distal petechiae<p>A 10-month-old girl with a history of failure to thrive, hypotonia, hip dysplasia, and developmental delay was admitted to the pediatrics department with ecchymosis of the left arm after having had a tourniquet applied.</p>
slipping rib<p class="p1">A 16-year-old girl presented with a history of chronic epigastric and right upper quadrant abdominal pain for years. The pain was sharp and was not associated with nausea, vomiting, or a change in bowel habits.</p>
oral facial digital<p class="p1">A 30-year-old otherwise healthy woman gave birth to a full-term girl with a midline cleft lip. The mother denied any drug exposure or viral illness during pregnancy. Her family history was significant for midline cleft lip in a maternal great aunt.</p>
PhotoclinicAn 8-month-old African American girl was brought to the hospital with a 3-day history of a barking cough with associated respiratory distress, rhinorrhea, and decreased oral intake.
Urticaria pigmentosa<p>A 5-year-old boy presented to the pediatric clinic with a history of itchy skin lesions since infancy.</p>
Foreign Body Aspiration<p>A 10-year-old boy presented to the emergency department (ED) with a 6-day history of nausea, nonbilious and nonbloody vomiting, and periumbilical pain.</p>
Herpes simplex<p>A 13-day-old full-term boy presented to the emergency department (ED) with dried, crusting lesions on his scalp and blisters on his hand that his mother had first noticed 3 days before presentation. </p>
ADHDA number of medications have been approved by the FDA for the treatment of ADHD, and the evidence for the effectiveness of pharmacotherapy in ADHD is strong.
ADHD<p class="p1">Attention-deficit/hyperactivity disorder (ADHD) is diagnosed in African American children at two-thirds the rate of that in white children, despite that African American children display greater ADHD symptomatology. ADHD also is reportedly underdiagnosed in Hispanic children compared with white children.</p>
cyst<p><img src="/sites/default/files/transfer/Screen_Shot_2013-10-15_at_4.20.23_PM.png" alt="cyst" width="115" height="115" style="float: left; margin-left: 5px; margin-right: 5px;">A 16-month-old previously healthy girl presented to the emergency department after having had 4 days of constipation and nonbloody, nonbilious emesis after every feeding. </p>
Dermatitis<p class="p1"><img src="/sites/default/files/transfer/Screen_Shot_2013-10-15_at_4.00.39_PM.png" alt="dermatitis" style="float: left; margin-left: 5px; margin-right: 5px;" height="115" width="115">A 6-year-old boy presented with a 2-month history of a facial eruption. The child was asymptomatic. He has atopic dermatitis and has used topical corticosteroids for the treatment of this condition.</p>
aspiration<p><img src="/sites/default/files/transfer/Screen_Shot_2013-10-15_at_3.41.01_PM.png" alt="aspiration" width="115" height="115" style="float: left; margin-left: 5px; margin-right: 5px;">Children who present with acute or prolonged respiratory symptoms require a high index of suspicion for foreign body aspiration (FBA). We present 2 cases that highlight the importance of eliciting a choking history in any child presenting with respiratory symptoms.</p>
teratoma<p><strong><img src="/sites/default/files/transfer/Screen_Shot_2013-10-15_at_3.22.09_PM.png" alt="teratoma" width="115" height="115" style="float: left; margin-left: 5px; margin-right: 5px;"></strong>It is known that fetuses with large sacrococcygeal teratomas are at risk for a high cardiac output state and cardiac failure.</p><p><strong> </strong></p>