nystagmus

You are evaluating a 4-year-old boy who complains of “bouncing eyes:’ His mother reports seeing his eyes jiggle for a few seconds at a time. There are no abnormal head,…

Continue reading

sickle cell anemia

A medical student is working with you in clinic. He is preparing to see a 2-month-old infant whose older sister has sickle cell disease. The infant’s medical record has the…

Continue reading

MALROTATION

on day old infant has vomiting and abdominal distension.baby has passed meconium. Bilious vomiting, usually with some abdominal distention, occurs in a baby who passed normal meconium and has an open…

Continue reading

HYPERNATREMIA

HPI: A 6-month-old male infant with watery diarrhea at home for the past 5 days and vomiting for 1 day presents with intermittent lethargy and irritability. He has also not…

Continue reading

HPV

The mother of one of your adolescent patients asks you about human papillomavirus (HPV)vaccination. She explains that she has just learned that HPV is the most common sexually-transmitted infectious agent and…

Continue reading

WILSONS DISEASE

dear all you would have seen many children with hepatitis. we would have seen fewer number of wilson disease than hepatitis it is prudent to screen older children for wilson.…

Continue reading