A 14-year-old female presented with a 1-week history of right-sided facial numbness. Ear pain on the affected side was the first symptom and was followed by progressive paresthesia. She was otherwise asymptomatic.
A 17-year-old girl being treated for mild acne, anxiety, and depression, presented with an ankle “bruise” related to an injury sustained 2 years earlier. Symptoms resolved with treatment, but the hyperpigmentation persisted.
Search for studies:. Study Record Detail. Phase 3 Randomized Double-Blind Placebo-Controlled Study of NRP104 in Children Aged 6-12 With ADHD. ... Faraone SV, Spencer TJ, Kollins SH and Glatt SJ. Moderators of Dose-Response Effects of Lisdexamfetamine
A 6-month-old boy has a 1-week history of dry cough that worsens at night. He has been wheezing intermittently for the past month. A 2-year-old girl has had severe nighttime cough, congestion, and fever for 2 days. She recently recovered from a respiratory illness of 1 month's duration. Chest radiographs of both patients are shown… Read More
Last year, the Advisory Committee on Immunization Practices updated its vaccination recommendations to include new guidelines for children ages 6 months through 8 years, and for persons with egg allergy. Read More
Patients with asthma may be reluctant to exercise for fear of triggering an attack. You can reassure them that adequate control can allow them to participate in almost any physical activity they wish. Recommendations from the NIH offer guidance on prevention of exercise-induced bronchospasm… Read More
A 14-month-old girl presented with persistent fever, cough, and worsening rash of 5 days' duration. On the first day of the illness, the infant was brought to an acute care clinic for evaluation. Read More
A 9-week-old Caucasian infant is brought to the primary care physician for evaluation of purpura and petechiae. His parents noted the bruising the previous night, which grew progressively worse throughout the next day. The lesions seemed to appear "out of the blue" without apparent cause, including trauma.
THE CASE: A 3-year-old boy is brought to the office by his mother. The previous evening, she had noticed a single large red spot on the back of his thigh. This morning, his whole body was covered with a similar rash, and he had a temperature of 38.8°C (102°F). The mother administered 1 dose of acetaminophen at home for the fever; the rash was asymptomatic.
A 16-year-old boy is concerned that his right index finger looks "odd." The finger is several centimeters longer than his left index finger, and it is also wider. The boy's mother reported that the finger had always seemed to be a little larger than the others, even when the patient was an infant, but no one paid it much attention.
This 5-year-old girl with multiple congenital abnormalities presented for a routine checkup. She was born with Apert syndrome, also known as acrocephalosyndactyly.A peaked head, sloping eyes, and "mitten hands" are typical features.
For the past 10 days, a 3-week-old infant had a rash on the face. He was born at term to a healthy, 22-year-old primigravida, following an uncomplicated pregnancy and normal spontaneous vaginal delivery (birth weight, 3.1 kg; length, 49.5 cm). Numerous comedones and papules were noted on the infant's cheeks.
After a long morning in the office, you finally pick up the chart for your last scheduled patient--17-year-old Michelle. Flipping through her chart, you remember seeing Michelle a few times last year for acne but otherwise her medical history is unremarkable. The chief complaint (documented by your triage nurse) is "headaches."
An 8-year-old boy seen at a gastroenterology clinic after "accidentally" swallowing 2 coins 4 days earlier. Had difficulty in breathing shortly after swallowing the coins and was taken to emergency department. X-ray films at that time demonstrated coins in his esophagus. Patient was immediately transferred to a tertiary care facility. Repeated x-rays showed the coins in his stomach. Patient was sent home with instructions to follow up with his pediatrician in 1 to 2 days.
Case 1: Patients with strabismus display ocular deviation in an inward (esotropia, A), outward (exotropia, B), upward (hypertropia), or downward (hypotropia) direction. A head tilt may also be evident as the child attempts to improve vision.
A 2-year-old boy was brought
to the emergency department
(ED) with a burned hand.
His mother reported that immediately
after the burn, she
placed the injured hand under
cold water. Soon after, a friend
transported the family to the
ADHD Drug Shortage AACAP and AMA collaborate on Amicus Brief State Advocacy Update Oregon introduces legislation to mandate equal pay for nurse practitioners and physicians New York legislature considers ... return to top] ADHD Drug Shortage
Brian Smith, MD, continues his discussion of the practice of nonsuicidal self-injury in adolescents. Cutting, burning, self-hitting or banging, scratching, interfering with wound healing—these practices of self-injury may be on the rise.
In Part 2 of this podcast series, he discusses the how’s, the why’s—and treatment options. Dr Smith is assistant professor in the department of psychiatry at the Michigan State University in East Lansing.
Five Steps to Improving Patient Access Judy Capko, May 21, 2013 Patient access is getting increased attention through reform initiatives. Here are five steps you can take to make sure patients get appropriate access to care in your office.