Challenging Cases in Pediatric Diagnosis: Cases from Pediatrics in Review Index of Suspicion and Visual Diagnosis

Front Cover
Contents
Preface
Autoimmune
	Growth Failure and Diarrhea in a 6-Week-Old
	Fever, Diarrhea, and Rash in a 9-Month-Old Boy
	Recurrent Fevers in a 10-Year-Old Girl
	Increasing Fatigue, Dyspnea on Exertion, and a 3.6-kg Weight Loss in a 14-Year-Old Boy
	Right-Sided Lower Back and Lower Quadrant Abdominal Pain and Intermittent Hematuria
	High Temperature, Vomiting, Facial Pain, and Congestion in a 16-Year-Old Girl
	Fever, Neck Swelling, and Weight Loss in a 17-Year-Old Boy
Behavioral
	Daily Paroxysmal Episodes in a 1-Year-Old Girl
	Pain, Swelling, and Redness of Left Leg in a 17-Year-Old Girl
Cardiology
	5-Day-Old Girl With Labored Breathing and Fast-Beating Heart
	Chest Pain in a Boy With Duchenne Muscular Dystrophy and Cardiomyopathy (Visual Diagnosis)
	Palpitations and Dizziness in an Adolescent Boy
Dermatology
	Erythematous Papulovesicular Rash in a 3-Month-Old Girl
	Irritability, Vomiting, and a Mildly Reddened Right Eye in a 6-Month-Old Girl
	A 7-Month-Old Who Has a Persistent Rash (Visual Diagnosis)
	Perinasal and Perioral Rash in a 2-Year-Old Girl
	5-Year-Old Girl Waking in Morning With Spots of Blood on Her Pillow and Sheets
	Ecchymotic Lesions on the Backs of Asian Boys
	Petechial Lesions on Toes of an 11-Year-Old Girl
	13-Year-Old Girl With Pink Papules (Visual Diagnosis)
	Anterior Chest Pain, Daily Low-grade Fevers, and Worsening Acne in a 14-Year-Old Boy
	Rash, Eye Pain, and Lesions in an Adolescent (Visual Diagnosis)
Emergency Medicine
	7-Year-Old Girl Passing Red Urine
Endocrinology
	Seizure in an 8-Month-Old Boy
	12.7-kg Weight Gain in 7 Months and Recurrent Fevers
	6-Year-Old Boy With Delayed Walking and Partial Primary Dentition
	15-Year-Old Girl With No Menstrual Periods for 7 Months
	16-Year-Old Girl Who Has Not Achieved Menarche
Gastrointestinal
	Hematochezia in a Neonate
	2-Month-Old Boy With 6-Day History of Increasing  Irritability, High-pitched Cry, and  Nonbloody, Nonbilious Vomiting
	3-Month-Old Boy Admitted for Poor Feeding and a Distended Abdomen
	2-Year-Old Boy With “Yellow Eyes” and Dark-Colored Urine
	Intermittent Epigastric Pain, Nausea, and Vomiting With  Progressive Abdominal Distension  in a 4-Year-Old Boy
	14-Year-Old Girl Experiencing Vomiting, Abdominal Pain, and Weight Loss Over the Past 11 Months
	Ecchymoses on Legs and Refusal to Walk in a 16-Year-Old Boy With Autism
	Lactic Acidosis and Cardiovascular Collapse in an Adolescent With Ulcerative Colitis
Genetics
	A Male Neonate Who Has a White Hair Tuft and Hypopigmented Macules (Visual Diagnosis)
	Infant With Growth Failure, Body Asymmetry, and Dysmorphic Features (Visual Diagnosis)
	Large Stature in 13-Year-Old Boy
	Prolonged Generalized Seizure  and Progressive Lethargy in a 15-Year-Old Boy
Hematology and  Oncology
	4-Month-Old With Severe Rash Over Face and Hands
	Fever, Rash, and Decreased Oral Intake in a 10-Month-Old Boy
	Acute Urinary Retention in a 13-Month-Old Boy
	4-Year-Old Girl With Intermittent Abdominal Pain for 3 Months, Difficulty Passing Stools for 2 Weeks, and Intermittent  Vomiting for 2 Days
	Fever and Multiple Ruptured Bullae in a 6-Year-Old Boy (Visual Diagnosis)
	Bilateral Hip and Lower Back Pain in a 9-Year-Old Girl
	Epistaxis and Melena in a 9-Year-Old Boy
	Fever and Changes in Mental Status in a 12-Year-Old Girl
	13-Year-Old Boy With a Lump on His Back
	Epistaxis in a 15-Year-Old Boy
	Acute Shortness of Breath and Coughing Up Blood in a 16-Year-Old Girl
	Abdominal Pain in a 16-Year-Old Girl
	Painless, Intermittent Vaginal Spotting in a 16-Year-Old Girl
	Left Arm Swelling and Pain in a 17-Year-Old Boy
	Blue Skin Discoloration,  Headache, and Dificulty  Breathing in an 18-Year-Old Girl
Infectious Diseases
	2-Week-Old Has a Red, Peeling Rash (Visual Diagnosis)
	Evaluation of Eosinophilia, Loose Stools, and Low-grade Fever in a 3½-Year-Old Boy
	Sore Throat and Dificulty Swallowing in a 9-Year-Old Boy (Visual Diagnosis)
	Sore and Stiff Neck, Jaw Pain, Drooling, Difficulty Swallowing, and Stiffness of Right Leg in a 9-Year-Old Boy
	Right Ankle Pain in an 11-Year-Old Girl
	16-Year-Old Boy With Severe Pain in Right Knee
	16-Year-Old Girl With Generalized Seizures
	Rash and Headache in a Wrestler
	Congenitally Deaf 17-Year-Old Boy With a 1-Year History of a Rash
Nephrology
	Urinary Frequency in a 6-Year-Old Boy
	Severe, Sudden, Bilateral, Throbbing Headaches in an 11-Year-Old
	Fatigue, Weakness, Body Aches, and Metabolic Alkalosis in a 15-Year-Old Boy
Neurology
	5-Week-Old Boy With 2 Days of Coughing That Worsens After Feeding
	Poor Weight Gain in a 14-Month-Old Boy
	Seizurelike Activity Precipitated by Loud Noise in a 2-Year-Old
	6-Year-Old Boy With Leg Pain During Times of Inactivity
	Increasing Knee and Back Pain in a 6-Year-Old Boy
	Vomiting, Unsteadiness, Vision Problems, and Unresponsiveness in a 10-Year-Old Boy
	Weakness and Inability to Walk in an 11-Year-Old Boy
	Excessive Nighttime Eating in a 14-Year-Old Boy
	Intermittent Swelling and Arm Pain for 2 Years in an Adolescent Girl
Pulmonology
	2-Month-Old Girl With Protrusion in Neck When Crying
	18-Month-Old Girl With Intermittent Fevers, 2.27-kg Weight Loss, and Mild Respiratory Distress
	2½-Year-Old Girl Who Has Cough and Right Pulmonary Abnormalities
	Shortness of Breath and Wheezing in a 9-Year-Old Chinese Girl
	Wet, Mucous Cough for Years in  a 12-Year-Old Girl
	Chest Pain and Shortness of Breath in a 15-Year-Old Boy
	Hemoptysis of 1½ Years Duration in a 15-Year-Old Girl
Obstetrics and Gynecology
	Newborn Girl With a Mass Protruding From Her Introitus
	Episodic Lower Abdominal Pain in an 11-Year-Old Girl
Ophthalmology
	18-Month-Old Girl With Esotropia of the Left Eye
	Eye Swelling, Redness,  Discharge, and Pain With Movement in a  13-Year-Old Boy
	Abnormal Eyelashes in 17-Year-Old Boy Who Has Congenital Heart Disease
	18-Year-Old Girl With Pain,  Redness, and Photophobia in Left Eye for 1 Week
Orthopedics
	Bowlegs in a 2-Year-Old Girl
	Intermittent Groin Pain in a 5-Year-Old Boy
	Swelling Behind the Knee in a 15-Year-Old Boy
Surgery
	An 11-Month-Old With Nausea, Vomiting, and an Abdominal Mass (Visual Diagnosis)
	Intermittent Swelling and Bleeding From the Gums in a 3-Year-Old Girl
	Sharp, Right-Sided Abdominal Pain in an 8-Year-Old Boy
	Severe Right Lower Quadrant Colicky Pain and Mild Right-Sided Flank Pain in an 8-Year-Old Girl
	11-Year-Old Boy With Pain in the Left Lower Quadrant of His Abdomen, Radiating to His Back
	Sudden, Sharp Left Upper Quadrant Abdominal Pain, Nausea, and Vomiting in an 11-Year-Old Girl
Urology
	Scrotal Swelling in a 7-Year-Old Boy
	Persistent Flank Pain and Voiding Dysfunction in an 11-Year-Old Boy
Index
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