AM:STARs: Case Studies in Adolescent Health, Vol. 23, No. 2: Adolescent Medicine: State of the Art ReviewsAvailable to Purchase
Each case presentation in this issue has a lesson to teach. As with the previous volume, contributions were solicited by open invitation on the Society for Adolescent Health and Medicine's listserv, and authors were instructed to submit concise case presentations with a discussion and a limited number of references. Many of the first authors are physician fellows in adolescent medicine. Cases are presented in alphabetical order by first author's last name. Medical, surgical, mental health and ethical challenges are addressed. Cases include common adolescent health problems with unusual presentations as well as unusual disorders ("zebras") rarely encountered in adolescence. Readers are invited to formulate a differential diagnosis based upon the case presentation before reading the discussion. We are confident that even our most experienced and senior clinicians in adolescent health care have not encountered the full range of conditions described in this volume.
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Table of Contents
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An Unusual Complication of Rapid Weight Lossp215-221ByTamara Elizabeth Baer, MD;Tamara Elizabeth Baer, MDDivision of Adolescent and Young Adult Medicine, Children’s Hospital Boston and Harvard Medical, School, Boston, MassachusettsSearch for other works by this author on:Amy DiVasta, MD, MMScAmy DiVasta, MD, MMScDivision of Adolescent and Young Adult Medicine, Children’s Hospital Boston and Harvard Medical, School, Boston, Massachusetts
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Beyond Pharyngitis…p222-231ByUri Belkind, MD, MS;Uri Belkind, MD, MSaDivision of Adolescent Medicine, Albert Einstein College of Medicine, The Children’s Hospital at Montefiore, Bronx, New YorkSearch for other works by this author on:Rachel M. Kessel, MD;Rachel M. Kessel, MDbDivision of Pediatric Hematology/Oncology, Albert Einstein College of Medicine, The Children’s Hospital at Montefiore, Bronx, New YorkSearch for other works by this author on:Manpreet Ahluwalia, MD;Manpreet Ahluwalia, MDbDivision of Pediatric Hematology/Oncology, Albert Einstein College of Medicine, The Children’s Hospital at Montefiore, Bronx, New YorkSearch for other works by this author on:Elizabeth M. Alderman, MD;Elizabeth M. Alderman, MDaDivision of Adolescent Medicine, Albert Einstein College of Medicine, The Children’s Hospital at Montefiore, Bronx, New York
★ Search for other works by this author on:Karen Moody, MD, MSKaren Moody, MD, MSbDivision of Pediatric Hematology/Oncology, Albert Einstein College of Medicine, The Children’s Hospital at Montefiore, Bronx, New YorkSearch for other works by this author on: -
The Curious Case of the Disappearing Teenp232-239ByHenry Berman, MDHenry Berman, MDDivision of Adolescent Medicine, Seattle Children’s Hospital, Seattle, Washington
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Acute Neck Pain Following a Large Meal and Vomitingp240-247ByClaudia Borzutzky, MD;Claudia Borzutzky, MDaDivisions of College Health and Adolescent Medicine, Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, California
★ Search for other works by this author on:Suzanne Palmer, MDSuzanne Palmer, MDbBody Imaging Division, Department of Radiology, Keck School of Medicine, University of Southern California, Los Angeles, CaliforniaSearch for other works by this author on: -
Evolving Neurologic Symptoms in a Previously Healthy Adolescent Malep248-252ByRebecca Butterfield, MDRebecca Butterfield, MDDepartment of Pediatrics, Albany Medical Center, Albany, New York
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“Picky” Eater with a Stomping Gaitp253-259ByMarigold Castillo, MD;Marigold Castillo, MDDivision of Adolescent Medicine, Steven and Alexandra Cohen Children’s Medical Center of New York, North Shore-Long Island Jewish Health System, Hofstra-North Shore LIJ School of Medicine, New York, New YorkSearch for other works by this author on:Ronald Feinstein, MD, FAAPRonald Feinstein, MD, FAAPDivision of Adolescent Medicine, Steven and Alexandra Cohen Children’s Medical Center of New York, North Shore-Long Island Jewish Health System, Hofstra-North Shore LIJ School of Medicine, New York, New York
