Perpetually perplexing pediatric patients: it's complicated: part 1.

Abstract:

:Managing pediatric patients with atypical rashes and seemingly simple diagnostic illnesses will continue to challenge pediatricians. Considering the presence of an alternative diagnosis or more than one concomitant diagnosis or pathogen in the evaluation, although we try to avoid it, may often lead to better outcomes. Complex pediatric patients who vex and perplex each of us are to be expected in any outpatient general pediatric practice.

journal_name

Pediatr Ann

journal_title

Pediatric annals

authors

Block SL

doi

10.3928/00904481-20141124-03

subject

Has Abstract

pub_date

2014-12-01 00:00:00

pages

470-4

issue

12

eissn

0090-4481

issn

1938-2359

journal_volume

43

pub_type

杂志文章
  • Hyperinsulinism in a neonate.

    abstract::A male patient was born small for gestational age (SGA) at 33 weeks with a birth weight of 1,663 grams (< 10th percentile) and length 43 cm (10th percentile) to a 38-year-old G5P4 mother by cesarean section due to non-reassuring fetal heart tones. Prior to delivery, his mother experienced decreased fetal movement and ...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/00904481-20140221-08

    authors: Blanco M,Khan O,Stanley K,Hageman JR,Greeley SA

    更新日期:2014-03-01 00:00:00

  • Pediatric COVID-19 Disease: A Review of the Recent Literature.

    abstract::The first pediatric coronavirus disease 2019 (COVID-19) case was confirmed in Shenzhen, China on January 20, 2020. At the beginning of the outbreak, COVID-19 pneumonia was more common in adults than in children and adolescents, and the rate of confirmed pediatric cases was relatively lower. However, as screening tests...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/19382359-20200615-01

    authors: Yoldas MA,Yoldas H

    更新日期:2020-07-01 00:00:00

  • The pediatric acute scrotum.

    abstract::The pediatric acute scrotum can be a diagnostic dilemma. The history, physical examination, and appropriate tests are important. The correct diagnosis will be arrived at if the systematic approach is remembered (Figure 14). In cases where testicular torsion cannot be ruled out (such as an epididymitis or torsion of th...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/0090-4481-19890301-10

    authors: Hermann D

    更新日期:1989-03-01 00:00:00

  • Hypertensive crisis in children.

    abstract::Children presenting with hypertension should be considered for emergency treatment when there is evidence of end-organ toxicity. Complications of extreme hypertension may be very serious, even life threatening, with the potential for life-long sequelae. Of greatest significance is damage to the central nervous system....

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/0090-4481-19960701-04

    authors: Groshong T

    更新日期:1996-07-01 00:00:00

  • Strengthening Vaccine Confidence and Acceptance in the Pediatric Provider Office.

    abstract::Although vaccine acceptance and uptake are overall high among children in the United States, vaccine delays or refusals are a growing concern. Vaccine hesitancy is a challenge for the pediatric provider, given the diverse factors associated with hesitancy and the limited evidence on effective strategies for addressing...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/19382359-20201115-02

    authors: Mbaeyi S,Fisher A,Cohn A

    更新日期:2020-12-01 00:00:00

  • What have we learned from febrile seizures?

    abstract::What have we learned from febrile seizures? We have learned that there is a natural history to different seizure types, what some have taken to calling "seizure syndromes." We have learned that understanding these "natural histories" may be helpful in making decisions about treatment. We have learned that seizures the...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/0090-4481-19920601-07

    authors: Freeman JM

    更新日期:1992-06-01 00:00:00

  • Diagnostic evaluation of hypertensive children.

    abstract::The approach to the diagnosis of established hypertension in childhood can be systematized and focused. The investigation of affected children evolves in an orderly fashion based on data collected from a thorough history and physical examination. Laboratory tests, in the majority of children, can then be selected on t...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:

    authors: Lieberman E

    更新日期:1977-06-01 00:00:00

  • Presentation of renal disease in children.

    abstract::CME EDUCATIONAL OBJECTIVES: 1.Review the modes of presentation of renal disease in children.2.Understand the role of the pediatrician in the management of children with renal disease.3.Outline the reasons for patient referral to the pediatric nephrologist. ...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/00904481-20130222-08

    authors: Barakat AJ

    更新日期:2013-03-01 00:00:00

  • Sedation in the emergency department.

    abstract::Pediatric ED patients now have a wide variety of options to help relieve the pain and apprehension associated with an ED visit. Safe and effective management of these children has become a priority in properly staffed and equipped EDs throughout the country. ...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/0090-4481-20050801-10

    authors: Sacchetti A,Cravero J

    更新日期:2005-08-01 00:00:00

  • Risk of enteric infection associated with child day care.

