Vitamin D Recommendations<p>I saw a 12-year-old African American US girl as a new patient and checked her vitamin D level, which we usually do on our panels these days. The level was 8.8 ng/mL, with a “normal” reported as higher than 32 ng/mL. What are current recommendations for vitamin D replacement in children—let alone dark-skinned children?</p>
CigarettesThe dangers of cigarettes have been discussed in schools for years, even decades.
gastroschisis<div id="article-content-body"><p><img src="/sites/default/files/transfer/Gastroschisis3.jpg" style="float: left; margin-left: 8px; margin-right: 8px; border: 1px solid black;" width="150" height="108">This baby girl was born at 37 weeks' gestation via cesarean section, with the stomach, small bowel, proximal colon, and ovary outside the body. The mother, a 22-year-old gravid 1, para 0, had adequate prenatal care. The anomaly had been detected at 17 weeks' gestation. </p></div>
Lymphangioma CircumscriptumFor 3 days, a 6-year-old boy had “redness and pain” of skin on his left upper abdomen.
Penile Angioedema After Peanut IngestionA 6-year-old boy presented with a swollen penis and lip within an hour after ingesting some peanuts.
Photo EssayThe mass protruding from the introitus of this 1-month-old girl was first noted at birth. She was born to a 26-year-old primigravida at term after an uncomplicated pregnancy and normal spontaneous delivery.
Labial FusionA case of labial fusion.
osteomyelitisA 3-year-old girl was hospitalized because of purulent drainage from a right middle finger wound and a tender right axillary mass of 2 days’ duration.
Elbow PainA 15-year-old boy presents with pain in the medial aspect of his right elbow that began 4 to 6 weeks earlier and progressively worsened.
Fever with cough and rashA 14-month-old girl presented with persistent fever, cough, and worsening rash of 5 days’ duration.
Behavior Problemss there a family history of mental illness? Is there any stress going on at home?
concussionThe evaluation of head injuries in young athletes can be challenging.
Brown patch<p><img alt="" src="/sites/default/files/transfer/brown_patch.jpg" style="border:1px solid black; display:block; height:107px; margin-left:8px; margin-right:8px; width:150px; float:left" />A 12-year-old boy has had this brown patch on his left buttock since birth. His mother is concerned that the patch has grown over the years, and she wants to be sure that it will not be a health concern for her son. The mother has not noticed lesions elsewhere on the child. There is no family history of skin disease.</p>
urinary dysfunctionDuring circumcision, a newborn is noted to have continuous dribbling of urine from his meatus and stool from his anus.