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Fever, Cough, and Syncope in a Critically Ill Adolescentp260-265ByJennifer H. Chuang, MD;Jennifer H. Chuang, MDDivision of Child and Adolescent Health, Columbia University Medical Center, New York Presbyterian Morgan Stanley Children’s Hospital, New York, New York
★ Search for other works by this author on:Karen Soren, MDKaren Soren, MDDivision of Child and Adolescent Health, Columbia University Medical Center, New York Presbyterian Morgan Stanley Children’s Hospital, New York, New YorkSearch for other works by this author on: -
Leg Swelling in a Patient with Anorexia Nervosap266-270ByRachel S.-D. Fortune, MD;Rachel S.-D. Fortune, MDAdolescent Medicine Department, University of Colorado/Colorado Children’s Hospital, Aurora, Colorado
★ Search for other works by this author on:David W. Kaplan, MDDavid W. Kaplan, MDAdolescent Medicine Department, University of Colorado/Colorado Children’s Hospital, Aurora, ColoradoSearch for other works by this author on: -
Do Television Exercise Commercials Contribute to Eating Disorders?p271-276ByPia Francisco-Natanauan, MD;Pia Francisco-Natanauan, MDaDepartment of Adolescent Medicine, University of Colorado-Denver, Children’s Hospital Colorado, Denver, Colorado
★ Search for other works by this author on:Victor C. Strasburger, MDVictor C. Strasburger, MDbDivision of Adolescent Medicine, Department of Pediatrics and Department of Family & Community Medicine, University of New Mexico School of Medicine, Albuquerque, New Mexico★ Search for other works by this author on: -
An Adolescent Evaluated for Chronic Fatigue: Does She Have a Sleep Disorder?p277-284ByMarisol Gonzalez, MD;Marisol Gonzalez, MDDivision of Adolescent Medicine, Steven and Alexandra Cohen Children’s Medical Center of New York, North Shore-Long Island Jewish Health System, Hofstra-North Shore LIJ School of Medicine, Hempstead, New York
★ Search for other works by this author on:Martin Fisher, MDMartin Fisher, MDDivision of Adolescent Medicine, Steven and Alexandra Cohen Children’s Medical Center of New York, North Shore-Long Island Jewish Health System, Hofstra-North Shore LIJ School of Medicine, Hempstead, New YorkSearch for other works by this author on: -
Adolescent with an Abdominal Massp285-289ByLisa S. Ipp, MD;Lisa S. Ipp, MDaDepartment of Pediatrics, Weill Cornell Medical College/The New York Presbyterian Hospital, New York, New York
★ Search for other works by this author on:Debra Taubel, MD;Debra Taubel, MDbDepartment of Obstetrics and Gynecology, Weill Cornell Medical College, New York, New YorkSearch for other works by this author on:Heather Walters, MD;Heather Walters, MDcDepartment of Pediatrics, PGY-3, Weill Cornell Medical College/The New York Presbyterian Hospital, New York, New YorkSearch for other works by this author on:Divya Gupta, MDDivya Gupta, MDdDepartment of Obstetrics and Gynecology, Division of Gynecologic Oncology Weill Cornell Medical College, New York, New YorkSearch for other works by this author on: -
Takayasu Disease Associated with Severe Osteoporosis in a Pre-pubertal Femalep290-294ByAlvina R. Kansra, MD;Alvina R. Kansra, MDaDivision of Endocrinology, Diabetes and Metabolism, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin
★ Search for other works by this author on:Robert G. Wells, MD;Robert G. Wells, MDbDivision of Radiology, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WisconsinSearch for other works by this author on:James J. Nocton, MDJames J. Nocton, MDcDivision of Rheumatology, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WisconsinSearch for other works by this author on: -
Bilateral Scrotal Painp295-300ByTanya Kowalczyk Mullins, MD, MS;Tanya Kowalczyk Mullins, MD, MSaDivision of Adolescent Medicine, Cincinnati Children’s Hospital Medical Center, Cincinnati, OhiobUniversity of Cincinnati College of Medicine, Cincinnati, Ohio
★ Search for other works by this author on:Sean J. Barnett, MD, MS;Sean J. Barnett, MD, MSbUniversity of Cincinnati College of Medicine, Cincinnati, OhiocDivision of Pediatric Surgery, Cincinnati Children’s Hospital Medical Center, Cincinnati, OhioSearch for other works by this author on:Frank M. Biro, MDFrank M. Biro, MDaDivision of Adolescent Medicine, Cincinnati Children’s Hospital Medical Center, Cincinnati, OhiobUniversity of Cincinnati College of Medicine, Cincinnati, OhioSearch for other works by this author on: -