    abstract::Pediatricians may advise parents that diarrhea is a frequent occurrence among infants and toddlers in day care and that diarrhea is usually mild and self-limited. A child newly enrolled in a day-care facility is at a particularly high risk for developing a diarrheal illness within the first month after enrollment, but...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/0090-4481-19910801-08

    authors: Morrow AL,Townsend IT,Pickering LK

    更新日期:1991-08-01 00:00:00

  • Pulling the Wool Off Our Eyes: Medical Child Abuse.

    abstract::Medical child abuse (MCA) continues to remain a challenging form of abuse to recognize, diagnose, and manage. The perpetrators of MCA have some common features that may heighten the suspicion that a child is the victim of MCA. Once suspected, the development of a multidisciplinary care plan that incorporates all subsp...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/19382359-20200721-02

    authors: Hoffman A

    更新日期:2020-08-01 00:00:00

  • Immunization Considerations in Pregnancy.

    abstract::Immune status during pregnancy is an important consideration, and all women who are pregnant should be screened for immunity to certain diseases. Women who are pregnant are at higher risk of contracting infections, and many infections can cause serious problems for a growing fetus. For this reason, remaining up-to-dat...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/19382359-20190611-01

    authors: Khan L

    更新日期:2019-07-01 00:00:00

  • New progestin oral contraceptives and the female condom.

    abstract::Recent advances in contraceptive technology offer US adolescent females the potential to reduce their risk of unwanted pregnancy and sexually transmitted diseases (STDs) without unacceptable side effects. Newly developed oral contraceptives that contain the progestins desogestrel or norgestimate (Desogen, Ortho-Cept,...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/0090-4481-19950401-09

    authors: Gold MA

    更新日期:1995-04-01 00:00:00

  • Mastoiditis mimicry: retro-auricular cellulitis related to otitis externa.

    abstract::Retro-auricular cellulitis associated with otitis externa is now the great mimicker of mastoiditis. It may be the most common cause of this specific cellulitis/auricular protrusion when it is associated with otitis externa. This column presents six cases of children who presented with peri-auricular redness, four of w...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/00904481-20140825-03

    authors: Block SL

    更新日期:2014-09-01 00:00:00

  • Acute pain management in infants and children-Part 2: Intravenous opioids, intravenous nonsteroidal anti-inflammatory drugs, and managing adverse effects.

    abstract::The field of pediatric pain management continues to evolve, with ongoing changes in our appreciation of the impact of pain on our fragile patients, a better understanding of how to assess pain, and refinements of the medications and techniques used to provide analgesia to patients with acute pain of various etiologies...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/00904481-20140619-11

    authors: Tobias JD

    更新日期:2014-07-01 00:00:00

  • Gastroesophageal reflux in children: a clinical review.

    abstract::The diagnosis of gastroesophageal reflux requires careful consideration of the patient's clinical history and initial evaluation of presenting symptoms. In cases where overt vomiting in noted, the initial evaluation should include a barium esophagram and upper gastrointestinal series. The diagnosis of gastroesophageal...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/0090-4481-19820101-09

    authors: Berquist WE

    更新日期:1982-01-01 00:00:00

  • Molecular diagnostics and newborns at risk for genital herpes simplex virus.

    abstract::Herpes simplex virus (HSV) infection in the newborn carries a high mortality rate and can result in lifelong neurologic impairment. The severity of HSV infection in the newborn has always dictated conservative management when prodromal symptoms or active genital lesions (or those suggestive of genital herpes) are pres...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/00904481-20150512-08

    authors: Chua C,Arnolds M,Niklas V

    更新日期:2015-05-01 00:00:00

  • The multiple indications for growth hormone treatment of pediatric patients.

    abstract::GH has many approved uses in pediatric patients including GH deficiency, CRF, Turner syndrome, Prader-Willi syndrome, SGA, and ISS. The child should have an appropriate evaluation for poor growth and endocrine consultation as dictated by clinical and investigative findings. Treatment of the child with GH deficiency is...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/0090-4481-20061201-06

    authors: Farber RS,Kerrigan JR

    更新日期:2006-12-01 00:00:00

  • Office malpractice pitfalls.

    abstract::Familiarity with and adherence to the above principles may not make you claim or judgment proof, but they should improve patient care in your office and decrease your exposure to medico-legal interventions. Always bear in mind that medical practice is not a right conferred upon you by virtue of your medical degree, bu...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/0090-4481-19910201-07

    authors: Cohn B

    更新日期:1991-02-01 00:00:00

  • Pediatric polysomnography for sleep-disordered breathing prior to tonsillectomy: a guideline review.

    abstract::Snoring and other signs of sleep-disordered breathing (SDB) represent a common management challenge for the pediatrician, pulmonologist, anesthesiologist, and otolaryngologist. In 2011, the American Academy of Otolaryngology-Head and Neck Surgery published a clinical practice guideline for the treatment of patients wi...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/00904481-20130924-08

    authors: Walz PC,Schroeder JW Jr

    更新日期:2013-10-01 00:00:00

  • Using a registry to improve immunization delivery.

