piezogenic papules<P class=p1><IMG style="MARGIN: 5px; FLOAT: left" src="/sites/default/files/transfer/Screen_shot_2012-03-09_at_3.26.49_PM_thumb.png" width=90 height=90><BR>A 13-year-old athletic boy is concerned about the nonpainful flesh-colored swellings on the lateral aspects of both his feet. He first noticed the lesions about a month earlier. He is otherwise well, and the remaining physical examination findings are normal.</P>
osteomyelitisAn 18-year-old boy with a long history of subjective fevers associated with recurrent right knee pain and swelling presented to our institution for a second opinion.
factitious purpura<P>A 7-year-old boy with a history of asthma was brought to the emergency department by his parents because of a “strange” rash on the chin. The parents noticed the rash when he awoke in the morning. It was not painful or pruritic. </P>
Systemic Lupus Erythematosus<p><img src="/sites/default/files/transfer/1203CFP_CPWan_Fg1_thumb.jpg" width="90" height="90" style="float: left; margin: 5px;">A 13-year-old girl was admitted to the inpatient cardiology unit because of progressive dyspnea. She had a history of shortness of breath off and on for the past 2 months, and her symptoms had worsened on the day of admission. She reported having general malaise, insomnia, a 10-kg weight loss, and amenorrhea for the past 4 months. </p>
osteochondritis<P><IMG style="MARGIN: 5px; FLOAT: left" src="/sites/default/files/transfer/1203CFP_RQAgrawal_IndexFg_thumb.jpg" width=90 height=70><BR>A 14-year-old boy presents to the clinic with left knee pain of 1 month’s duration. He reports having pain when he leans on his knee. The pain increases when he climbs stairs or walks uphill. He denies any fever or trauma to the knee.</P>
fluoride supplementation<p class="p1"><img src="/sites/default/files/transfer/1203CFP_PaCFlouride_Fg_thumb.jpg" width="90" height="86" style="float: left; margin: 5px;"><br>Does my baby need to take fluoride? My baby care book says “yes,” but my friends have received different advice. One friend’s dentist prescribed it, while another friend’s pediatrician said it could be harmful. What’s the real story?</p><p> </p>
Alopecia<p><img src="/sites/default/files/transfer/1203CFP_WDLeung_IndexFg_thumb.jpg" width="90" height="68" style="float: left; margin: 5px;">An 11-year-old girl with a patch of hair loss that had suddenly appeared in the vertex of the scalp. There was no history of habitual hair pulling. The child’s past health was unremarkable. She was not taking any medication.</p><p class="p3">WHAT’S YOUR DIAGNOSIS?</p>
Hernia<P><IMG style="MARGIN: 5px; FLOAT: left" src="/sites/default/files/transfer/1203CFP_PELeung_UmbHernia_thumb.jpg" width=90 height=90><BR>Cases of abdominal and inguinal hernias in children: Umbilical, paraumbilical, epigastric, and indirect inguinal.</P>
FeatureThe most important diagnostic tool in the evaluation of the wheezing infant is the history. After the initial assessment, further investigation is necessary to determine the underlying cause of wheeze.
Stridor<P><EM>After reading <EM><A href="http://www.pediatricsconsultant360.com/content/stridor-neonate-and-young-child-evaluation-and-treatment-underlying-causes">“Stridor in the Neonate and Young Child: Evaluation and Treatment of Underlying Causes”</A></EM> (</EM><SPAN class=s2><EM>CONSULTANT FOR PEDIATRICIANS</EM></SPAN><EM>, November 2011, page 379) by Drs Sharon E Mace, Christiana Olaru, and David Effron, I was concerned that vascular ring was not mentioned as a possible cause of stridor in children.<SUP>1</SUP></EM></P> <P><EM><EM>— Ashraf S. Harahsheh, MD<BR>Pediatric Cardiologist</EM><BR></EM></P>