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Challenging Cases in Pediatric Diagnosis
Edited by
Deepak M. Kamat, MD, PhD, FAAP
Deepak M. Kamat, MD, PhD, FAAP
Editor
Search for other works by this author on:
American Academy of Pediatrics
ISBN electronic:
978-1-61002-017-6
ISBN print:
978-1-61002-016-9
Publication date:
June 2016
The real-life cases in the Pediatrics in Review popular Index of Suspicion feature have intrigued and educated medical professionals for many years with unique cases to review and evaluate.
Now the renowned journal's editors have selected their "top 100" cases to create a fascinating collection that serves as a valuable mini-reference and learning too.
Challenging Cases in Pediatric Diagnosis
Edited by: Deepak M. Kamat, MD, PhD, FAAP
https://doi.org/10.1542/9781610020176
ISBN (print): 978-1-61002-016-9
ISBN (electronic): 978-1-61002-017-6
Publisher: American Academy of Pediatrics
Published: 2016
Download citation file:
Table of Contents
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p1-36
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Growth Failure and Diarrhea in a 6-Week-Oldp3-7ByRebecca Scherr, MDRebecca Scherr, MDEmory University School of Medicine, Children’s Healthcare of Atlanta, GASearch for other works by this author on:
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Fever, Diarrhea, and Rash in a 9-Month-Old Boyp9-12ByGalia Barkai, MD;Galia Barkai, MDKaplan Medical Center, Rehovot, IsraelSearch for other works by this author on:Levana Sinai, MDLevana Sinai, MDKaplan Medical Center, Rehovot, IsraelSearch for other works by this author on:
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Recurrent Fevers in a 10-Year-Old Girlp13-17ByNicole Rizkalla, MD;Nicole Rizkalla, MDChildren’s Hospital of Los Angeles, CASearch for other works by this author on:Edward Hu, MDEdward Hu, MDChildren’s Hospital of Los Angeles, CASearch for other works by this author on:
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Increasing Fatigue, Dyspnea on Exertion, and a 3.6-kg Weight Loss in a 14-Year-Old Boyp19-23ByMichael Wolf, MD;Michael Wolf, MDBristol Myers Squibb Children’s Hospital/UMDNJ-Robert Wood Johnson University Hospital, New Brunswick, NJSearch for other works by this author on:Sibel Algon, MDSibel Algon, MDBristol Myers Squibb Children’s Hospital/UMDNJ-Robert Wood Johnson University Hospital, New Brunswick, NJSearch for other works by this author on:
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Right-Sided Lower Back and Lower Quadrant Abdominal Pain and Intermittent Hematuriap25-28ByBibhuti B. Das, MD;Bibhuti B. Das, MDLincoln Medical Center, Bronx, NYSearch for other works by this author on:Sunati Sahoo, MDSunati Sahoo, MDNew York Presbyterian Hospital/Weill Cornell Center, New York, NYSearch for other works by this author on:
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High Temperature, Vomiting, Facial Pain, and Congestion in a 16-Year-Old Girlp29-32ByDavid Michalik, DODavid Michalik, DOMiller Children’s Hospital, Long Beach, CASearch for other works by this author on:
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Fever, Neck Swelling, and Weight Loss in a 17-Year-Old Boyp33-36ByStephanie Todd, MDStephanie Todd, MDChildren’s National Health System, Washington, DCSearch for other works by this author on:
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p37-46
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Daily Paroxysmal Episodes in a 1-Year-Old Girlp39-41ByHassib Narchi, MDHassib Narchi, MDSandwell General Hospital, Lyndon, West Bromwich, United KingdomSearch for other works by this author on:
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Pain, Swelling, and Redness of Left Leg in a 17-Year-Old Girlp43-46ByJames J. Burns, MDJames J. Burns, MDBaystate Medical Center, Springfield, MASearch for other works by this author on:
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p47-61
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5-Day-Old Girl With Labored Breathing and Fast-Beating Heartp49-52ByBeth Carter, MDBeth Carter, MDChildren’s Hospital of Orange County, Orange, CASearch for other works by this author on:
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Chest Pain in a Boy With Duchenne Muscular Dystrophy and Cardiomyopathy (Visual Diagnosis)p53-58ByPhilip T. Thrush, MD;Philip T. Thrush, MDDepartment of Pediatrics, The Ohio State University, Columbus, OH, and The Heart Center, Nationwide Children’s Hospital, Columbus, OHSearch for other works by this author on:Kevin M. Flanigan, MD;Kevin M. Flanigan, MDThe Center for Gene Therapy, Research Institute, Nationwide Children’s Hospital, Columbus, OH; Muscular Dystrophy Cooperative Research Center, Nationwide Children’s Hospital, Columbus, OH; and Departments of Pediatrics and Neurology, The Ohio State University, Columbus, OHSearch for other works by this author on:Jerry R. Mendell;Jerry R. MendellThe Center for Gene Therapy, Research Institute, Nationwide Children’s Hospital, Columbus, OH; Muscular Dystrophy Cooperative Research Center, Nationwide Children’s Hospital, Columbus, OH; and Departments of Pediatrics and Neurology, The Ohio State University, Columbus, OHSearch for other works by this author on:Subha V. Raman, MD;Subha V. Raman, MDDivision of Cardiovascular Medicine, The Ohio State University, Columbus, OHSearch for other works by this author on:Curt J. Daniels, MD;Curt J. Daniels, MDDepartment of Pediatrics, The Ohio State University, Columbus, OH; The Heart Center, Nationwide Children’s Hospital, Columbus, OH; and Division of Cardiovascular Medicine, The Ohio State University, Columbus, OHSearch for other works by this author on:Hugh D. Allen, MDHugh D. Allen, MDAssociate Editor, Department of Pediatrics, Baylor College of Medicine, Texas Children’s Hospital, Houston, TXSearch for other works by this author on:
