Genital Lesions: A Photo Essay-Part 2
November 29th 2012Exploration of this acutely swollen testis in a 13-year old found it to be engorged and hemorrhagic. Torsion of the testis is caused by faulty fixation of the testis to the scrotum-the result of a redundant tunica vaginalis-and is a surgical emergency. The testis is untwisted and fixed to the scrotum. A contralateral orchiopexy is also typically performed.
Top 10 Common Medication Errors-Drug #3: Ceftriaxone
November 28th 2012Ceftriaxone is used to treat an array of infections and can be given once daily IV or IM. However, it should generally be avoided in neonates, especially those with high bilirubin levels. This case demonstrates how problems can -- and do -- occur with this agent.
Contemporary Pediatrics, Digital Edition, November 2012
November 1st 2012Heavy periods in adolescents. What's normal? ADHD, cigarettes, and substance abuse. Intoxicating combination Dermcase : Newborn's mother can just calm down Puzzler : Fever and lymphadenopathy in toddler Most abnormal uterine bleeding in adolescents is related to immaturity of the HPO axis in the absence of any anatomical pathology
Compliance with an asthma care discharge plan decreases readmissions
November 1st 2012Investigators at a children's hospital in Salt Lake City, Utah, demonstrated that implementation of a standardized care process model (CPM) for hospitalized asthmatic children results in a delayed but significant and sustained decrease in hospital asthma readmission rates.
Ten-week-old boy presents with multiple brown spots
November 1st 2012The mother of a healthy 10-week-old boy brings him to your office for evaluation of multiple brown spots on his skin. She noticed the first when he was 2 months old, and other spots have developed on his arms, back, and legs. She has been on the internet and wants to know whether he could have neurologic complications.
Parents underestimate children's secondhand smoke exposure
November 1st 2012In a study conducted in the pediatric clinics of a major public urban hospital, investigators documented that 55% of almost 500 children were exposed to second-hand smoke (SHS), even though only 13% of their parents reported such exposure.