Authors


Diane F. Merritt, MD

Latest:

Perianal Finding--Sexual Abuse or Normal Variant?

A 23-month-old girl was brought to the pediatrician's office by her mother who was concerned about "bulging down there." The child's mother reported that a "bump" had been present in the girl's diaper area since her birth and that it had been growing.


Divya Seth, MD

Latest:

Foreign-Body Aspiration: A Guide to Early Detection, Optimal Therapy

ABSTRACT: Because foreign-body aspiration can cause symptoms that mimic those of other respiratory conditions, a high index of suspicion is crucial in all children who have pneumonia, atelectasis, or wheezing with an atypical course--especially when these conditions are unresponsive to usual medical therapy. A history of choking can usually be elicited in a patient who has aspirated a foreign body: such a history should be sought when respiratory symptoms develop suddenly. However, the absence of a choking history does not rule out foreign-body aspiration. Moreover, patients may be asymptomatic initially. Normal radiographic findings do not exclude an aspirated foreign body. Bronchoscopy should be strongly considered when an aspirated foreign body is suspected, even if radiographic images show normal findings. Rigid bronchoscopy is the procedure of choice for removing aspirated foreign bodies in children. Prevention of foreign-body aspiration can be enhanced through anticipatory guidance of parents/caregivers and through continued product safety efforts.


Domenick Roma

Latest:

Sialoadenitis in a Teenager

Fifteen-year-old girl with several- day history of worsening right-sided facial pain and swelling. Pain severity 10 on a scale of 1 to 10. Limited oral intake.


Donald Janner, MD

Latest:

Photoclinic: Actinomycosis in a Young Boy

A 9-year-old Hispanic boy, previously in good health, was admitted for evaluation of chronic right cervical adenopathy. The node had been present for about 6 weeks. The patient was initially taken to his primary medical doctor and given dicloxacillin, but there was no improvement. The patient reported no fever, sore throat, travel history, or animal exposure. He and his parents denied contact with any persons with tuberculosis. During the past year, the patient had undergone extensive dental work for excessive caries.


Donald M. Olson, MD

Latest:

Differentiating Epileptic Seizures From Nonepileptic Spells

It can be difficult to determine whether unusual, paroxysmal behavior represents a seizure or a nonepileptic event. Children with sudden flailing movements or unresponsive staring may, in fact, be experiencing psychogenic events.


Dorothy Sendelbach, MD

Latest:

A Wormian Bone in a Neonate

Wormian bones (anterior fontanellar bones) are extra islands of bone within the calvarial sutures of the skull.


Douglas Mcconnell, MD

Latest:

Infected Cystic Hygroma

Photo Finish: Acute Dx: What Cause of Sudden Illness?


Douglas W. Kress, MD

Latest:

Can You Distinguish Among These Diaper Dermatoses?

Match the photographs of the rashes with the correct diagnosis.


Dov L. Boros, PhD

Latest:

Snippets of Vaccine History: Success, Failure, and Controversy

Vaccination against infectious diseases has saved millions of lives. The recurrent threat of influenza pandemics and the prevalence of global HIV infections underscore the need for better-designed, more effective vaccines.


Duane C. Tucker, MD

Latest:

Jacquet's Dermatitis: An Unusual Type of Diaper Rash

Jacquet’s dermatitis a rare, severe variant of irritant diaper dermatitis, presents with punched-out erosions or ulcerations with crater-like borders.


Ebony Williams, MD

Latest:

Neonatal Testicular Torsion

On examination, the left testicle was noted to be much smaller than the right. There was no change in color, and the testicle was firm and nontender. The physical findings were otherwise unremarkable.


Echezona Maduekwe, MD

Latest:

Hydrocephalus Secondary to GBS Meningitis

A female infant born at 29 weeks' gestation after premature membrane rupture was admitted to the neonatal ICU in respiratory distress.


Edna Pytlak, MD

Latest:

Warding Off the Common Cold in Young Children

Dr Pytlak offers tips on what parents can do to protect the whole family from colds and flu this season with some seasoned home remedies.


Eduardo Tron, MD

Latest:

Henoch-Schönlein purpura with gastric wall thickening

For 3 days, a 7-year-old girl had severe, generalized abdominal pain. The patient described the pain as sharp and achy without radiation; she denied any relieving or aggravating factors. She also reported decreased appetite and energy for the past week.



Edward Dabrowski, MD

Latest:

Botulinum Toxin Therapy in Children:

Botulinum toxin type A has a role in managing spasticity and dystonia in pediatric patients. It can improve gait and upper extremity function when used appropriately.


