Monday, April 26, 2010

The Hypotonic Infant

Hypotonia Defined: decreased resistance to passive motion

* Patient: A 2-month-old female

* Setting: Outpatient clinic

* Chief Compaint: Mother is concerned her infant is not receiving adequate nutrients as the infant is constantly sleepy. She consumes approximately 1 oz per feeding requiring some sort of stimulation to keep her awake. The infant shows signs of hypotonia.

View my collection, "6 items" from NCBI

Friday, April 23, 2010

Hypodysplasia in Adolescents

An adolescent is brought into the ED for medical clearance based on reports of suicidal ideation . On exam he has high blood pressure and reports chronic epididymitis. Your main concern may be drug use based on medical history, but should you be concerned with the high blood pressure?

Take home points:
  • Do not ignore high blood pressure. PediatricsinReview: Childhood Hypertension
  • For urinary tract history combined with high blood pressure order an ultrasound upon admission to rule out emergent kidney issues and possible obstruction.
  • A quick link to GFR Calculator, Original Schwartz Equation (for use with routine creatinine methods that have not been recalibrated to be traceable to IDMS).

Salmonella Gastroenteritis 04.21.2010

Salmonella Gastroenteritis 04.21.2010

Tuesday, April 20, 2010

Monday, April 12, 2010

DRESS

Drug rash with eosinophilia and systemic symptoms (DRESS) syndrome is a rather distinct severe adverse drug reaction characterised by skin rash, fever, lymph node enlargement and internal organ involvement.

View my collection, "DRESS" from NCBI

patient presentation

Monday, April 5, 2010

A 9 month old comes in with a gaping mouth... After a neurology consult and still no diagnosis, what can it be?

During your child's dental checkup, the child's dentist might check for signs of temporomandibular joint syndrome (TMJ). Although TMJ is typically thought of as an adult disorder, children can exhibit early symptoms.

TMJ: Not Just for Adults- Temporomandibular Joint Syndrome

View my collection, "TMJ " from NCBI