cyst<p><img src="/sites/default/files/transfer/Screen_shot_2012-04-10_at_8.59.19_AM_thumb.png" width="90" height="80" style="float: left; margin: 5px;">The parents of a 2 1/2-year-old boy were concerned about the mass on their child’s penis. They first noticed the mass around 6 months of age. It had gradually enlarged to its current size and did not appear to be bothering the child. At 1 week of age, he had undergone simultaneous bilateral inguinal hernia repair and circumcision. His postoperative visit 3 weeks after surgery revealed no abnormalities. His medical history was otherwise unremarkable. He was completely immunized for age. There was no family history of hypertrophic scar formation.</p>
cephalic molding<p><span><img src="/sites/default/files/transfer/Screen_shot_2012-04-10_at_8.56.07_AM.png" width="91" height="94" style="float: left; margin: 5px;">The pictures of this baby girl with extensive cephalic molding were taken within 1 hour after birth. The infant was born at full term to a healthy mother via normal spontaneous vaginal delivery after an uncomplicated pregnancy. Weight, length, and head circumference were average for a full-term baby.</span></p>
Ultrasonographic imagingA 23-day-old boy born at 39 weeks’ gestation via normal spontaneous vaginal delivery was brought to the emergency department with vomiting of 1 week’s duration.
Sexual abuse<P>This baby was born via spontaneous vaginal delivery at 38 weeks’ gestation to a 24-year-old gravida 2, para 2 mother. Apgar scores were 8 and 9 at 1 and 5 minutes, respectively. She had an uneventful course in the newborn nursery, during which she urinated and passed meconium. The mother had received appropriate prenatal care, including standard prenatal ultrasonograms, which were normal. The pregnancy was uncomplicated, and results of serologies were all negative.</P>
Case In PointA 12-year-old girl with mild hypertension, bilateral lower extremity edema, and serpiginous lesions on her lower extremities, buttocks, and elbows was referred to the emergency department by her pediatrician for evaluation of acute renal failure.
Cutaneous disorders<P class=p1><SPAN class=s1><STRONG><IMG style="MARGIN: 5px; FLOAT: left" src="/sites/default/files/transfer/Screen_shot_2012-04-10_at_8.54.44_AM.png" width=90 height=90>ABSTRACT:</STRONG></SPAN><STRONG> </STRONG>Most benign cutaneous tumors and growths in adolescents are asymptomatic and treatment is for cosmetic reasons. Further evaluation for an underlying disorder is required in some instances, such as in patients with multiple cutaneous neurofibromas. Surgical removal of certain growths, eg, dermatofibromas, can result in a scar that may be larger than the original lesion. Lesions with malignant potential, such as common blue nevi, and keloids can be excised but may recur. Hemorrhoids usually return to the rectum spontaneously and respond to adequate fluid intake, high-fiber diets, and stool softeners. </P>
epidermal nevi<p class="p1"><span class="s1"><strong><img src="/sites/default/files/transfer/Screen_shot_2012-04-10_at_8.50.00_AM.png" style="float: left; margin: 5px;" height="90" width="90">Case:</strong></span><span class="s2"><strong> </strong></span><span class="s3">A 2-year-old boy has had a cluster of asymptomatic, pink to tan, verrucous papules on his right dorsal foot since 6 months of age. The lesion has slowly enlarged. The child has no other lesions and no known medical conditions. The parents have tried using duct tape for empirical treatment of a wart, without a response.</span></p><p class="p2">What can you tell the parents that will spare this child more duct tape applications?</p>
PediatricsI started my first year as the division director for general academic pediatrics at Children’s Hospital of The King’s Daughters (CHKD) in Norfolk, Virginia in January 2007.