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Palpitations and Dizziness in an Adolescent Boyp59-61ByVaneet Kumar Kalra, MD;Vaneet Kumar Kalra, MDDepartment of Pediatrics, St. Joseph Children’s Hospital, Paterson, NJSearch for other works by this author on:Fuad M. Kiblawi, MD;Fuad M. Kiblawi, MDDepartment of Pediatrics, St. Joseph Children’s Hospital, Paterson, NJSearch for other works by this author on:Dorothy Myridakis, MDDorothy Myridakis, MDDepartment of Pediatrics, St. Joseph Children’s Hospital, Paterson, NJSearch for other works by this author on:
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p63-121
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Erythematous Papulovesicular Rash in a 3-Month-Old Girlp65-69ByNadia Bajwa, MD;Nadia Bajwa, MDHôpital des Enfants, Geneva, SwitzerlandSearch for other works by this author on:Dominique Belli, MDDominique Belli, MDHôpital des Enfants, Geneva, SwitzerlandSearch for other works by this author on:
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Irritability, Vomiting, and a Mildly Reddened Right Eye in a 6-Month-Old Girlp71-74ByHeather Toth, MD;Heather Toth, MDYolanda Wolff, MD, Medical College of Wisconsin, Milwaukee, WISearch for other works by this author on:Robert Fish, MD;Robert Fish, MDYolanda Wolff, MD, Medical College of Wisconsin, Milwaukee, WISearch for other works by this author on:David Dueker, MD;David Dueker, MDYolanda Wolff, MD, Medical College of Wisconsin, Milwaukee, WISearch for other works by this author on:Raja Sadiq, MDRaja Sadiq, MDYolanda Wolff, MD, Medical College of Wisconsin, Milwaukee, WISearch for other works by this author on:
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A 7-Month-Old Who Has a Persistent Rash (Visual Diagnosis)p75-82ByAngel Alberto Herrera Guerra, MD;Angel Alberto Herrera Guerra, MDFellowAssistant Professor, Division of Pediatric Infectious Diseases, Department of Pediatrics, University of Utah, Salt Lake City, UTSearch for other works by this author on:Russell J. Osguthorpe, MD;Russell J. Osguthorpe, MDAssistant Professor, Division of Pediatric Infectious Diseases, Department of Pediatrics, University of Utah, Salt Lake City, UTSearch for other works by this author on:Angelica Putnam, MD;Angelica Putnam, MDDepartment of Pediatric Pathology, University of Utah, Salt Lake City, UTSearch for other works by this author on:Sheryll L. Vanderhooft, MDSheryll L. Vanderhooft, MDProfessor, Department of Dermatology, University of Utah, Salt Lake City, UTSearch for other works by this author on:
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Perinasal and Perioral Rash in a 2-Year-Old Girlp83-87BySuzanne J. Tintle, MD, MPH;Suzanne J. Tintle, MD, MPHColumbia University College of Physicians and Surgeons, New York, NYSearch for other works by this author on:Richard J. Antaya, MD;Richard J. Antaya, MDDepartments of Dermatology and Pediatrics, Yale University School of Medicine, New Haven, CTSearch for other works by this author on:Charles L. G. Halasz, MDCharles L. G. Halasz, MDDepartment of Dermatology, College of Physicians and Surgeons, Columbia University Medical Center, New York, NYSearch for other works by this author on:
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5-Year-Old Girl Waking in Morning with Spots of Blood on Her Pillow and Sheetsp89-93ByJohn C. Browning, MD;John C. Browning, MDTexas Children’s Hospital, Baylor College of Medicine, Houston, TXSearch for other works by this author on:Clifford O. Mishaw, MDClifford O. Mishaw, MDTexas Children’s Hospital, Baylor College of Medicine, Houston, TXSearch for other works by this author on:
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Ecchymotic Lesions on the Backs of Asian Boysp95-98ByRyan P. Flanagan, MD;Ryan P. Flanagan, MDChildren’s Hospital of Pittsburgh Heart Center, Pittsburgh, PASearch for other works by this author on:Neil Mullen, MDNeil Mullen, MDDepartment of Pediatrics, Madigan Army Medical Center, Fort Lewis, Tacoma, WASearch for other works by this author on:
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Petechial Lesions on Toes of an 11-Year-Old Girlp99-102ByLera Liv Fina, DO;Lera Liv Fina, DOMadigan Army Medical Center, Fort Lewis, WASearch for other works by this author on:Peter Everson, MDPeter Everson, MDMadigan Army Medical Center, Fort Lewis, WASearch for other works by this author on:
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13-Year-Old Girl With Pink Papules (Visual Diagnosis)p103-107ByMeghan M. Dickman, MD;Meghan M. Dickman, MDUniversity of California, San Francisco, CASearch for other works by this author on:Ilona J. Frieden, MDIlona J. Frieden, MDUniversity of California, San Francisco, CASearch for other works by this author on:
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Anterior Chest Pain, Daily Low-grade Fevers, and Worsening Acne in a 14-Year-Old Boyp109-112ByMyto Duong, MD;Myto Duong, MDChildren’s Hospital at Dartmouth, Lebanon, NHSearch for other works by this author on:James G. H. Dinoulos, MDJames G. H. Dinoulos, MDChildren’s Hospital at Dartmouth, Lebanon, NHSearch for other works by this author on:
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Rash, Eye Pain, and Lesions in an Adolescent (Visual Diagnosis)p113-121BySarah Powers, MD;Sarah Powers, MDDepartment of Pediatrics, University of New Mexico School of Medicine, Santa Fe, NMSearch for other works by this author on:Gina Carter-Beard, MDGina Carter-Beard, MDDoernbecher Children’s Hospital, Oregon Health & Science University, Portland, ORSearch for other works by this author on:
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p123-128
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7-Year-Old Girl Passing Red Urinep125-128ByHassib Narchi, MDHassib Narchi, MDSaudi Aramco Al-Hasa Health Center, Mubarraz, Saudi ArabiaSearch for other works by this author on:
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p129-153
