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The mother of a 12-year-old boy resists your suggestion that he receive the HPV4 vaccine today. She asks three good questions. Do you know the answers?
Your answer to the question in this case will hinge on what you know about the influenza strains in the 2014-2015 vaccine vs those in the 2013-2014 formulation. See what you think.
The Advisory Committee on Immunization Practices has just published its official recommendations for the 2014-2015 influenza season. How do the updated guidelines apply to this potential office situation?
Respiratory symptoms are a major reason why outpatients seek medical care, and primary care physicians who treat children frequently see pneumonia. This week’s photo essay tests your knowledge of respiratory problems in kids.
Test your skills in this 5-question quiz.QUESTION 1: A 16-year-old boy presented with an extremely pruritic rash on the elbows, at the wrists, and on the top of the hands. This is classic for granuloma annulare. Courtesy of Ted Rosen, MD
A 22-day-old neonate (gestational age, 37 weeks; weight, 4 kg) with otitis media was seen by his pediatrician. On presentation, he was febrile and looked jaundiced. His bilirubin level was slightly above the upper limit of normal.
This child was born via emergency C-section and at age 2 weeks, had meconium ileus with perforation and DIC secondary to peritonitis. Enterococcus faecalis sepsis developed and terminal ileal resection was performed. Bilirubin levels remained elevated for 5 months.
A 6-month-old girl was brought to the ED with fever, cough, and irritability; she appeared well-hydrated. She was born prematurely and had a long, complicated stay in NICU, where she received CPR on 2 occasions. There was concern about lung "congestion." The ED physician made a diagnosis of pneumonia. Rib fractures were also noted, but there was no history of fractures at the time of discharge from the NICU.
Take this week's quiz and test your diagnostic and therapeutic skills.