Infant With Multiple Hepatic Masses
April 2nd 2009A 2-month-old girl who lost 30 g over 7 days is noted to have multiple hepatic masses during abdominal ultrasonography to rule out pyloric stenosis; she is referred for further evaluation. She has a history of physiological jaundice and gastroesophageal reflux (GER). She continues to vomit despite treatment with ranitidine.
Toddler With Decreased Appetite and Activity
April 1st 2009An 18-month-old white boy is brought to his well-care visit by his parents, who are concerned that for the past month he has been less social and active. He has appeared weak and has refused to walk or play with his siblings. He has also had a decreased appetite and has lost about 2 kg. He has vomited several times but with no bile or blood.
Morning Report:When Chief Residents Share TheirChallenging Cases, You Pass the Test
April 1st 2009The chief residents at the Children’s Hospital of The King’s Daughters in Norfolk, Va, handle about 1 or 2 cases per week. About once a month, they have a great teaching case in their morning report. These standout cases challenge the residents’ diagnostic acumen and underscore key points that are both applicable to daily practice and likely to appear as questions on future board certification examinations.
Post-concussive symptoms not overly common in children
March 9th 2009Although the majority of children with mild traumatic brain injury will not face any long-lasting adverse effects, there is a "substantial minority" -approximately 25%- who will experience a significant sharp rise in post-concussive symptoms, according to new research.
Infant Sleep: Answers to Common Questions From Parents
March 2nd 2009As a result of misinformation or a lack of knowledge about healthy infant sleep, many parents and their babies suffer needlessly-and no one gets enough sleep. A baby’s sleepwake cycles are likely to appear unpredictable to new parents. This, coupled with conflicting advice about infant sleep, can lead to parents simply letting the baby sleep “whenever.” In such a situation, the baby often ends up with chronically insufficient sleep, which, if left unchecked, can spiral into persistent night awakenings and bedtime resistance.