Contemporary Pediatrics Cases

Infant girl with progressive hypotoniaA 9-month-old girl is brought to the emergency department for evaluation after 3 days of poor feeding and 1 day of decreased activity. The day prior to presentation, she was no longer crawling or pulling herself to stand. On the morning of evaluation, she is no longer able to lift her head.
Purple papules pop up after antibiotic courseThe mother of a 17-year-old boy frantically brings him to the office for evaluation of an itchy, burning rash that started on his hands 1 hour ago.
Child becomes febrile after visiting West AfricaIt’s a Friday morning in the outpatient pediatric clinic when a nurse on the phone with a patient’s mother says that the mother is on the city bus with her 2 daughters on their way to the clinic because the 6-year-old daughter has developed fatigue, body aches, fever, and vomiting since they returned from West Africa.
Worrisome chronic cough in a 3-year-old girlA 3-year-old girl presents to the emergency department (ED) with a 2-day history of worsening cough.
Girl’s itchy rash resists repeated treatmentsYou are asked to evaluate a minimally itchy rash that has been present for over a year on the arm of a 10-year-old girl.
Boy’s lymphadenopathy leads to acute heart failureYou are the night float senior on inpatient hospital service when you receive a transfer from an outside hospital of a 5-year-old Hispanic male who presented with 2 days of fever, unilateral neck swelling with torticollis, and neck pain.
Curious yellow bumps on a baby’s heelsThe parents of a healthy 12-month-old girl are worried about yellow bumps that have been present on the baby’s heels for 7 months.
Six-year-old boy refuses to ambulateA 6-year-old boy presents to the emergency department (ED) with left hip pain and refusal to ambulate.
Infant’s growing birthmark causes blurry visionYou are asked to see a healthy 3-month-old boy with a rapidly growing lump on his left upper eyelid.
Infant’s diaper hides anogenital lesionsYou are asked to evaluate a healthy 6-month-old boy who has had 5 nonerythematous papules in the right groin area for 2 months.