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Pruritic vesicles erupt on a boy’s legsA healthy 12-year-old boy with eczema shows up at the office with an incredibly itchy rash on his legs that has exploded over the last 48 hours. He has a history of dry skin to which his mother regularly applies various moisturizers, including calendula oil.
Improve your practice: Patient visitsIn this month’s article, Dr. Andrew Schuman focuses on improving the office visit experience for your young patients. By following his advice, you will be rewarded with parental loyalty, a busy and prosperous practice, and patients who look forward to their office visits.
Itchy blisters bother a 12-year-old girlThe mother of a 12-year-old girl brings her daughter to the office for evaluation of recurrent, itchy red bumps and blisters on her legs. The mother gets the same rash recurrently as well.
National snapshot of childhood obesityThe last year or so has given the nation mixed pictures on childhood obesity, with plenty of challenges ahead.
Tight, shiny membrane encases newborn’s skinAfter a cesarean delivery at 30 weeks, a 1430-gram premature female neonate was noted to have generalized thick, dark brown scale forming a tight membrane over her entire skin surface. Her mother was a healthy 19-year-old gravida 1 with normal prenatal screening ultrasound and laboratory studies. Family history did not reveal any congenital malformations or genetic disorders.
Urolithiasis in children
Urolithiasis in childrenUrolithiasis occurrence is increasing in both adults and children in the United States, with nearly 1 in 11 adults having a stone at some time in their life. Unfortunately, stone occurrence in children also appears to have increased from 1% to 2% in the 1950s to 1970s to almost 10%.
Small-for-age toddler is unable to walkA 22-month-old African American boy born at 38 weeks by normal vaginal delivery presents to a local hospital from a private pediatric office for failure to thrive. He was seen by his pediatrician until aged 1 month but was lost to follow-up. His delay in walking prompted his mother to reestablish care at age 22 months.
Girl with rash and muscle weaknessThe mother of a healthy 10-year-old girl brings her child to the office for evaluation of new onset “eczema.” The rash is asymptomatic and began on the patient's upper eyelids, later spreading to her chest and extremities over several weeks. The child complains of difficulty riding her bicycle.
Treat plays trick on a 3-year-old boyA 3-year-old boy presents to the emergency department (ED) with a 1-day history of irritability and listlessness. According to his parents, he was well until the night before when he began to behave abnormally, becoming excessively tired approximately 2 hours after eating dinner. During the night, the boy slept poorly, sporadically awakening with crying followed by brief periods of calmness. The morning of presentation, he was difficult to arouse with intermittent fussiness and reluctance to ambulate.