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Seizure in an 8-Month-Old Boyp131-134BySara Moussa, MD;Sara Moussa, MDOakwood Healthcare System, Dearborn, MISearch for other works by this author on:Cheryl Huffman, MDCheryl Huffman, MDCaughman Health Center, Findley, OHSearch for other works by this author on:
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12.7-kg Weight Gain in 7 Months and Recurrent Feversp135-139ByBrian A. Ely, MD;Brian A. Ely, MDWest Virginia University School of Medicine, Morgantown, WVSearch for other works by this author on:Linda S. Nield, MDLinda S. Nield, MDWest Virginia University School of Medicine, Morgantown, WVSearch for other works by this author on:
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6-Year-Old Boy With Delayed Walking and Partial Primary Dentitionp141-144ByJeffrey M. Karp, DMD, MSJeffrey M. Karp, DMD, MSUniversity of Rochester School of Medicine and Dentistry, Rochester, NYSearch for other works by this author on:
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15-Year-Old Girl With No Menstrual Periods for 7 Monthsp145-148ByStacey Maslow, MDStacey Maslow, MDSouthboro Medical Group, Framingham, MASearch for other works by this author on:
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16-Year-Old Girl Who Has Not Achieved Menarchep149-153ByPranita Tamma, MD;Pranita Tamma, MDJohns Hopkins School of Medicine, Baltimore, MDSearch for other works by this author on:Claude Migeon, MDClaude Migeon, MDJohns Hopkins School of Medicine, Baltimore, MDSearch for other works by this author on:
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p155-192
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Hematochezia in a Neonatep157-160ByMarisa M. Fisher, MD;Marisa M. Fisher, MDUniversity of Nebraska Medical Center, Omaha, NESearch for other works by this author on:Pablo Palomo, MD;Pablo Palomo, MDUniversity of Nebraska Medical Center, Omaha, NESearch for other works by this author on:Fernando Zapata, MDFernando Zapata, MDChildren’s Hospital and Medical Center, Omaha, NESearch for other works by this author on:
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2-Month-Old Boy With 6-Day History of Increasing Irritability, High-Pitched Cry, and Nonbloody, Nonbilious Vomitingp161-164BySonja Colianni, MD;Sonja Colianni, MDMayo Clinic College of Medicine, Rochester, MNSearch for other works by this author on:Jennifer Ping, MD;Jennifer Ping, MDMayo Clinic College of Medicine, Rochester, MNSearch for other works by this author on:Philip R. Fischer, MD;Philip R. Fischer, MDMayo Clinic College of Medicine, Rochester, MNSearch for other works by this author on:Deborah Freese, MDDeborah Freese, MDMayo Clinic College of Medicine, Rochester, MNSearch for other works by this author on:
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3-Month-Old Boy Admitted for Poor Feeding and a Distended Abdomenp165-170BySujaja Sadiq, MD;Sujaja Sadiq, MDRiley Hospital, Indianapolis, INSearch for other works by this author on:Mitch Harris, MD;Mitch Harris, MDRiley Hospital, Indianapolis, INSearch for other works by this author on:John Gaebler, MDJohn Gaebler, MDRiley Hospital, Indianapolis, INSearch for other works by this author on:
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2-Year-Old Boy With “Yellow Eyes” and Dark-Colored Urinep171-174ByParthak Prodhan, MD;Parthak Prodhan, MDCook County Hospital, Chicago, ILSearch for other works by this author on:Anjubal Riar, MD;Anjubal Riar, MDCook County Hospital, Chicago, ILSearch for other works by this author on:Priya Mendiratta, MDPriya Mendiratta, MDBeth Israel Deaconess Medical Center, Boston, MASearch for other works by this author on:
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Intermittent Epigastric Pain, Nausea, and Vomiting With Progressive Abdominal Distension in a 4-Year-Old Boyp175-179ByBetty LoBlais, MD;Betty LoBlais, MDLouisiana State University School of Medicine, New Orleans, LASearch for other works by this author on:Jay Hescock, MDJay Hescock, MDLouisiana State University School of Medicine, New Orleans, LASearch for other works by this author on:
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14-Year-Old Girl Experiencing Vomiting, Abdominal Pain, and Weight Loss Over the Past 11 Monthsp181-184BySara Buckelew, MD, MPH, UCSF;Sara Buckelew, MD, MPH, UCSFDivision of Adolescent Medicine, San Francisco, CASearch for other works by this author on:Melissa Slivka, MDMelissa Slivka, MDKaiser Permanente, Vallejo, CASearch for other works by this author on:
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Ecchymoses on Legs and Refusal to Walk in a 16-Year-Old Boy With Autismp185-188ByMarilisa Elrod, MD, PhD;Marilisa Elrod, MD, PhDDepartment of Pediatrics, Madigan Army Medical Center, Tacoma, WASearch for other works by this author on:Christina Olson, MDChristina Olson, MDDepartment of Pediatrics, Naval Medical Center, San Diego, CASearch for other works by this author on:
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Lactic Acidosis and Cardiovascular Collapse in an Adolescent With Ulcerative Colitisp189-192ByMatthew B. Wallenstein, MD;Matthew B. Wallenstein, MDDepartment of Pediatrics, Stanford University School of Medicine, Palo Alto, CASearch for other works by this author on:Elizabeth B. Burgener, MD;Elizabeth B. Burgener, MDDepartment of Pediatrics, Stanford University School of Medicine, Palo Alto, CASearch for other works by this author on:Jenna Klotz, MD;Jenna Klotz, MDDepartment of Pediatrics, Stanford University School of Medicine, Palo Alto, CASearch for other works by this author on:John A. Kerner, MDJohn A. Kerner, MDDepartment of Pediatrics, Stanford University School of Medicine, Palo Alto, CASearch for other works by this author on:
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p193-221
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A Male Neonate Who Has a White Hair Tuft and Hypopigmented Macules (Visual Diagnosis)p195-200ByJoshua Wong, MDJoshua Wong, MDAdvocate, Hope Children’s Hospital, Oak Lawn, ILSearch for other works by this author on:
