Pediatric Commons

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…

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…

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…

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…

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…

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…

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…

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…