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


: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.


Pediatr Ann


Pediatric annals


Block SL




Has Abstract


2014-12-01 00:00:00












  • Childhood Exposures and Risk of Malignancy in Adulthood.

    abstract::Pediatricians have significant roles in preventive health care, and understanding how various exposures during childhood can have long-lasting effects on cancer risk is critical in promoting future health. With the exception of rare genetic syndromes conferring increased cancer susceptibility, most cancers are conside...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审


    authors: Chang VY,Davidson TB

    更新日期:2015-11-01 00:00:00

  • Pediatric Nephrolithiasis: A Review.

    abstract::The incidence of pediatric nephrolithiasis is on the rise. The composition of kidney stones in children is different than in adults, as most stones in children have a composition of calcium oxalate and calcium phosphate mixed with a small amount of uric acid. The symptoms of pediatric nephrolithiasis are nonspecific. ...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审


    authors: Miah T,Kamat D

    更新日期:2017-06-01 00:00:00

  • Acute nonlymphoid leukemia.

    abstract::Acute nonlymphoid leukemia (ANLL) is not an uncommon form of leukemia in children. The differential diagnosis is sometimes difficult, but there are a number of laboratory tests that can contribute useful information. Despite the introduction of several newer chemotherapeutic agents, only 50 to 60 percent of children w...

    journal_title:Pediatric annals

    pub_type: 杂志文章


    authors: Necheles TF

    更新日期:1978-07-01 00:00:00

  • A 9-month-old boy with right-hand preference.

    abstract::We present a case of a 9-month-old boy with a history of unequal hand movements, right-hand preference on physical examination, and cortical dysplasia on brain magnetic resonance imaging who was eventually diagnosed with cerebral palsy (CP). Although spasticity involving one or more limbs is the most common neurologic...

    journal_title:Pediatric annals

    pub_type: 杂志文章


    authors: Kastner K,Rust L,Kelley K,Msall M,Hageman JR

    更新日期:2015-03-01 00:00:00

  • The most important meal of the day: why children skip breakfast and what can be done about it.

    abstract::We all experience that morning rush to get somewhere - to work, to school, or to complete a number of important errands before we reach those final destinations. Many adults skip meals for a variety of reasons. Children and teenagers are no different. Eating behaviors can promote or diminish healthy nutrition. A child...

    journal_title:Pediatric annals

    pub_type: 杂志文章,实务指引


    authors: Jackson LW

    更新日期:2013-09-01 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


    authors: Groshong T

    更新日期:1996-07-01 00:00:00

  • Augmentative communication: a perspective for pediatricians.

    abstract::This article has described the rationale and methods available for treatment of severely communicatively impaired children. The primary goal of such intervention is to facilitate communication, rather than speech per se, as the most realistic goal for some youngsters. To the extent that augmentative techniques affect ...

    journal_title:Pediatric annals

    pub_type: 杂志文章


    authors: Cohen C

    更新日期:1985-03-01 00:00:00

  • Stress fractures in the adolescent athlete.

    abstract::Consider stress fracture as a diagnosis in adolescent athletes complaining of worsening vague pain without a clear mechanism of injury. Remember that initial radiographs may be normal, especially early in the clinical course. If the fracture is of low risk for delayed or non-union, conservative management is indicated...

    journal_title:Pediatric annals

    pub_type: 杂志文章


    authors: Logan K

    更新日期:2007-11-01 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


    authors: Christenson JC,Chehab H

    更新日期:2019-09-01 00:00:00

  • Addressing ethical issues in everyday practice.

    abstract::In primary-care practice, just as in critical care, ethical dilemmas challenge pediatricians to make choices in the best interests of their patients. Parents are important to the growth and development of children and have broad responsibility for making virtually all decisions regarding nutrition, clothing, housing, ...

    journal_title:Pediatric annals

    pub_type: 杂志文章


    authors: Fleischman AR,Collogan L

    更新日期:2004-11-01 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


    authors: Hoffman A

    更新日期:2020-08-01 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


    authors: Barakat AJ

    更新日期:2013-03-01 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


    authors: Slaper MR,Conkol K

    更新日期:2014-02-01 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


    authors: Freeman JM

    更新日期:1992-06-01 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


    authors: Hermann D

    更新日期:1989-03-01 00:00:00

  • SIDS prevention.

    abstract::The mortality attributed to sudden infant death syndrome ahs decreased significantly in Northern Europe and Australia in conjunction with the majority of infants being placed to sleep on their back or side instead of on their stomach. Since the AAP recommendation in 1992 to place healthy infants on their back or side ...

    journal_title:Pediatric annals

    pub_type: 杂志文章


    authors: Willinger M

    更新日期:1995-07-01 00:00:00

  • Restless Legs Syndrome in Children.

