Rarely encountered these days, scarlet fever is believed to be caused by sensitization to an erythrogenic toxin produced by strains of group A beta-hemolytic streptococci.
A 2-month-old infant had right submandibular swelling with inflammation and induration up to the nape of neck. Ultrasonography showed multiple enlarged lymph nodes with soft tissue swelling. Blood cultures grew Gram-positive cocci, which were identified as group B streptococci. Late-onset GBS... More »
Acrodermatitis enteropathica and Langerhans cell histocytosis are recalcitrant forms of diaper dermatitis( DD); other variants are: candidal DD, irritant or contact DD, Jacquet’s disease, and psoriasis. More »
The morphology and distribution of these lesions is characteristic of ectoparasite bites, which occur when a human carries a pet—usually a kitten or puppy—as if the animal were a human newborn baby. More »
While melanoma is quite uncommon during the prepubertal years, the “jet black” morphology and history of recent lesional growth dictated further investigation. More »
The black, hard center represents an eschar. This type of morphology is almost always caused by a virulent organism—bacterial or fungal. Biopsy showed non-septate hyphae within the dermis, and a culture grew Mucor species (a saprophytic soil fungus). More »
Ear infection is the most common cause of severe ear pain in young children. Here I offer a few home remedies based on cold and warmth that may help a parent soothe a cranky child.
West Virginia (the state in which I practice) was not one of the 10 best places to live if you have autism, according to this year’s survey from Autism Speaks. Although thanks to a piece of legislation enacted this month, it is now a better place to live if you have autism. Your state can become better too.
In a conference last week, President Obama announced a new Web site http://stopbullying.gov to help raise awareness about the issue. This is part of an effort to encourage cooperation between government agencies and educators to protect children from bullying based on race, ethnicity, disability, or sexuality. Are you an advocate for prevention? Share your antibullying efforts with colleagues.
Key Differences between FQHCs and RHCs Chastity Werner, RHIT, June 13, 2013 FQHCs and RHCs take up a unique niche among physician practices. And that affects compensation and billing.
Improving Care Coordination in Your Practice Susanne Madden, June 12, 2013 Practices are feverishly working to control the rising costs of healthcare - effective care coordination can help.
Refunding Overpayments: Two Options for Medical Practices Ericka L. Adler, June 12, 2013 Medicare and Medicaid providers must return overpayments once identified. Here are two different refund approaches for practices to consider when necessary.
iPad Alternatives for Mobile Physicians Marisa Torrieri, June 11, 2013 As more physicians are seeing the merits of media tablets, the market is expanding, too.