Story

A 17-month-old male was admitted for nutritional resuscitation. According to records, his weight tracked around the 3rd percentile for the first 6 months of life, and his height as 25-50%. At 14 months his weight was 50% for a 5 month old, height was 50% for a 9 month old and head circumference was 50% for a 6 month old. He had a complex social situation and was currently in foster care. The past medical history showed that he was a full term infant, who had under… Continue

A 14 yo female was brought to clinic by her mother for a well adolecent exam. Her main concern was her daughter's weight. She was diagnosed with anorexia nervosa a year nd a half prior to this visit. She was initially treated as an outpatient, but when her weight continue to fall away from the 5th percentile, she was admitted to an inpatient psichiatric hospital. When this failed, her mother had her admitted to an out-of-state treatment facility specializing in eating disorders. She was there

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Story

A 7-year-old male came to clinic for his health supervision visit. His mother noted that over the 2nd grade school year he seemed to be having more problems with reading and the teachers noted that he had more inattention in the afternoon when they did language arts.
He had been previously diagnosed with attention deficit hyperactivity disorder (ADHD) in kindergarten. She said that otherwise he was his energetic self and that the teachers didn't complain of other behavio… Continue

Story

A 3-month-old male was referred for a second opinion for chronic respiratory distress. The patient was a full-term infant whose parents noted at about 3 weeks of age that his chest always seemed to "suck in." At 6 weeks he was brought to his local physician who noted the "chest sucking" and told the family that he was having respiratory distress. He was given albuterol and oral steroids but the parents noted no changes with the treatment. They denied any color changes, d… Continue

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A 15-year-old female came to the emergency room with lower abdominal pain for 1 week. The pain was described as constant mild pain with episodes of worsening. The patient had her normal period 2 weeks ago and was sexually active without consistent use of any contraceptive method including condoms. She stated that she had a vaginal discharge but could not describe it further. She was also having some back pain. The past medical history was positive for a previous e… Continue

Story
A 5-day-old male came to clinic for his health supervision visit. The past medical history showed a full-term infant with no prenatal or natal complications. He received all his normal newborn care including passing his hearing screening. The family history and review of systems were negative including no history of visual problems other than older family members needing reading glasses.

The pertinent physical exam showed an alert male infa

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A 5-day-old female came to clinic with what parents described as a "weak" cry. She began to have less energy the night before, and was nursing less vigorously too. Her parents reported she had a normal, vigorous cry previously and that her 2-year-old sibling had rhinorrhea. The past medical history revealed a full-term infant with an uncomplicated prenatal, birth and hospital course. The review of systems was negative. The pertinent physical exam sho… Continue

Story

A 15 year-old female came to clinic with a 2 day history of increased redness in her left eye. The patient states that she has been having bilateral eye redness and discharge for 1 month and was prescribed Patanol® which has helped with some itchiness. For 2 days she has had consistent blurry vision, tearing, photophobia, and mild pain. She also began to have some headache and slight sore throat 1 day ago. The family history is positive for glaucoma. Previously he… Continue

Story

A 5-year-old male was seen in clinic for his health supervision visit. His mother had no concerns but mentioned that his fingers and toes seemed to peel quite a bit. She stated that this was a chronic problem where he seemed to have thicker skin that would peel. There was no erythema, pruritis or pain. The pertinent physical exam showed a healthy male with normal vital signs and growth parameters in the 75-90%. HEENT showed normal teeth with the secondary left fro… Continue

Story

A 14-year-old female came to clinic with a rash on her earlobes intermittently for several days. She had purchased a new pair of pierced earrings and the rash appeared approximately 1 day after wearing them. She removed the earrings and the rash went away, but recurred when she wore them again. She also got rashes on her abdomen after wearing a pair of jean shorts.

The pertinent physical exam showed a healthy female with normal growth parameters and vital signs

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