    abstract::Restless legs syndrome (RLS) is a common pediatric condition that often goes undiagnosed. The genetics and pathophysiology of this sensorimotor condition are still not well understood. RLS can affect any part of the body, but the thighs and calves are the most commonly affected. Because of unpleasant sensations caused...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审


    authors: Howard H,Kamat D

    更新日期:2018-12-01 00:00:00

  • Care for children and evidence-based medicine.

    abstract::Child healthcare sits between two worlds: in the past, with a focus on the prevention and treatment of infectious and chronic disease and the current more expansive view of child health and our role in child health promotion. As a result, disagreements concerning the evidence basis for our work have also arisen. Clini...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审


    authors: Sege RD,De Vos E

    更新日期:2008-03-01 00:00:00

  • Exercise-Induced Dyspnea in Children and Adolescents: Differential Diagnosis.

    abstract::Exercise-induced dyspnea in children and adolescents can occur for many reasons. Although asthma is the common cause, failure to prevent exercise-induced asthma by pretreatment with a bronchodilator, such as albuterol, indicates that other etiologies should be considered. Other causes of exercise-induced dyspnea inclu...

    journal_title:Pediatric annals

    pub_type: 杂志文章


    authors: Bhatia R,Abu-Hasan M,Weinberger M

    更新日期:2019-03-01 00:00:00

  • Pediatric Toxicology: Household Product Ingestions.

    abstract::Nonpharmaceutical household products are the most common substances involved in exploratory ingestions in young children. Fortunately, most of these products are not toxic if ingested in small volumes. However, there are several household products that have the potential to cause significant toxicity and, rarely, fata...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审


    authors: O'Donnell KA

    更新日期:2017-12-01 00:00:00

  • Understanding gender variance in children and adolescents.

    abstract::Gender variance is an umbrella term used to describe gender identity, expression, or behavior that falls outside of culturally defined norms associated with a specific gender. In recent years, growing media coverage has heightened public awareness about gender variance in childhood and adolescence, and an increasing n...

    journal_title:Pediatric annals

    pub_type: 杂志文章


    authors: Simons LK,Leibowitz SF,Hidalgo MA

    更新日期:2014-06-01 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


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

    更新日期:2019-10-01 00:00:00

  • Care of the Child with Special Needs.

    abstract::About 18% of all children in the United States have complex medical diseases, require technologic support, and/or have developmental or intellectual disability. These children require routine or maintenance care through the medical-home model. However, due to a lack of physicians, time, and financial constraints it is...

    journal_title:Pediatric annals

    pub_type: 杂志文章


    authors: Traisman ES

    更新日期:2015-12-01 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


    authors: Chamness JA

    更新日期:2008-07-01 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


    authors: Edison JK,Clardy C

    更新日期:2017-07-01 00:00:00

  • Childhood foot and leg problems.

    abstract::A thorough history and examination are essential to the accurate diagnosis of foot and leg problems in children. Most such problems, if diagnosed and treated early, can be corrected by conservative measures. Footwear for these children must be properly chosen. ...

    journal_title:Pediatric annals

    pub_type: 杂志文章


    authors: Vanden Brink KD

    更新日期:1976-04-01 00:00:00

  • Bone marrow transplantation for children with cancer.

    abstract::Bone marrow transplantation is a new, effective method for producing long-term disease-free survival in some cancer patients whose disease cannot be controlled by conventional treatments. The procedure is arduous and costly. The major problems which limit the usefulness of bone marrow transplantation are the effective...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审


    authors: Lenarsky C,Feig SA

    更新日期:1983-06-01 00:00:00

  • Atopic Dermatitis: Update on Pathogenesis and Therapy.

    abstract::Atopic dermatitis (AD) is the most common inflammatory skin condition in pediatric patients. AD has long been associated with comorbidities including food allergies, asthma, and allergic rhinitis, but recent literature has expanded this list to include attention-deficit/hyperactivity disorder and depression. AD has tr...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审


    authors: de la O-Escamilla NO,Sidbury R

    更新日期:2020-03-01 00:00:00

  • Prolonged Hospital Discharge for Children with Technology Dependency: A Source of Health Care Disparities.

    abstract::Children with ventilator assistance have been supported in living at home since 1981 when parental advocacy ushered in a change to Medicaid policy. As the population of children who use medical technology such as long-term ventilation increases, we must critically evaluate our systems for preparing families for home l...

    journal_title:Pediatric annals

    pub_type: 杂志文章


    authors: Sobotka SA,Agrawal RK,Msall ME

    更新日期:2017-10-01 00:00:00

  • Food Allergies and Eczema.

    abstract::Eczema is one of the most common skin conditions of childhood. Patients with eczema suffer in a chronic cycle of itch, scratch, and inflammation. For children with severe eczema, constant itching and scratching can have many consequences including skin infections, behavioral issues, and sleep problems. Parents often f...

    journal_title:Pediatric annals

    pub_type: 杂志文章


    authors: Santiago S

    更新日期:2015-07-01 00:00:00