A Pain in the Neck: An Adolescent with Neck Pain
(Source: Pediatrics in Review)
Source: Pediatrics in Review - March 1, 2022 Category: Pediatrics Source Type: research
Organic Acidemias
(Source: Pediatrics in Review)
Source: Pediatrics in Review - March 1, 2022 Category: Pediatrics Source Type: research
Ankle Injuries
Ankle injuries are common among school-age children, accounting for approximately one-quarter of all pediatric sports-related injuries and ranging from benign sprains to complex fractures involving the physis (growth plate). In fact, ankle fractures are the third most common physeal fracture in children. The distal tibial and fibular physes are located 1 to 2 fingerbreadths proximal to the joint and are the areas of the ankle most susceptible to injury. Identification of physeal injuries is crucial because they can lead to growth arrest and long-term disability. Although not covered herein, it is important to remember that...
Source: Pediatrics in Review - March 1, 2022 Category: Pediatrics Source Type: research
Abnormal Hand Radiograph, Polyuria, and Polydipsia in a 17-year-old Male
(Source: Pediatrics in Review)
Source: Pediatrics in Review - March 1, 2022 Category: Pediatrics Source Type: research
Unexpected Bullae in a 12-year-old Boy
(Source: Pediatrics in Review)
Source: Pediatrics in Review - March 1, 2022 Category: Pediatrics Source Type: research
Mass on the Floor of the Mouth in a Teenager
(Source: Pediatrics in Review)
Source: Pediatrics in Review - March 1, 2022 Category: Pediatrics Source Type: research
Surgical Emergencies in the Pediatric Office
Infants and children often present with common signs and symptoms that may or may not be manifestations of a surgical emergency. This review expands the differential diagnosis of several common presentations to include surgical causes suggesting surgical emergencies and the need for immediate referral to a pediatric surgeon. The presenting signs and symptoms reviewed include bilious emesis, abdominal distention, acholic stools, bloody stools, and scrotal mass. (Source: Pediatrics in Review)
Source: Pediatrics in Review - March 1, 2022 Category: Pediatrics Source Type: research
You Can Handle It: Pediatric Hand Injuries from Toddlers to Teens
As so many of children ’s interactions with the world are through their hands, it is no surprise that hand injuries are a common pediatric complaint. Fractures of the hand and wrist account for 2.3% of pediatric emergency department visits, with a peak incidence in the teenage years, coinciding with participation in spo rts or fights. Hand injuries may be subtle, and appropriate recognition, treatment, and referral are vital for preventing long-term morbidity. (Source: Pediatrics in Review)
Source: Pediatrics in Review - January 28, 2022 Category: Pediatrics Source Type: research
Maternal Medication Transmission through Human Milk
As breastfeeding rates have risen in the United States during the past decade, pediatric practitioners are frequently faced with questions from expecting and lactating parents regarding the safety of maternal medication use while breastfeeding. For the purpose of this article, we reference mothers and women because most available research has focused on individuals who identify as female, although the concepts apply to any lactating parent. The practitioner must balance the harm of the mother's untreated condition with any potential medication risk to the infant as well as consider the benefits of breastfeeding itself on m...
Source: Pediatrics in Review - January 28, 2022 Category: Pediatrics Source Type: research
Hyperammonemia and Altered Mental Status in a 17-year-old Girl
(Source: Pediatrics in Review)
Source: Pediatrics in Review - January 28, 2022 Category: Pediatrics Source Type: research
Newborn with Lethargy, Jaundice, and Coagulopathy
Laboratory results include the following: white blood cell count, 21,600/ μL (21.6 × 109/L; reference range, 9,000 –30,000/μL [9–30 × 109/L]); hemoglobin, 18.2 g/dL (182 g/L; reference range, 14.0 –24.0 g/dL [140–240 g/L]); platelet count, 111 × 103/ μL (111 × 109/L; reference range, 150 –450 × 103/ μL [150–450 × 109/L]); blood type, B+; direct antiglobulin test, negative; and reticulocyte count, 4% (reference range, 3% –7%). Comprehensive metabolic panel is significant for hyponatremia, with a sodium level of 132 mEq/L (132 mmol/L; reference range, 135–145 mEq/L [135–145...
Source: Pediatrics in Review - January 28, 2022 Category: Pediatrics Source Type: research
Immunosuppressant Drugs and Their Effects on Children Undergoing Solid Organ Transplant
More than 112,000 men, women, and children are awaiting solid organ transplant (SOT) as of March 2020, and more than 39,000 transplants were performed in the United States in 2019. Approximately 2,000 children undergo SOT every year in the United States, and the number of children awaiting SOT continues to increase. Immunosuppression is the mainstay of prevention and treatment of solid organ rejection, a significant source of morbidity and mortality after SOT. There are several different classes of immunosuppressive drugs, and the phases of immunosuppression after SOT can be divided into early, maintenance, and rescue ther...
Source: Pediatrics in Review - January 28, 2022 Category: Pediatrics Source Type: research
New-Onset Right-Sided Weakness and Unsteady Gait in a 10-year-old Boy
(Source: Pediatrics in Review)
Source: Pediatrics in Review - January 28, 2022 Category: Pediatrics Source Type: research
Nutritional Deficiencies in Vegetarian, Gluten-Free, and Ketogenic Diets
This article reviews signs and symptoms of possible nutrient deficiencies seen with the vegetarian, ketogenic, and gluten-free diets. (Source: Pediatrics in Review)
Source: Pediatrics in Review - January 28, 2022 Category: Pediatrics Source Type: research
Polydipsia and Polyuria in a 12-year-old Girl
(Source: Pediatrics in Review)
Source: Pediatrics in Review - January 28, 2022 Category: Pediatrics Source Type: research
