Contemporary Pediatrics Cases

Teenager battles daytime sleep attacksA 17-year-old-male presented to a specialty clinic for follow-up of attention-deficit/hyperactivity disorder (ADHD), migraine headaches, adjustment disorder with mixed disturbance of emotion and conduct, and mood disorder. At this visit, he reported excessive daytime sleepiness that was interfering with academic tasks and “life.”
Two-month-old boy with erythrodermaA healthy 2-month-old boy presents with a 4-day history of diaper dermatitis unresponsive to barrier creams. The infant has developed “red spots” that started on his cheeks, then spread to his trunk and diaper area. He is a bit fussy but feeding well.
Choking and cyanosis in an infant with sickle cell diseaseA 2-month-old African American girl who presented to the emergency department with 2 episodes of apnea or gasping respirations associated with feeds is admitted by your general inpatient pediatric service.
Puzzling pigmentation on a baby’s scalpA healthy 2-month-old girl presents for evaluation with a large pigmented plaque on her left cheek and scalp that her mother says she has had since birth.
Suspicious blister on a newborn’s scalpYou are called to the nursery to evaluate a vigorous, healthy-appearing, small-for-gestational-age, full-term, 2-day-old boy with a blister on the vertex of his scalp that was noted in the delivery room.
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.