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Infant With Growth Failure, Body Asymmetry, and Dysmorphic Features (Visual Diagnosis)p201-209ByDeepa Prasad, MD;Deepa Prasad, MDPediatric Resident, Department of Pediatrics, Jersey Shore University Medical Center, Neptune, NJSearch for other works by this author on:Chief Resident;Chief ResidentPediatric Resident, Department of Pediatrics, Jersey Shore University Medical Center, Neptune, NJSearch for other works by this author on:Valerie Navarrete, MD;Valerie Navarrete, MDPediatric Resident, Department of Pediatrics, Jersey Shore University Medical Center, Neptune, NJSearch for other works by this author on:Srividya Naganathan, MD, FAAPSrividya Naganathan, MD, FAAPAssistant Professor of Pediatrics, UMDNJ, and Pediatric Clerkship Site Director, Jersey Shore University Medical Center, Neptune, NJSearch for other works by this author on:
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Large Stature in 13-Year-Old Boyp211-214ByRobin P. Stanfield, MDRobin P. Stanfield, MDUniversity of South Carolina, Columbia, SCSearch for other works by this author on:
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Prolonged Generalized Seizure and Progressive Lethargy in a 15-Year-Old Boyp215-221ByNicole L. Mettauer, MD;Nicole L. Mettauer, MDGreat Ormond Street Hospital, London, United KingdomSearch for other works by this author on:Christine M. Pierce, MB;Christine M. Pierce, MBGreat Ormond Street Hospital, London, United KingdomSearch for other works by this author on:Mark J. Peters, MB, PhDMark J. Peters, MB, PhDGreat Ormond Street Hospital, London, United KingdomSearch for other works by this author on:
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p223-296
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4-Month-Old With Severe Rash Over Face and Handsp225-228ByRui G. Rodrigues, MDRui G. Rodrigues, MDPenn State Children’s Hospital, Hershey, PASearch for other works by this author on:
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Fever, Rash, and Decreased Oral Intake in a 10-Month-Old Boyp229-233ByTashveen Kaur, MD;Tashveen Kaur, MDThe Children’s Hospital of Philadelphia, Philadelphia, PASearch for other works by this author on:Deborah Whitney, MDDeborah Whitney, MDThe Children’s Hospital of Philadelphia, Philadelphia, PASearch for other works by this author on:
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Acute Urinary Retention in a 13-Month-Old Boyp235-238BySameer Pathare, MDSameer Pathare, MDPediatric Hospitalist, CHOC Children’s Hospital, University of California, Irvine, Orange, CASearch for other works by this author on:
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4-Year-Old Girl With Intermittent Abdominal Pain for 3 Months, Difficulty Passing Stools for 2 Weeks, and Intermittent Vomiting for 2 Daysp239-244ByMuhammad A. Khan, MDMuhammad A. Khan, MDLincoln Medical Center, Bronx, NYSearch for other works by this author on:
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Fever and Multiple Ruptured Bullae in a 6-Year-Old Boy (Visual Diagnosis)p245-251ByNathan D. Tofteland, MD;Nathan D. Tofteland, MDFourth-Year Medical-Pediatrics ResidentSearch for other works by this author on:Robert R. Wittler, MDRobert R. Wittler, MDProfessor, Department of Pediatrics, Pediatric Infectious Disease, University of Kansas School of Medicine-Wichita, Wichita, KSSearch for other works by this author on:
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Bilateral Hip and Lower Back Pain in a 9-Year-Old Girlp253-256ByThomas Foley, IV, MS;Thomas Foley, IV, MSMonmouth Medical Center, Long Branch, NJSearch for other works by this author on:Mary Fury, DO;Mary Fury, DOMonmouth Medical Center, Long Branch, NJSearch for other works by this author on:Sam Adler, MDSam Adler, MDMonmouth Medical Center, Long Branch, NJSearch for other works by this author on:
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Epistaxis and Melena in a 9-Year-Old Boyp257-259ByMaryEllen Cavalier, MDMaryEllen Cavalier, MDJames Whitcomb, Riley Hospital for Children, Indianapolis, INSearch for other works by this author on:
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Fever and Changes in Mental Status in a 12-Year-Old Girlp261-265ByEdwin Rodríguez-Cruz, MD;Edwin Rodríguez-Cruz, MDHenry Ford Hospital, Detroit, MISearch for other works by this author on:Rosa M. Cintrón-Maldonado, MD;Rosa M. Cintrón-Maldonado, MDHenry Ford Hospital, Detroit, MISearch for other works by this author on:Elizabeth Contreras, MDElizabeth Contreras, MDHenry Ford Hospital, Detroit, MISearch for other works by this author on:
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13-Year-Old Boy With a Lump on His Backp267-270ByDavid I. Rappaport, MD;David I. Rappaport, MDINOVA Fairfax Hospital for Children, Falls Church, VASearch for other works by this author on:Jay Greenberg, MDJay Greenberg, MDINOVA Fairfax Hospital for Children, Falls Church, VASearch for other works by this author on:
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Epistaxis in a 15-Year-Old Boyp271-274ByN. Zvi Avigdor, MDN. Zvi Avigdor, MDSt. Vincent’s Catholic Medical Centers, Brooklyn, NYSearch for other works by this author on:
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Acute Shortness of Breath and Coughing Up Blood in a 16-Year-Old Girlp275-278ByMark Puczynski, MD;Mark Puczynski, MDMedical College of Ohio, Toledo, OHSearch for other works by this author on:Rama Jasty, MD;Rama Jasty, MDMedical College of Ohio, Toledo, OHSearch for other works by this author on:Nizar Kheralla, MDNizar Kheralla, MDMedical College of Ohio, Toledo, OHSearch for other works by this author on:
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Abdominal Pain in a 16-Year-Old Girlp279-284ByChristine A. Rothermel, MD;Christine A. Rothermel, MDUniversity of Nevada School of Medicine, Las Vegas, NVSearch for other works by this author on:Ulfat Shaikh, MD, MPH;Ulfat Shaikh, MD, MPHUniversity of Nevada School of Medicine, Las Vegas, NVSearch for other works by this author on:Jack Lazerson, MDJack Lazerson, MDUniversity of Nevada School of Medicine, Las Vegas, NVSearch for other works by this author on:
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Painless, Intermittent Vaginal Spotting in a 16-Year-Old Girlp285-288ByYasser Mansour, MD;Yasser Mansour, MDAlbert Einstein College of Medicine, Bronx-Lebanon Hospital Center, Bronx, NYSearch for other works by this author on:Gheorghe R. Ganea, MDGheorghe R. Ganea, MDAlbert Einstein College of Medicine, Bronx-Lebanon Hospital Center, Bronx, NYSearch for other works by this author on:
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Left Arm Swelling and Pain in a 17-Year-Old Boyp289-292ByHolly D. Smith, MD;Holly D. Smith, MDThe University of Texas Health Science Center at Houston, Houston, TXSearch for other works by this author on:Avni Shah, MDAvni Shah, MDThe University of Texas Health Science Center at Houston, Houston, TXSearch for other works by this author on:
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Blue Skin Discoloration, Headache, and Difficulty Breathing in an 18-Year-Old Girlp293-296ByMadhuri Penugonda, MD;Madhuri Penugonda, MDNassau University Medical Center, East Meadow, NYSearch for other works by this author on:Dominick Sabatino, MD;Dominick Sabatino, MDNassau University Medical Center, East Meadow, NYSearch for other works by this author on:Saumya Sharma, MD;Saumya Sharma, MDNassau University Medical Center, East Meadow, NYSearch for other works by this author on:Peter Ciminera, MD;Peter Ciminera, MDNassau University Medical Center, East Meadow, NYSearch for other works by this author on:Sujatha Kosuri, MD;Sujatha Kosuri, MDNassau University Medical Center, East Meadow, NYSearch for other works by this author on:Jacob J. Rosenberg, MDJacob J. Rosenberg, MDNassau University Medical Center, East Meadow, NYSearch for other works by this author on:
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p297-345
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2-Week-Old Has a Red, Peeling Rash (Visual Diagnosis)p299-305ByAnita Gupta, MD;Anita Gupta, MDNeonatology Fellow, Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, ILSearch for other works by this author on:Norman Jacobs, MDNorman Jacobs, MDAttending Physician, John H. Stroger Jr. Hospital of Cook County, Chicago, ILSearch for other works by this author on:
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Evaluation of Eosinophilia, Loose Stools, and Low-grade Fever in a 3½-Year-Old Boyp307-310ByRoshan P. George, MD;Roshan P. George, MDLouisiana State Health Sciences Center, Shreveport, LASearch for other works by this author on:Joseph A. Bocchini, MDJoseph A. Bocchini, MDLouisiana State Health Sciences Center, Shreveport, LASearch for other works by this author on:
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Sore Throat and Difficulty Swallowing in a 9-Year-Old Boy (Visual Diagnosis)p311-314ByNirav Shastri, MD, FAAP;Nirav Shastri, MD, FAAPAssistant Professor of Pediatrics, and Gretchen Black, DO, Assistant Professor of Pediatrics, University of Missouri, Kansas City, MO; Children’s Mercy South Urgent Care Center, Overland Park, KSSearch for other works by this author on:Milton A. Fowler, Jr, MD, FACEPMilton A. Fowler, Jr, MD, FACEPUniversity of Missouri, Kansas City, MO; Section Chief, Children’s Mercy South Urgent Care Center, Overland Park, KSSearch for other works by this author on:
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Sore and Stiff Neck, Jaw Pain, Drooling, Difficulty Swallowing, and Stiffness of Right Leg in a 9-Year-Old Boyp315-319ByStella U. Kalu, MD;Stella U. Kalu, MDUniversity of Texas Medical Branch, Galveston, TXSearch for other works by this author on:Bradley J. Sullivan, MD, PhDBradley J. Sullivan, MD, PhDMarshfield Clinic, Marshfield, WISearch for other works by this author on:
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Right Ankle Pain in an 11-Year-Old Girlp321-325ByHeather Liu, MDHeather Liu, MDMorgan Stanley Children’s Hospital of New York-Presbyterian, New York, NYSearch for other works by this author on:
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16-Year-Old Boy With Severe Pain in Right Kneep327-332BySimon J. Hambidge, MD, PhD;Simon J. Hambidge, MD, PhDDenver Health Medical Center, University of Colorado School of Medicine, Denver, COSearch for other works by this author on:John W. Ogle, MDJohn W. Ogle, MDDenver Health Medical Center, University of Colorado School of Medicine, Denver, COSearch for other works by this author on:
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16-Year-Old Girl With Generalized Seizuresp333-337ByPoonam Sharma, MBBS;Poonam Sharma, MBBSCreighton University School of Medicine, Omaha, NESearch for other works by this author on:Meera Varman, MD;Meera Varman, MDCreighton University School of Medicine, Omaha, NESearch for other works by this author on:Joseph T. Snow, MD;Joseph T. Snow, MDChildren’s Hospital, Omaha, NESearch for other works by this author on:Nancy E. Cornish, MD;Nancy E. Cornish, MDChildren’s Hospital, Omaha, NESearch for other works by this author on:John Donovan, MDJohn Donovan, MDChildren’s Hospital, Omaha, NESearch for other works by this author on:
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Rash and Headache in a Wrestlerp339-342ByRaegan Hunt, MD, PhD;Raegan Hunt, MD, PhDThe Johns Hopkins Hospital, Baltimore, MDSearch for other works by this author on:Pranita Tamma, MDPranita Tamma, MDThe Johns Hopkins Hospital, Baltimore, MDSearch for other works by this author on:
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Congenitally Deaf 17-Year-Old Boy With a 1-Year History of a Rashp343-345ByMarina Salvadori, MDMarina Salvadori, MDThe Hospital for Sick Children, Toronto, Ontario, CanadaSearch for other works by this author on:
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p347-360
