Acquired Rashes in the Older Child

Apr 4, 2019 by in PEDIATRICS Comments Off on Acquired Rashes in the Older Child

Many skin findings in childhood are benign and self-limited conditions. Other dermatologic complaints may be the 1st manifestation of a systemic disease or associated condition, recognition of which facilitates appropriate…

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Fever and Rash

Apr 4, 2019 by in PEDIATRICS Comments Off on Fever and Rash

The coexistence of fever and rash suggests a relatively wide spectrum of pathologic entities for diagnostic consideration. This spectrum includes local or systemic infection with a wide range of microbial…

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Acid–Base and Electrolyte Disturbances

Apr 4, 2019 by in PEDIATRICS Comments Off on Acid–Base and Electrolyte Disturbances

The presence of an acid–base or an electrolyte disorder may explain a patient’s symptoms or may lead to a specific diagnosis. Acid–Base Balance (See Nelson Textbook of Pediatrics, p. 369.)…

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Short Stature

Apr 4, 2019 by in PEDIATRICS Comments Off on Short Stature

Short stature (usually defined as height >2 standard deviations [SD] below the mean for age) and growth failure (a subnormal height velocity that leads to a decline in growth percentiles,…

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Fever

Apr 4, 2019 by in PEDIATRICS Comments Off on Fever

Two-thirds of all children visit a physician for fever before they reach the age of 2 years. Fever in the pediatric population is usually grouped into 4 categories: • Fever…

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Urinary Incontinence and Polyuria

Apr 4, 2019 by in PEDIATRICS Comments Off on Urinary Incontinence and Polyuria

Urinary incontinence is a normal developmental stage. When present beyond a certain age defined by parental and societal expectations, it can cause concern and anxiety in the patient and family….

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Disorders of Puberty

Apr 4, 2019 by in PEDIATRICS Comments Off on Disorders of Puberty

Puberty is defined by both biologic and social standards. Puberty is the time when there is an increase in sex steroid production, resulting in physical changes such as breast development…

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Pallor and Anemia

Apr 4, 2019 by in PEDIATRICS Comments Off on Pallor and Anemia

Introduction Pallor, a perceptible reduction in the usual color and tone of the skin and/or mucosa, may result from alterations of cutaneous blood flow, anemia, or unknown mechanisms. Under normal…

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Lymphadenopathy and Neck Masses

Apr 4, 2019 by in PEDIATRICS Comments Off on Lymphadenopathy and Neck Masses

Given the role of the lymphatic system in developing adaptive responses to numerous antigenic challenges and the rate at which the immune system is exposed to novel antigens early in…

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