Gait and Markedly Elevated Liver Enzyme LevelsA 27-month-old boy is brought by his mother to the emergency department (ED) with a 1-day history of sluggish behavior and unsteady gait. The child had been sleepy but was arousable.
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Orbital Blow-Out FractureVital signs were normal. The patient had left-sided periorbital edema with slight ecchymosis and enophthalmos. There was conjunctival injection of the left eye, but no hyphema was noted. Pupils were equal, round, and reactive. Extraocular muscles revealed some restriction with upward gaze. Tympanic membranes were intact without hemotympanum. Nasal and oral examination findings were normal.
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Photoclinic: MRSA Skin Abscess and OsteomyelitisThis lesion on the chest of a 6-week-old infant had developed over 2 days (A). It began as a small mass just below the right nipple. Initially, there was no tenderness or erythema; within 2 days, the lesion had begun to drain green-yellow and then white purulent exudate.
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Young Girl With Enlarging Tender Neck MassA 6-year-old girl presented with tender mass on the left side of her neck that had enlarged over the past week. Her primary care doctor initially prescribed amoxicillin/clavulanate for suspected bacterial lymphadenitis. The swelling progressed, and a CT scan was ordered.
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Treatment of ADHD: A Developmental ApproachAttention deficit hyperactivity disorder (ADHD) is very common. In the United States, between 6% and 10% of children and adolescents are affected, as are 4% of adults.1 Children in other countries also have ADHD, although rates of comorbid disorders may vary from those found in the United States.2
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Left-Sided Appendicitis in an 11-Year-Old GirlAn 11-year-old girl was brought to the emergency department (ED) after 3 days of intermittent, dull, nonradiating left lower abdominal pain. She also had 3 episodes of nonbloody, nonbilious emesis in the 2 days before presentation. Three days earlier, the patient had been vaccinated against influenza and varicella by her pediatrician.
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Adenoviral Hepatitis in an Immunocompetent ChildAdenovirus infection is usually benign in healthy children, but it can be complicated by severe or fatal pneumonia, myocarditis, and hepatitis. Consider adenovirus infection in children with fulminant hepatic failure.