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Urinary Frequency in a 6-Year-Old Boyp349-352ByBradley S. Hood, MDBradley S. Hood, MDMadigan Army Medical Center, Tacoma, WASearch for other works by this author on:
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Severe, Sudden, Bilateral, Throbbing Headaches in an 11-Year-Oldp353-356ByChristopher Dvorak, MDChristopher Dvorak, MDLucile Packard Children’s Hospital at Stanford, Palo Alto, CASearch for other works by this author on:
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Fatigue, Weakness, Body Aches, and Metabolic Alkalosis in a 15-Year-Old Boyp357-360ByGunjan Kamdar Tiyyagura, MD;Gunjan Kamdar Tiyyagura, MDYale Department of Pediatric Emergency Medicine, New Haven, CTSearch for other works by this author on:Janienne Kondrich, MDJanienne Kondrich, MDNYU School of Medicine, Bellevue Hospital Center, Division of Pediatric Emergency Medicine, NYSearch for other works by this author on:
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p361-406
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5-Week-Old Boy With 2 Days of Coughing That Worsens After Feedingp363-366ByJohn Harrington, MD;John Harrington, MDNew York Medical College, Valhalla, NYSearch for other works by this author on:Eugenia Gianos, MSIII;Eugenia Gianos, MSIIINew York Medical College, Valhalla, NYSearch for other works by this author on:Marc Stiefel, MSIIIMarc Stiefel, MSIIINew York Medical College, Valhalla, NYSearch for other works by this author on:
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Poor Weight Gain in a 14-Month-Old Boyp367-371ByJuan F. Villalona, MD;Juan F. Villalona, MDGolisano Children’s Hospital at Strong, University of Rochester Medical Center, Rochester, NYSearch for other works by this author on:Rebecca K. Lehman, MD;Rebecca K. Lehman, MDGolisano Children’s Hospital at Strong, University of Rochester Medical Center, Rochester, NYSearch for other works by this author on:Marilyn R. Brown, MD;Marilyn R. Brown, MDGolisano Children’s Hospital at Strong, University of Rochester Medical Center, Rochester, NYSearch for other works by this author on:Koorosh Kooros, MD;Koorosh Kooros, MDGolisano Children’s Hospital at Strong, University of Rochester Medical Center, Rochester, NYSearch for other works by this author on:Jennifer M. Kwon, MDJennifer M. Kwon, MDGolisano Children’s Hospital at Strong, University of Rochester Medical Center, Rochester, NYSearch for other works by this author on:
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Seizurelike Activity Precipitated by Loud Noise in a 2-Year-Oldp373-377ByNathan Lehman;Nathan LehmanKeck School of Medicine/University of Southern California, Los Angeles, CASearch for other works by this author on:L. Nandini Moorthy, MD, MSL. Nandini Moorthy, MD, MSUniversity of Medicine and Dentistry of New Jersey, New Brunswick, NJSearch for other works by this author on:
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6-Year-Old Boy With Leg Pain During Times of Inactivityp379-382ByKevin Turner, MSIII;Kevin Turner, MSIIIUniversity of California Irvine School of Medicine, Irvine, CASearch for other works by this author on:Don Hayes, Jr, MDDon Hayes, Jr, MDUniversity of Wisconsin Hospital and Clinics, Madison, WISearch for other works by this author on:
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Increasing Knee and Back Pain in a 6-Year-Old Boyp383-387ByJennifer A. Hunt, MD;Jennifer A. Hunt, MDSpangdahlem Air Base, GermanySearch for other works by this author on:Richard Friederich, MD;Richard Friederich, MDSpangdahlem Air Base, GermanySearch for other works by this author on:Peter S. Palka, MDPeter S. Palka, MDSpangdahlem Air Base, GermanySearch for other works by this author on:
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Vomiting, Unsteadiness, Vision Problems, and Unresponsiveness in a 10-Year-Old Boyp389-392ByHassib Narchi, MD;Hassib Narchi, MDSandwell General Hospital, West Bromwich, United KingdomSearch for other works by this author on:Linda Edwards, MB, ChBLinda Edwards, MB, ChBSandwell General Hospital, West Bromwich, United KingdomSearch for other works by this author on:
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Weakness and Inability to Walk in an 11-Year-Old Boyp393-397ByAndrea Alexander, MD;Andrea Alexander, MDNorth Shore University Hospital, Manhasset, NYSearch for other works by this author on:Jacob J. Rosenberg, MD;Jacob J. Rosenberg, MDNorth Shore University Hospital, Manhasset, NYSearch for other works by this author on:Sania Wilkins, DOSania Wilkins, DONorth Shore University Hospital, Manhasset, NYSearch for other works by this author on:
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Excessive Nighttime Eating in a 14-Year-Old Boyp399-402BySeth Septer, DO;Seth Septer, DOUniversity of Nebraska/Creighton University School of Medicine, Omaha, NESearch for other works by this author on:Cristina Fernandez, MD;Cristina Fernandez, MDUniversity of Nebraska/Creighton University School of Medicine, Omaha, NESearch for other works by this author on:Fernando Zapata, MDFernando Zapata, MDUniversity of Nebraska/Creighton University School of Medicine, Omaha, NESearch for other works by this author on:
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Intermittent Swelling and Arm Pain for 2 Years in an Adolescent Girlp403-406ByAlfredo Torralbas, MDAlfredo Torralbas, MDDoctors Medical Center & Miami Children Hospital, Miami, FLSearch for other works by this author on:
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p407-444
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2-Month-Old Girl With Protrusion in Neck When Cryingp409-413ByElizabeth Walenz, MD;Elizabeth Walenz, MDChildren’s Hospital of Wisconsin, Milwaukee, WISearch for other works by this author on:Michael Weisgerber, MD;Michael Weisgerber, MDChildren’s Hospital of Wisconsin, Milwaukee, WISearch for other works by this author on:Stephen Conley, MDStephen Conley, MDChildren’s Hospital of Wisconsin, Milwaukee, WISearch for other works by this author on:
