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After reviewing the new AAP guideline about universal cholesterol screening I am still a little dubious. The pharmacologic treatment aspect is still controversial in my view i.e. use of statins in…Continue
Started by Emanuel Doyne. Last reply by Donna D'Alessandro Jan 9.
I'm a big believer in seasonal anticipatory guidance for families. Its currently spring, so I try to bring up insects, sun, water, vehicles (bikes, skateboards, etc.) and plants. What else do you…Continue
Tags: staff, uiowa, safety, seasonal
Started by Donna D'Alessandro. Last reply by Rajesh Basavaraj (RAJ) Nov 6, 2011.
We have been asked how members of Pediatric Commons can share lectures with each other.Pediatric Commons is built upon the Ning software platform. Ning makes it easy to share image, video, and music…Continue
Started by Pediatric Commons Curators. Last reply by Pediatric Commons Curators Oct 23, 2011.
Is anyone using either developmental tool? We have to adopt one and I am wondering about ease of use in a busy private practice setting where some families could use computer but many could not and…Continue
Tags: pediatrics, general
Started by Dorris Bethany Black. Last reply by Donna D'Alessandro Sep 11, 2011.
Posted by Donna D'Alessandro on January 23, 2012 at 12:30am 0 Comments 0 Likes
Story
Patient Presentation
A 7-year-old male came to clinic after falling off monkey bars at school 45 minutes previously. He had no loss of consciousness and was otherwise well. The pertinent physical exam showed a well-appearing child with normal growth parameters who was holding his left arm. There was pain in the mid shaft with a small amount of generalized swelling. The rest of his examination was negative.
The radiologic evaluation…
Posted by Donna D'Alessandro on January 16, 2012 at 12:30am 0 Comments 0 Likes
Story
A 6-year-old female came to clinic because teachers and parents had noticed that she was more fidgetty when sitting. She would cross and uncross her legs frequently especially the lower legs but more often the entire leg. This would cause her to shift her weight to her hip and sit awkwardly in a chair. There had been an increase in this behavior since the beginning of school and she seemed to not notice the problem. The teachers had offered frequent bathroom breaks…
Posted by Donna D'Alessandro on January 9, 2012 at 12:30am 0 Comments 0 Likes
Story
Patient Presentation
A 9-month-old male came to clinic with a 2 day history of intermittent bleeding from one of his hemangiomas on his left arm. The bleeding was mainly of serous fluid with a small amount of blood. It was easily controlled with pressure and a bandage changed 2-3 times per day contained the fluid. The patient did not appear in pain and did not have any redness around the lesion. . His mother was concerned because she had been told that…
Posted by Donna D'Alessandro on December 19, 2011 at 12:30am 0 Comments 0 Likes
Story
A 14-year-old caucasian male came to clinic because he had noticed his tongue becoming darker over the previous week. He was very concerned about the coloring as he said it would not go away. He was studying for school examinations and had been self-medicating an upset stomach with Pepto-Bismol®. About 1 month ago he was diagnosed with bronchitis at an urgent care center and had taken antibiotics. The past medical history was negative except for being…
Posted by Donna D'Alessandro on December 12, 2011 at 12:30am 2 Comments 0 Likes
Story
Patient Presentation
A medical student had seen a 6-month-old, former 32 week premature female in the clinic for a health supervision visit.The past medical history showed the infant had some mild respiratory distress at birth that was treated with nasal canula oxygen for 48 hours. She had done very well and was discharged at 32 days of life after she had learned to feed well orally.The pertinent physical exam revealed a smiling infant with…
Posted by Donna D'Alessandro on December 5, 2011 at 12:30am 0 Comments 0 Likes
Story
Patient Presentation
A 12-year-old female came to clinic for health supervision. Her mother had concerns that she obese, hypothyroid and was more tired over the past few months. Her mother was well versed in dietary interventions and said that she was compliant with her levothyroxine. She was not active in general but had been more tired that usual and got tired with regular activities. She was doing well in school and had good social interactions with…
Posted by Donna D'Alessandro on November 28, 2011 at 12:30am 0 Comments 0 Likes
Story
A 10-year-old male came to the emergency room 24 hours after getting his thumb caught in another player's football helmet. It was painful and swollen, despite some ice treatment. He was otherwise well. The pertinent physical exam showed a healthy boy whose dominant right thumb was swollen at the thenar eminance without bruising. The thumb was not in an abnormal position. He was able to move all the thumb joints but had pain especially with flexion. There was…
Posted by Donna D'Alessandro on November 21, 2011 at 12:30am 0 Comments 0 Likes
Posted by JULIO CESAR NEYRA PINTO on November 15, 2011 at 5:31pm 2 Comments 1 Like
This 8 year old boy was brought by his mother to the ER. 4 hours before arrival he was playing with a toy gun near his mouth. Accidentally triggered the toy and He felt a choking sensation and a severe demanding cough, with vomiting. He examined spewed waste and could not find the plastic bullet.
For these reasons, the mother decided to bring him to the emergency. On examination the child is a eutrophic, alert, boy; with 28 breaths per minute, heart rate 110 per minute, no fever, his…
ContinuePosted by Donna D'Alessandro on November 14, 2011 at 12:30am 0 Comments 0 Likes
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