When is it a Dermatological Emergency?

A 9 year old girl has had a rash for a year. She has been seen by her pediatrician and a dermatologist with no sucess in treating the rash. The rash had acutley worsened over the last four days. The rash, a diffuse pustular rash, covers her whole body, it is itchy and painful, the skin sloughs off and she has a fever.

Picture of the month--quiz case. Pustular psoriasis, annular type

View my collection, "Pustular Psoriasis" from NCBI

Pustular Psoriasis 12.30.2009

Failure to Thrive by 'Spitting Up' ?

Morning Report Topic for December 28, 2009

A 2 and 1/2 month old girl presents with failure to thrive but other than starting to "spit up" three weeks prior to being seen she is normal in her history and check up...

Infantile Hypertrophic Pyloric Stenosis

A suspicious pulmonary nodule shows up on a chest film...

View my collection, "Atelectasis" from NCBI

(Topic for December 23, 2009)

Smoking Cessation

Morning Report topic for December 18, 2009 by Kevin Nelson.

Smoking Cessation 12.18.2009

It started with just a fever...

A 72 Day old presents with a fever; could it really be HSV?

View my collection, "Herpes Simplex Virus" from NCBI

Remember to Read the Growth Chart

Morning report topic for Monday, December 14, 2009.

A 9 year old boy presents with a rash on his buttocks and after treatment with two courses of antibiotics returns with two fistulas on either side of his rectum along with other symptoms, pain in sitting and diarrhea. What could be going on? After a surgical consult to find out whether he had a deeper abscess he is diagnosed with Crohn's Disease. The primary care physician had not followed the child long term and in reviewing the growth chart for this patient found the trend of growth dropping. Remember to review the growth chart!

View my collection, "Crohn's Disease" from NCBI

Useful Links
Crohn's and Colitis Foundation of America
Crohn's Disease in Medlineplus
Crohn's Disesae Interactive Tutorial for Patients

Recent Morning Report Topics

12/04/2009 Advocacy Morning Report: 504 plans in schools:
Provision of Educationally Related Services for Children and Adolescents With Chronic Diseases and Disabling Conditions

Useful links for more information on 504 plans:
Medical Home Portal
The Access Center
The Utah Parent Center
The US Dept of Ed, Office of Civil Rights
Utah State Office of Education: Educational Equity

12/07/2009 Pediatric Stroke:
View my collection, "Vertebral Artery Dissection" from NCBI

12/09/2009 Breakfast with Ed

Conjugated Hyperbilirubinemia

Conjugated hyperbilirubinemia is most often caused by ≥ 1 of the following:

* Dysfunction of hepatocytes (hepatocellular dysfunction)
* Slowing of bile egress from the liver (intrahepatic cholestasis)
* Obstruction of extrahepatic bile flow (extrahepatic cholestasis)

Conjugated Hyperbilirubinemia: Screening and Treatment in Older Infants and Children

View my collection, "Hyperbilirubinemia" from NCBI
Many of these articles come from the October 2009 issue of the journal 'Pediatrics.' You may want to refer to this specific issue...