PhotoclinicAn 11-year-old boy presented to the pediatric emergency department with a concern of a possible foreign body in the left nostril, with blockage of the left nasal cavity, for the past 2 weeks.
PhotoclinicSebaceous gland hyperplasia is a common but temporary physiologic disorder in full-term newborns that most often occurs on the nose, cheeks, and upper lips.
Eczema<p>This 9-month-old boy was brought to dermatology by his parents, who were alarmed by the rash on his buttocks. </p>
erythema<p>A remarkable finding at this neonate’s initial physical examination was a 3×4-cm midline sacral swelling, which was soft, had overlying blotchy erythema, and did not blanch with pressure.</p>
pityriasis roseaA 14-year-old white boy was referred to the allergy clinic by his pediatrician for the evaluation of what were thought to be hives.
crohnsA 3½-year-old boy presented with a chief concern of episodes of daily high fevers and vomiting.
traumaPhysical examination of an infant revealed ecchymosis of the labia majora and bluish black discoloration of the labia minora, clitoris, and hymen.
Pain<p><span class="s1"><img src="/sites/default/files/transfer/Screen_Shot_2013-11-20_at_3.50.57_PM.png" alt="girl" width="115" height="115" style="float: left; margin: 5px;">A</span>ssessing and treating pain is gaining increased recognition as an important area of pediatric care, particularly as it relates to children’s quality of life. </p><p> </p>
erythemaPhysical examination revealed erythematous macules and patches studded with erythematous or yellowish papules on the trunk and extremities.
childhood obesity<p><img src="/sites/default/files/transfer/Screen_Shot_2013-11-19_at_3.48.37_PM.png" alt="figure" style="float: left; margin: 5px;" height="115" width="115">There are 6 areas of focus for the management of pediatric obesity: food, activity, stress, monitoring, comorbidities, and medication.</p><p> </p>
childhood obesity<p><img src="/sites/default/files/transfer/Screen_Shot_2013-11-19_at_3.34.25_PM.png" alt="apple" style="float: left; margin: 5px;" height="115" width="115">As I enter the room, I immediately recognize that this appointment is not likely to involve these typical endocrine issues. The child sitting on the exam table clearly is obese.</p>
blastoma<p class="p1"><img src="/sites/default/files/transfer/Screen_Shot_2013-11-19_at_2.55.03_PM.png" alt="pneumopericardium" width="115" height="115" style="float: left; margin: 5px;">The only notable finding on a newborn's physical examination was a nursing assessment of “absent heart sounds.”</p>
mastocytoma<p><img src="/sites/default/files/transfer/Screen_Shot_2013-11-19_at_2.44.00_PM.png" alt="mastocytoma" width="114" height="114" style="float: left; margin: 5px;">A mother brought in her 11-month-old daughter for evaluation of a mark on her left lateral eyebrow. </p>
Pediatrics<p><em>Consultant for Pediatricians</em> welcomes your contributions to “Consultations & Comments,” such as the pediatrics pointers your colleagues offer below.</p>
penicillin<p><img src="/sites/default/files/transfer/Screen_Shot_2013-11-19_at_11.49.41_AM.png" alt="pennicilin" width="115" height="115" style="float: left; margin: 5px;">The September “Dermclinic” article included a case that illustrated a young child who developed a rash after amoxicillin was given.</p>
Primary CareWith each issue of Consultant for Pediatricians, we strive to bring you a balanced mix of practical articles covering the spectrum of pediatric medical care.