Fever and cough persist, a faint rash comes on: Another viral syndrome?
July 1st 2004As the attending on the community hospital's general pediatric service, you're called in this afternoon to see a 9-year-old girl who was admitted the evening before for chief complaints of a fever (axillary temperature, 102° F to 103° F) and cough of five days' duration. She has been observed to have a dry hacking cough, and broke out in a faint rash after admission. Can you solve this Pediatric Puzzler?
Fever and cough persist, a faint rash comes on: Another viral syndrome?
July 1st 2004As the attending on the community hospital's general pediatric service, you're called in this afternoon to see a 9-year-old girl who was admitted the evening before for chief complaints of a fever (axillary temperature, 102° F to 103° F) and cough of five days' duration. She has been observed to have a dry hacking cough, and broke out in a faint rash after admission. Can you solve this Pediatric Puzzler?
Caffeine may raise adolescents' blood pressure—especially among African-Americans
July 1st 2004In a recent study, adolescents who consumed a large amount of caffeine (more than 100 mg/day, the equivalent of almost four 12-ounce cans of cola soda) had a higher systolic BP than peers who consumed smaller amounts of caffeine.
How will the new guideline for managing otitis media work in your practice?
June 1st 2004The first round of recommendations from two expert groups illuminates several areas: diagnostic criteria, pain management, observational management, and the use-or withholding-of initial antibiotics. Here is a sweeping review of what the guideline might mean for the kind of care you give.
Newborn respiratory problems: When the grunting and flaring won't go away
June 1st 2004Respiratory signs and symptoms in newborns may reflect a problem that requires treatment or referral. A systems-based approach will help you recognize true respiratory distress and keep evaluation and management on track.
Irritability, leg pain, and more in a long month of a boy's short life
June 1st 2004His records convey that it's been a long and difficult four weeks of "decreased ambulation and increased irritability" for your new patient, a 3-year-old boy, that has led to his referral to the general pediatric service of your hospital for evaluation.