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18-Month-Old Girl With Intermittent Fevers, 2.27-kg Weight Loss, and Mild Respiratory Distressp415-418ByEyal Cohen, MD;Eyal Cohen, MDThe Hospital for Sick Children, Toronto, Ontario, CanadaSearch for other works by this author on:Oscar M. Navarro, MDOscar M. Navarro, MDThe Hospital for Sick Children, Toronto, Ontario, CanadaSearch for other works by this author on:
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2½-Year-Old Girl Who Has Cough and Right Pulmonary Abnormalitiesp419-423ByDirk E. Bock, MD;Dirk E. Bock, MDDepartment of Pediatrics, Children’s Hospital, London Health Sciences Centre, University of Western Ontario, London Ontario, CanadaSearch for other works by this author on:April Price, BSc, MD;April Price, BSc, MDDepartment of Pediatrics, Children’s Hospital, London Health Sciences Centre, University of Western Ontario, London Ontario, CanadaSearch for other works by this author on:Dhenuka K. Radhakrishnan, BSc, MD;Dhenuka K. Radhakrishnan, BSc, MDDepartment of Pediatrics, Children’s Hospital, London Health Sciences Centre, University of Western Ontario, London Ontario, CanadaSearch for other works by this author on:Dimas Mateos-Corral, MDDimas Mateos-Corral, MDDepartment of Pediatrics, IWK Health Centre, Dalhousie University, Halifax, Nova Scotia, CanadaSearch for other works by this author on:
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Shortness of Breath and Wheezing in a 9-Year-Old Chinese Girlp425-429ByBelinda Chan, MD;Belinda Chan, MDChildren’s Hospital of Los Angeles, Los Angeles, CASearch for other works by this author on:Ara Festekjian, MDAra Festekjian, MDChildren’s Hospital of Los Angeles, Los Angeles, CASearch for other works by this author on:
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Wet, Mucous Cough for Years in a 12-Year-Old Girlp431-435ByL. Richard Haber, MDL. Richard Haber, MDMcGill University, Montreal, Quebec, CanadaSearch for other works by this author on:
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Chest Pain and Shortness of Breath in a 15-Year-Old Boyp437-439ByBrian Kit, MD;Brian Kit, MDChildren’s National Medical Center, Washington, DC, and Anne Arundel Medical Center, Annapolis, MDSearch for other works by this author on:Betina Franceschini, MDBetina Franceschini, MDChildren’s National Medical Center, Washington, DC, and Anne Arundel Medical Center, Annapolis, MDSearch for other works by this author on:
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Hemoptysis of 1½ Years Duration in a 15-Year-Old Girlp441-444ByMargot R. Nagan, MD;Margot R. Nagan, MDBoston University School of Medicine, Department of Pediatrics, MA; Boston Children’s Hospital, Department of Medicine, MA; and Harvard Medical School, Department of Pediatrics, Boston, MASearch for other works by this author on:Marissa Hauptman, MD, MPH;Marissa Hauptman, MD, MPHBoston University School of Medicine, Department of Pediatrics, MA; Boston Children’s Hospital, Department of Medicine, MA; and Harvard Medical School, Department of Pediatrics, Boston, MASearch for other works by this author on:Scott E. Hadland, MD, MPH;Scott E. Hadland, MD, MPHBoston University School of Medicine, Department of Pediatrics, MA; Boston Children’s Hospital, Department of Medicine, MA; and Harvard Medical School, Department of Pediatrics, Boston, MASearch for other works by this author on:Amit Grover, MBBCh BAOAmit Grover, MBBCh BAOBoston Children’s Hospital, Department of Medicine, MA, and Harvard Medical School, Department of Pediatrics, Boston, MASearch for other works by this author on:
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p445-454
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Newborn Girl With a Mass Protruding from Her Introitusp447-450ByReham El Gammal, MD;Reham El Gammal, MDNebraska Medical Center, Omaha, NESearch for other works by this author on:Christina Fernandez, MD;Christina Fernandez, MDNebraska Medical Center, Omaha, NESearch for other works by this author on:Shahab Abdessalam, MDShahab Abdessalam, MDNebraska Medical Center, Omaha, NESearch for other works by this author on:
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Episodic Lower Abdominal Pain in an 11-Year-Old Girlp451-454ByLisa Didion, MD;Lisa Didion, MDBlair E. Batson Children’s Hospital, University of Mississippi Medical Center, Jackson, MSSearch for other works by this author on:Ryan Nerland, MDRyan Nerland, MDBlair E. Batson Children’s Hospital, University of Mississippi Medical Center, Jackson, MSSearch for other works by this author on:
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p455-472
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18-Month-Old Girl With Esotropia of the Left Eyep457-460ByHassib Narchi, MDHassib Narchi, MDSandwell General Hospital, Lyndon, EnglandSearch for other works by this author on:
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Eye Swelling, Redness, Discharge, and Pain With Movement in a 13-Year-Old Boyp461-464ByMia Pingul, MD;Mia Pingul, MDUniversity of Nevada School of Medicine, Las Vegas, NVSearch for other works by this author on:Lopa Shah, MD;Lopa Shah, MDUniversity of Nevada School of Medicine, Las Vegas, NVSearch for other works by this author on:Scott Denton, MDScott Denton, MDUniversity of Nevada School of Medicine, Las Vegas, NVSearch for other works by this author on:
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Abnormal Eyelashes in 17-Year-Old Boy Who Has Congenital Heart Diseasep465-468ByShalea Piteau, MD;Shalea Piteau, MDKingston General Hospital, Kingston, CanadaSearch for other works by this author on:Michael Storr, MD;Michael Storr, MDKingston General Hospital, Kingston, CanadaSearch for other works by this author on:Jennifer MacKenzie, MDJennifer MacKenzie, MDKingston General Hospital, Kingston, CanadaSearch for other works by this author on:
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18-Year-Old Girl With Pain, Redness, and Photophobia in Left Eye for 1 Weekp469-472ByBhawana Arora, MD;Bhawana Arora, MDChildren’s Hospital of Michigan, Detroit, MISearch for other works by this author on:Sauraby Goel, MDSauraby Goel, MDChildren’s Hospital of Michigan, Detroit, MISearch for other works by this author on:
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p473-488
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Bowlegs in a 2-Year-Old Girlp475-480ByMikla Derlet, MDMikla Derlet, MDDepartment of Pediatrics, UC Davis School of Medicine, Sacramento, CASearch for other works by this author on:
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Intermittent Groin Pain in a 5-Year-Old Boyp481-483ByKatherine Quinones, DO;Katherine Quinones, DOUT Southwestern Austin, Austin, TXSearch for other works by this author on:John C. Luk, MD;John C. Luk, MDUT Southwestern Austin, Austin, TXSearch for other works by this author on:Lori L. Barr, MD;Lori L. Barr, MDAustin Radiological Association, Austin, TXSearch for other works by this author on:Jay Shapiro, MDJay Shapiro, MDDell Children’s Medical Center of Central Texas, Austin, TXSearch for other works by this author on:
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Swelling Behind the Knee in a 15-Year-Old Boyp485-488BySenthilkumar Sankararaman, MD;Senthilkumar Sankararaman, MDLouisiana State University Health Sciences Center, Shreveport, LASearch for other works by this author on:Kamakshya Patra, MD;Kamakshya Patra, MDLouisiana State University Health Sciences Center, Shreveport, LASearch for other works by this author on:Wanda Wells, MDWanda Wells, MDLouisiana State University Health Sciences Center, Shreveport, LASearch for other works by this author on:
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p489-521
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An 11-Month-Old With Nausea, Vomiting, and an Abdominal Mass (Visual Diagnosis)p491-497ByLaura A. Whittington, DO;Laura A. Whittington, DODepartment of Pediatrics, University of South Dakota Sanford School of Medicine, Sioux Falls, SDSearch for other works by this author on:David C. Stevens, MD;David C. Stevens, MDDepartment of Pediatrics, University of South Dakota Sanford School of Medicine, Sioux Falls, SDSearch for other works by this author on:Sarah A. Jones, MD;Sarah A. Jones, MDDepartment of Pediatrics, University of South Dakota Sanford School of Medicine, Sioux Falls, SDSearch for other works by this author on:Julie M. Mayo, DOJulie M. Mayo, DODepartment of Pediatrics, University of South Dakota Sanford School of Medicine, Sioux Falls, SD, and Pediatric Hospital Service/Sanford Children’s Hospital, Sioux Falls, SDSearch for other works by this author on:
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Intermittent Swelling and Bleeding From the Gums in a 3-Year-Old Girlp499-502ByBhawana Arora, MD;Bhawana Arora, MDChildren’s Hospital of Michigan, Detroit, MISearch for other works by this author on:Usha Sethuraman, MDUsha Sethuraman, MDChildren’s Hospital of Michigan, Detroit, MISearch for other works by this author on:
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Sharp, Right-Sided Abdominal Pain in an 8-Year-Old Boyp503-506ByGia Bradley, MD;Gia Bradley, MDThe Johns Hopkins School of Medicine, Baltimore, MDSearch for other works by this author on:Hoover Adger, Jr, MD, MPHHoover Adger, Jr, MD, MPHThe Johns Hopkins School of Medicine, Baltimore, MDSearch for other works by this author on:
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Severe Right Lower Quadrant Colicky Pain and Mild Right-Sided Flank Pain in an 8-Year-Old Girlp507-511ByMuhammad Waseem, MD;Muhammad Waseem, MDLincoln Hospital, Bronx, NYSearch for other works by this author on:Sandhya Ganti, MD;Sandhya Ganti, MDLincoln Hospital, Bronx, NYSearch for other works by this author on:Joel Gernsheimer, MDJoel Gernsheimer, MDLincoln Hospital, Bronx, NYSearch for other works by this author on:
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11-Year-Old Boy With Pain in the Left Lower Quadrant of His Abdomen, Radiating to His Backp513-516ByFrancesco Mulè, MD;Francesco Mulè, MDJacobi Medical Center, Bronx, NYSearch for other works by this author on:Daniel Rauch, MDDaniel Rauch, MDChildren’s Hospital at Westchester Medical Center, Valhalla, NYSearch for other works by this author on:
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Sudden, Sharp Left Upper Quadrant Abdominal Pain, Nausea, and Vomiting in an 11-Year-Old Girlp517-521ByLéon Maggiori, MD;Léon Maggiori, MDCenter Hospitalier Intercommunal, Poissy, FranceSearch for other works by this author on:Olivier Poujade, MD;Olivier Poujade, MDCenter Hospitalier Intercommunal, Poissy, FranceSearch for other works by this author on:Toufic Ata, MD;Toufic Ata, MDCenter Hospitalier Intercommunal, Poissy, FranceSearch for other works by this author on:Elie Chouillard, MDElie Chouillard, MDCenter Hospitalier Intercommunal, Poissy, FranceSearch for other works by this author on:
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p523-533
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Scrotal Swelling in a 7-Year-Old Boyp525-528ByDerek S. Wheeler, MDDerek S. Wheeler, MDUnited States Naval Hospital, GuamSearch for other works by this author on:
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Persistent Flank Pain and Voiding Dysfunction in an 11-Year-Old Boyp529-533ByJanae Preece, MD;Janae Preece, MDDivision of Urology, University of Maryland, Baltimore, MDSearch for other works by this author on:Kristina D. Suson, MD;Kristina D. Suson, MDDivision of Pediatric Urology, The Johns Hopkins Hospital, Baltimore, MD, and Department of Urology, Children’s Hospital of Michigan, Detroit, MISearch for other works by this author on:Ming-Hsien Wang, MDMing-Hsien Wang, MDDivision of Pediatric Urology, The Johns Hopkins Hospital, Baltimore, MDSearch for other works by this author on:
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