Edward J. Shahady, MD

Latest:

Musculoskeletal Clinics: 16-Year-Old Camper With Tibial Pain

A 16-year-old boy complains of right lower leg pain that began 2 weeks earlier, after his first week at a summer basketball conditioning camp. Before he left for the camp, he was jogging off and on, averaging a few miles a week. At camp he began running 7 miles a day and doing sprints 3 times a week.


Egambaram Senthilvel, MD

Latest:

Juvenile Laryngeal Papillomatosis: An Unexpected Cause of Stridor

The patient had been born at term following an uncomplicated pregnancy and labor. Her growth and development were appropriate. Her immunizations were up-to-date. At about 1 year of age, she began to have "wheezing" episodes. Moderate persis- tent asthma was diagnosed, and treatment with fluticasone and inhaled albuterol was initiated.


Elaine Carrasco, MD

Latest:

Morgagni Hernia

A 16-year-old boy with Down syndrome was referred for evaluation of nonspecific symptoms, including difficulty in breathing on standing up from a sitting position, dizziness, frequent abdominal pain, and diarrhea after ingesting fatty foods and milk. He had intermittent asthma exacerbations for which he occasionally used a β-agonist. He had no history of trauma, surgery, or allergies.


Elaine Siegfried, MD

Latest:

Full case: 21-month-old with history of “skin tags” on her gluteal cleft

Read the full case presentation of a 21-month-old with a history of "skin tags" involving her gluteal cleft,noted at birth.


Eli Silver, MD

Latest:

Frey Syndrome

Episodic right-sided facial flushing was noted in a 2-month-old girl born at full term via forceps-assisted vaginal delivery. The erythema appeared within minutes of latching onto her mother’s breast and resolved within 5 to 10 minutes after breastfeeding. The episodes of flushing had begun a week before the clinic visit; there were no collateral symptoms of anaphylaxis. Because food allergy was suspected, the mother had eliminated all dairy products from her diet.


Elias Milgram, MD

Latest:

Herpetic Lesions Primary Herpetic Stomatitis Herpetic Whitlow Recurrent Herpes in Uncharacteristic Locations

A 3-year-old boy with high fever, malaise, anorexia, and drooling of 3 days' duration was brought to the emergency department (ED). A bacterial throat infection was diagnosed, and oral antibiotic therapy was started.


Elizabeth Badowski, MS

Latest:

A New Zip in Playground Injuries

While playing on the school playground, a 10-year-old boy decided to try a zip line. He grabbed the pulley and slid down the cable. When the pulley came to a stop, he fell off and sustained a right ankle injury.


Elizabeth Burgamy, MD

Latest:

Infant With Persistent Fever and Fussiness

A 4-week-old boy with tactile fever for the past 24 hours and fussiness of 2 weeks' duration is referred to the emergency department (ED).


Elizabeth Dillard

Latest:

Cystic Hygroma in a 1-Year-Old Girl

The parents of this 1-year-old girl brought her for evaluation of a neck mass of sudden onset (A). They had first noticed the mass on the morning of presentation. The child had cold symptoms and had been snoring, but she had no history of fever, shortness of breath, wheezing, or stridor. Her activity level and appetite had not changed.


Elizabeth Feighan, MD

Latest:

Photoclinic: Foreign-Body Ingestion

A 12-year-old otherwise healthy boy was referred to a sports medicine clinic for back pain of 7 months' duration. The pain, which originated to the right of his thoracic spine, was associated with shooting hockey pucks. Results of his physical examination were normal.


Elizabeth Juhas, MD

Latest:

Drug Eruptions: The Benign-and the Life-Threatening

“Drug rash” is a common pediatric complaint in both inpatient and outpatient settings. This term, however, denotes a clinical category and is not a precise diagnosis. Proper identification and classification of drug eruptions in children are important for determining the possibility of-and preventing progression to-internal involvement. Accurate identification is also important so that patients and their parents can be counseled to avoid future problematic drug exposures.


Elizabeth K. Lefler, PhD

Latest:

The Uncontrollable Child: Family and Educational Interventions

It is estimated that about 20% of children and adolescents meet criteria for a mental health disorder, and a high percentage of these youths are impaired by disruptive behavior problems.


Elizabeth Kaili Stehel, MD

Latest:

A Wormian Bone in a Neonate

Wormian bones (anterior fontanellar bones) are extra islands of bone within the calvarial sutures of the skull.


Elizabeth P. Sternberg, DO

Latest:

Acute Urticaria

Circumscribed erythematous lesions developed on the back and abdomen of this 19-month-old boy. The rash was mildly pruritic. The parents gave the child 1 dose of diphenhydramine, and the rash resolved after an hour. About 12 hours later, new lesions developed on the face, neck, and upper back. The child was given the same treatment and the symptoms resolved. The following morning, widespread lesions were noted on the child's face, neck, trunk, and extremities.

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