Take this week's quiz and test your skills.

Take this week's quiz and test your skills.

Take this week's quiz and test your skills.

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.

Photo Essay: Factitious Dermatitis Lip Licker's Dermatitis Ecchymoses From Spoon Scratching Ecchymosis From Cupping

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 ED.

Video: Adolescent Immunizations: Are You (And Your Patient) Up to Date?

Dr Margaret Fisher— who helped write the (Red) book on immunizations for youngsters— succinctly summarizes the latest guidelines here.