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Linear papules appear on a boy’s thumb, wristA healthy 6-year-old boy presents for evaluation with a 3-month history of an asymptomatic rash extending from his left thumb to his left wrist. What's the diagnosis?
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Rash triggers joint pain in an 8-year-old girlAn 8-year-old, previously healthy girl presents to the emergency department (ED) with a rash “that looks likes bruises” and joint pain. The red patchy rash is not painful and not pruritic. What's the diagnosis?
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Boy builds a snowman, suffers swollen fingersA 4-year-old boy presents for evaluation with painful swollen fingers on both hands that erupted after he made a snowman with his siblings following a snowstorm. He complains that they are itchy and painful. What's the diagnosis?
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Triple combination therapy for cystic fibrosis is here!Treatments for cystic fibrosis are evolving. Here’s a look at new CFTR modulator therapies including the most recent approval-elexacaftor/tezacaftor/ivacaftor (Trikafta).
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Triple combination therapy for cystic fibrosis is here!Treatments for cystic fibrosis are evolving. Here’s a look at new CFTR modulator therapies including the most recent approval-elexacaftor/tezacaftor/ivacaftor (Trikafta).
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Gastrointestinal manifestations of cystic fibrosis: A primer for pediatriciansSignificant improvements in cystic fibrosis (CF) care have focused primarily on the pulmonary system, but addressing the gastrointestinal complications of CF presents a major opportunity for improvement in disease management.
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Eating habits of children during COVID-19Disruptions to routines and economic troubles have affected the diets of families. Here’s how to foster better nutrition.
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Kiss of the spider or something more?The parents of a healthy 8-year-old girl are worried about an asymptomatic red spot on their daughter’s left cheek that has been enlarging for more than a year. What's the diagnosis?
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How to bring nature play homeTime spent with nature is a prescription for better physical and mental health. Families can encourage nature play at home both in the home and outdoors. Here are 6 ways to recreate some of the areas at the Gaffield Children’s Garden in Ann Arbor, Michigan, at home.
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Banish burnout with passion!Pediatricians can turn away from the path to physician burnout by finding their inner fire. Here are suggestions for finding that passion-and to keep smiling.
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Gene therapies show promise for pediatric treatmentGene therapies have ushered in an exciting new era of treatment for some of the most challenging pediatric conditions, and the results are most encouraging.
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Gene therapies show promise for pediatric treatmentGene therapies have ushered in an exciting new era of treatment for some of the most challenging pediatric conditions, and the results are most encouraging.
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Girl presents with facial edema after surgeryA 9-year-old female presents to the clinic with facial edema that has progressively worsened over a period of a few weeks. What's the diagnosis?
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Girl presents with facial edema after surgeryA 9-year-old female presents to the clinic with facial edema that has progressively worsened over a period of a few weeks. What's the diagnosis?
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Progressive plaque in a 9-year-old boyAnxious parents present their healthy 9-year-old son for evaluation of a slowly enlarging plaque that began developing on his lower back 3 months ago. What's the diagnosis?
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Vaping and electronic cigarette use in the pediatric populationElectronic cigarettes and vaping products are subjecting adolescents and young adults who use them to severe lung injuries from nicotine exposure. Here’s how to counsel your young patients about the health risks of these devices.
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Vaping and electronic cigarette use in the pediatric populationElectronic cigarettes and vaping products are subjecting adolescents and young adults who use them to severe lung injuries from nicotine exposure. Here’s how to counsel your young patients about the health risks of these devices.
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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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Newborn with midline neck lesionA 4-day-old boy with a midline neck lesion was born at term by normal vaginal delivery. After birth, mid line lesion had the configuration of a linear cleft with a cephalocaudal orientation, extending from the level below the hyoid bone to the suprasternal notch with a length of 2.5 cm and a width of 0.5 cm. What's the diagnosis?
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Toddler’s unusual oral trauma is troublingA 17-month-old African American girl, with no significant past medical history, is brought to the Pediatric Emergency Department with acute onset of swelling in the floor of her mouth. What's the diagnosis?
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Toddler’s unusual oral trauma is troublingA 17-month-old African American girl, with no significant past medical history, is brought to the Pediatric Emergency Department with acute onset of swelling in the floor of her mouth. What's the diagnosis?
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Tina Tan, MD, reacts to state of Florida seeking elimination of all vaccine requirementsFlorida is not aiming to ban vaccinations, but its surgeon general stated "Who am I to tell you what your child should put in [their] body? I don’t have that right."
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Boy’s anxiety leads to hand rubbing, bitingA healthy 11-year-old boy presents for evaluation of thick skin over the metacarpal (MCP) and proximal interphalangeal (PIP) joints on his right hand. What's the diagnosis?
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Evidence supports prophylactic treatment for migraineAvailable data cannot claim benefits of one medication over another for pediatric migraine, but evidence supports treatment of some kind to reduce frequency and severity.
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Evidence supports prophylactic treatment for migraineAvailable data cannot claim benefits of one medication over another for pediatric migraine, but evidence supports treatment of some kind to reduce frequency and severity.
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Persistent birthmark grows on a toddler’s backThe parents of a healthy 20-month-old boy ask for advice about a birthmark on his lower back. The lesion is asymptomatic and has grown proportionately with their son. What's the diagnosis?
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Persistent birthmark grows on a toddler’s backThe parents of a healthy 20-month-old boy ask for advice about a birthmark on his lower back. The lesion is asymptomatic and has grown proportionately with their son. What's the diagnosis?
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Unusual presentation of fever and abdominal pain in a 15-year-old femaleAn undocumented, Spanish-speaking, 15-year-old female presented to the emergency department with 3 weeks of fever (>101℉) and 3 days of abdominal pain. What's the diagnosis?
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Itchy black spots: Poison ivy or something else?A 16-year-old girl presents for evaluation of a rash on her left forearm, which was 2 enlarging red areas that became increasingly pruritic and edematous. What's the diagnosis?