Acute Onset of Nausea, Difficulty Walking, and Eye “Spots”p301-306ByDoris Pastore, MDDoris Pastore, MDAssociate Clinical Professor of Pediatrics, Department of Pediatrics, Mount Sinai School of Medicine, Mount Sinai Hospital, New York, New York
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“These Cramps Are Holding Me Back!” A Star Basketball Player with Muscle Crampsp307-312ByTheresa Rohr-Kirchgraber, MD, FACPTheresa Rohr-Kirchgraber, MD, FACPAssociate Clinical Professor of Medicine and Pediatrics, Director of Education for the Section of, Adolescent Medicine, Executive Director of the IU National Center of Excellence in Women’s Health, Indiana University School of Medicine, Indianapolis, Indiana
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Multiple Visits for Abdominal Pain, Constipation, and “I need a test for sexually transmitted diseases”p313-318ByTheresa Rohr-Kirchgraber, MD, FACPTheresa Rohr-Kirchgraber, MD, FACPAssociate Clinical Professor of Medicine and Pediatrics, Director of Education for the Section of Adolescent Medicine, Executive Director of the IU National Center of Excellence in Women’s Health, Indiana University School of Medicine, Indianapolis, Indiana
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New Rashp319-325ByTheresa Rohr-Kirchgraber, MD, FACP;Theresa Rohr-Kirchgraber, MD, FACPaAssociate Clinical Professor of Medicine and Pediatrics, Director of Education for the Section of, Adolescent Medicine, Executive Director of the IU National Center of Excellence in Women’s Health, Indiana University School of Medicine, Indianapolis, Indiana
★ Search for other works by this author on:Zeina Melhem Nabhan, MD, FAAPZeina Melhem Nabhan, MD, FAAPbRiley Hospital for Children Section of Pediatric Endocrinology and Diabetology, Indiana University School of Medicine, Indianapolis, IndianaSearch for other works by this author on: -
An Adolescent Female with Abdominal Pain and Chronic Coughp326-331ByLuke Lindley, MD;Luke Lindley, MDDepartment of Pediatrics, Tripler Army Medical Center, Honolulu, HawaiiSearch for other works by this author on:Shaprina Williams, MD;Shaprina Williams, MDDepartment of Pediatrics, Tripler Army Medical Center, Honolulu, HawaiiSearch for other works by this author on:Jane E. Gross, MD, PhD;Jane E. Gross, MD, PhDDepartment of Pediatrics, Tripler Army Medical Center, Honolulu, HawaiiSearch for other works by this author on:Jeffery P. Greene, MDJeffery P. Greene, MDDepartment of Pediatrics, Tripler Army Medical Center, Honolulu, Hawaii
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A Cheerleader with Weight Loss and Amenorrheap332-339ByMary E. Romano, MD, MPH;Mary E. Romano, MD, MPHaDivision of Adolescent and Young Adult Health, Department of Pediatrics, Vanderbilt University School, of Medicine and the Monroe Carell, Jr. Children’s Hospital at Vanderbilt, Nashville, Tennessee
★ Search for other works by this author on:Jefferson P. Lomenick, MD;Jefferson P. Lomenick, MDbDivision of Endocrinology and Diabetes, Department of Pediatrics, Vanderbilt University School, of Medicine and the Monroe Carell, Jr. Children’s Hospital at Vanderbilt, Nashville, TennesseeSearch for other works by this author on:S. Todd Callahan, MD, MPHS. Todd Callahan, MD, MPHaDivision of Adolescent and Young Adult Health, Department of Pediatrics, Vanderbilt University School, of Medicine and the Monroe Carell, Jr. Children’s Hospital at Vanderbilt, Nashville, TennesseeSearch for other works by this author on: -
Could It Be … Something Other than PID?p340-348ByEmily Ruedinger, MD;Emily Ruedinger, MDaDivision of Adolescent/Young Adult Medicine, Department of Medicine, Children’s Hospital Boston and Harvard Medical School, Boston, MassachusettsSearch for other works by this author on:Joanne E. Cox, MDJoanne E. Cox, MDaDivision of Adolescent/Young Adult Medicine, Department of Medicine, Children’s Hospital Boston and Harvard Medical School, Boston, MassachusettsbDivision of General Pediatrics, Department of Medicine, Children’s Hospital Boston and Harvard Medical School, Boston, Massachusetts
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Weight Down, Bilirubin Up/Weight Up, Bilirubin Down: The Strange Case of the Malnourished Adolescentp349-353ByTomas Jose Silber, MD, MASSTomas Jose Silber, MD, MASSDivision of Adolescent and Young Adult Medicine, Children’s National Medical Center, Washington, DC; Department of Pediatrics, The George Washington University, Washington, DC
