Persistent swelling, red eruptions
January 1st 2008A 20-month-old is seen because of skin swelling and diffuse red eruptions that causes her to refuse to walk. Urticaria multiforme is diagnosed. Supportive treatment with oral antihistamines is prescribed. The child is walking and playing 24 hours later.
Left-Sided Appendicitis in an 11-Year-Old Girl
January 1st 2008An 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.
Cystic Fibrosis: Classic Radiographic Findings
January 1st 20081. The chest radiographs (Figure 1) of a 9-year-old child reflect the classic findings of a particular disease. Among other findings, the size of the patient's heart is_____? A. Enlarged. B. Small to normal. C. Consistent with early failure. 2. If you were to see calcifications in the abdomen (none are present in this case), they would probably be caused by which of the following? A. Previous adrenal hemorrhage. B. Gallstones. C. Splenic granulomas. 3. Is there evidence of hyperinflation? A. Yes . B. No. 4. Do you see acute findings? A. Yes. B. No. C. Cannot be determined. 5. Which of the following organisms are common culprits in this condition? A. Pseudomonas aeruginosa. B. Burkholderia cepacia. C. Staphylococcus aureus. D. All of the above, and then some.
Left-Sided Appendicitis With Intestinal Malrotation
January 1st 2008In the ED, the patient was afebrile. The pain remained localized to the left lower quadrant; it increased with palpation and decreased when the child lay still. A transabdominal pelvic ultrasonogram was normal: specifically it showed no ovarian torsion.
Down Syndrome in a 1-Day-Old Girl
January 1st 2008On morning rounds in the well-baby nursery, a nurse brings your attention to a 1-day-old girl who is having trouble latching on to the breast. You examine the child and note subtle physical anomalies. The child also has a pronounced head lag and a systolic heart murmur.