Purpura

Jan 20, 2019 by in PEDIATRICS Comments Off on Purpura

BACKGROUND Print Section Listen Purpura, or bleeding into the skin, may be an innocent finding in minor trauma or the first sign of a life-threatening disease. Pinpoint areas of hemorrhage…

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Vesicles and Bullae

Jan 20, 2019 by in PEDIATRICS Comments Off on Vesicles and Bullae

BACKGROUND Print Section Listen The diagnosis of vesicular and bullous diseases in childhood can be a difficult task. To better understand the defining characteristics of vesiculobullous disorders, a general knowledge…

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The Cardiac Examination

Jan 20, 2019 by in PEDIATRICS Comments Off on The Cardiac Examination

BACKGROUND Print Section Listen A detailed history and comprehensive bedside physical examination are the starting point for clinical evaluation and provide information on patient status, ventricular pressures, volumes and contractility,…

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Ecthyma Gangrenosum

Jan 20, 2019 by in PEDIATRICS Comments Off on Ecthyma Gangrenosum

BACKGROUND Print Section Listen In 1897, Barker first described skin lesions evolving from erythematous macules to vesicles to necrotic ulcers in the setting of septicemia secondary to Pseudomonas aeruginosa.1 In…

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Vascular Anomalies

Jan 20, 2019 by in PEDIATRICS Comments Off on Vascular Anomalies

BACKGROUND Print Section Listen More than one-third of infants are born with a vascular birthmark.1 Although most of these lesions are benign and uncomplicated, a minority require treatment and inpatient…

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Pericarditis

Jan 20, 2019 by in PEDIATRICS Comments Off on Pericarditis

BACKGROUND/PATHOPHYSIOLOGY Print Section Listen Pericarditis is an inflammation of the pericardium, a two-layered structure that surrounds the heart. The inner layer adheres to the heart. There is usually about 15…

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Myocarditis and Cardiomyopathy

Jan 20, 2019 by in PEDIATRICS Comments Off on Myocarditis and Cardiomyopathy

BACKGROUND Print Section Listen Myocarditis is a pathologic process characterized by inflammation of the myocardium leading to cellular necrosis and myocardial dysfunction. Although often thought of as a viral or…

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Infective Endocarditis

Jan 20, 2019 by in PEDIATRICS Comments Off on Infective Endocarditis

INTRODUCTION Print Section Listen Although infective endocarditis is a relatively uncommon diagnosis in children, it is an important cause of morbidity and mortality in the pediatric population.1 The incidence of…

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Acute Rheumatic Fever

Jan 20, 2019 by in PEDIATRICS Comments Off on Acute Rheumatic Fever

BACKGROUND Print Section Listen Acute rheumatic fever (ARF) is an inflammatory condition manifested by the nonsuppurative sequelae of a preceding group A β-hemolytic streptococcal (GAS) pharyngitis. ARF involves the heart,…

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