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Heart-Breaking Obesityp354-358ByChristiane E. Stahl, MDChristiane E. Stahl, MDUniversity of Illinois at Chicago, Department of Pediatrics, Chicago, Illinois
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A Hairy Situationp359-370BySarah R.S. Stender, MD, CDE, FAAP;Sarah R.S. Stender, MD, CDE, FAAPaPediatrics and Adolescent Medicine, Louisiana State University Health Sciences Center, New Orleans, Louisiana
★ Search for other works by this author on:Rodney J. Hoxsey, MD, FACOGRodney J. Hoxsey, MD, FACOGbObstetrics and Gynecology, Louisiana State University Health Sciences Center, New Orleans, LouisianaSearch for other works by this author on: -
Severe Hypernatremia in an Adolescent with an Eating Disorderp371-380ByElizabeth A. Weiner, MD;Elizabeth A. Weiner, MDMassGeneral Hospital for Children, Harvard Medical School, Boston, MassachusettsSearch for other works by this author on:Robert A. Finkelstein, MDCM;Robert A. Finkelstein, MDCMMassGeneral Hospital for Children, Harvard Medical School, Boston, MassachusettsSearch for other works by this author on:Mark A. Goldstein, MD;Mark A. Goldstein, MDMassGeneral Hospital for Children, Harvard Medical School, Boston, Massachusetts
★ Search for other works by this author on:Nupur Gupta, MD, MPH;Nupur Gupta, MD, MPHMassGeneral Hospital for Children, Harvard Medical School, Boston, MassachusettsSearch for other works by this author on:Natan Noviski, MD;Natan Noviski, MDMassGeneral Hospital for Children, Harvard Medical School, Boston, MassachusettsSearch for other works by this author on:Amita Sharma, MDAmita Sharma, MDMassGeneral Hospital for Children, Harvard Medical School, Boston, MassachusettsSearch for other works by this author on: -
Dizziness and Bradycardia for Investigationp381-386ByMelissa Whitelaw, APD, BAppSc(PhysEd), BAppSc(HlthSc), BNutrDiet;Melissa Whitelaw, APD, BAppSc(PhysEd), BAppSc(HlthSc), BNutrDietaDepartment of Nutrition and Food Services, The Royal Children’s Hospital, Melbourne, AustraliabCentre for Adolescent Health, The Royal Children’s Hospital, Melbourne, AustraliacDepartment of Pediatrics, The University of Melbourne, AustraliadMurdoch Children’s Research Institute, Melbourne, Australia
★ Search for other works by this author on:Heather Gilbertson, AdvAPD, PhD;Heather Gilbertson, AdvAPD, PhDaDepartment of Nutrition and Food Services, The Royal Children’s Hospital, Melbourne, AustraliacDepartment of Pediatrics, The University of Melbourne, AustraliadMurdoch Children’s Research Institute, Melbourne, AustraliaSearch for other works by this author on:Katherine J. Lee, PhD;Katherine J. Lee, PhDcDepartment of Pediatrics, The University of Melbourne, AustraliadMurdoch Children’s Research Institute, Melbourne, AustraliaSearch for other works by this author on:Susan M. Sawyer, MBBS, MD, FRACP, FSAHMSusan M. Sawyer, MBBS, MD, FRACP, FSAHMbCentre for Adolescent Health, The Royal Children’s Hospital, Melbourne, AustraliacDepartment of Pediatrics, The University of Melbourne, AustraliadMurdoch Children’s Research Institute, Melbourne, AustraliaSearch for other works by this author on: -
An Adolescent with Abnormal Uterine Bleeding: An Uncommon Cause for a Common Complaintp387-392ByBrandon T. Woods, MD;Brandon T. Woods, MDDepartment of Pediatrics, Tripler Army Medical Center, Honolulu, Hawaii
★ Search for other works by this author on:Jeffery P. Greene, MDJeffery P. Greene, MDDepartment of Pediatrics, Tripler Army Medical Center, Honolulu, HawaiiSearch for other works by this author on: -
A Common Presentation of a Rare Genetic Disorder Clinically Mimicking Primary Myopathyp393-401ByK.H.C. Wu;K.H.C. WuaDepartment of Clinical Genetics, Sydney Children’s Hospital Network (Westmead), AustraliadDiscipline of Genetic Medicine, Sydney Medical School at Sydney Children’s Hospital Network (Westmead), AustraliaSearch for other works by this author on:M.R. Kohn;M.R. KohnbCentre for Research into Adolescent’s Health Research (CRASH), Sydney Children’s Hospital Network (Westmead), Australia
★ Search for other works by this author on:A. Turner;A. TurnercDepartment of Medical Genetics, Sydney Children’s Hospital Network (Randwick), AustraliaSearch for other works by this author on:D.O. SillenceD.O. SillenceaDepartment of Clinical Genetics, Sydney Children’s Hospital Network (Westmead), AustraliadDiscipline of Genetic Medicine, Sydney Medical School at Sydney Children’s Hospital Network (Westmead), AustraliaSearch for other works by this author on: