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…
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,…
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…
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…
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…
Sexually Transmitted Infections in Adolescents and Young Adults
BACKGROUND Print Section Listen Each year, more than 15 million new cases of sexually transmitted infections (STIs) are diagnosed. Almost half of these cases are in adolescents and young adults….
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…
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…
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,…