    abstract::The NJIPSP was successful in encouraging a group of small urban practices to adopt the use of immunization registry and to transform immunization delivery from a mechanistic well-child service to a visible, monitored process of care. The project represents a unique combination of technology, public-private collaborati...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/0090-4481-20060701-06

    authors: Kairys SW,Gubernick RS,Millican A,Adams WG

    更新日期:2006-07-01 00:00:00

  • mHealth tools for the pediatric patient-centered medical home.

    abstract::The concept of the pediatric patient-centered medical home (PCMH) as a theory has been evolving since it was initially conceived more than 40 years ago. When the American Academy of Pediatrics' (AAP) Council on Pediatric Practice first wrote about this model, "medical home" was defined solely as the central location o...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/00904481-20140127-09

    authors: Slaper MR,Conkol K

    更新日期:2014-02-01 00:00:00

  • Kikuchi-Fujimoto Disease in Children: An Important Diagnostic Consideration for Cervical Lymphadenitis.

    abstract::Kikuchi-Fujimoto disease (KFD), or histiocytic necrotizing lymphadenitis, is a rare, benign, and self-limited disease that causes lymphadenopathy and has a characteristic histological appearance. The etiology of this disease is unknown, but a possible infectious trigger has been hypothesized. In the adult population t...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/19382359-20190920-01

    authors: Batton E,Alali M,Hageman JR,Parilla M,Yu KOA

    更新日期:2019-10-01 00:00:00

  • Toxicologic emergencies.

    abstract::Following toxic ingestions, attention must first focus on the stabilization of the patient with concurrent attention to the prevention of absorption and the enhancement of excretion of the toxic substance ingested. A careful history and physical examination supported by laboratory data should assist in defining ingest...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/0090-4481-19901101-06

    authors: Barkin RM

    更新日期:1990-11-01 00:00:00

  • Functional dyspepsia in children.

    abstract::Functional dyspepsia (FD) is a widely prevalent problem in pediatrics, reportedly occurring in 3% to 27% of children and accounting for considerable impact on quality of life and health care costs. FD is defined by the Rome III classification as persistent upper abdominal pain or discomfort, not related to bowel movem...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/00904481-20140325-12

    authors: Ganesh M,Nurko S

    更新日期:2014-04-01 00:00:00

  • Pediatric Travelers and Immigrant Children.

    abstract::Children comprise a special group of international travelers. Immigrant and refugee children, along with children traveling to visit friends and relatives abroad or on leisure trips, require special attention by clinicians to prevent and treat travel-related conditions. [Pediatr Ann. 2019;48(9):e360-e369.]. ...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/19382359-20190812-01

    authors: Christenson JC,Chehab H

    更新日期:2019-09-01 00:00:00

  • Lucy Maude Montgomery and Anne of Green Gables: An Early Description of Attention-Deficit/Hyperactivity Disorder.

    abstract::Attention-deficit/hyperactivity disorder (ADHD) was added to the Diagnostic and Statistical Manual of Mental Disorders, third edition, revised in 1987. Similar disorders had appeared earlier, and many consider the first description of ADHD to be a lecture in 1902 about children with an "abnormal defect in moral contro...

    journal_title:Pediatric annals

    pub_type: 历史文章,杂志文章

    doi:10.3928/19382359-20170614-01

    authors: Edison JK,Clardy C

    更新日期:2017-07-01 00:00:00

  • The acutely injured knee.

    abstract::Determining the mechanism of injury is often helpful in making the diagnosis during the evaluation of the acutely injured knee. A few injuries require immediate orthopedic referral such as fractures, evidence of more than one sprained ligament, or neurovascular compromise. Most patients with acute knee injuries can be...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/0090-4481-19970101-10

    authors: Koutures CG,Landry GL

    更新日期:1997-01-01 00:00:00

  • Clinical characteristics and efficacious treatment of posttraumatic stress disorder in children and adolescents.

    abstract::Children in the United States are exposed to a variety of traumatic events. Psychosocial sequelae to these events vary in their nature and severity. PTSD is a common, debilitating response to traumatic events that may alter the normal developmental course for children. Risk and protective factors in the development of...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/0090-4481-20050201-13

    authors: Brown EJ

    更新日期:2005-02-01 00:00:00

  • Taking a pediatric sleep history.

    abstract::Sleep problems in children are common, can be persistent and recurrent, can lead to significant health issues, and usually affect other family members as well as the child. There is an AAP guideline to at least screen for snoring. Sleep-deprived children often present with different symptoms than sleep-deprived adults...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/00904481-20080701-02

    authors: Chamness JA

    更新日期:2008-07-01 00:00:00