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…
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…
bronchiolitis
dear all are you using beta 2 agonists in bronchiolitis? are you using epinephrine in bronchiolitis? readbronchiolitis aap 2014
Antibiotics in Children Increase Risk for Juvenile Arthritis
dear all Exposure to antibiotics during childhood significantly increases the risk for juvenile idiopathic arthritis in a dose-dependent manner, say investigators reporting at the American College of Rheumatology 2014 Annual…
Is It Possible to Exercise Too Much?
dear all For apparently healthy people, there simply isn’t much evidence of a U- or J-shaped mortality curve, with mortality rising at very high levels of activity. Several recent studies…
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.…
NEWBORN, RESPIRATORY DISTRESS
A neonatology team was called to evaluate a full-term male infant with severe respiratory distress and cyanosis at a few minutes of age. The infant had been born by vaginal…
JERKING OF LOWER PART OF FACE RT SIDE
A healthy 9-year-old girl is brought to the emergency room after her parents witnessed her having an unusual event shortly after going to bed. They reported hearing gurgling noises coming…
EXERCISE INDUCED BREATHLESSNESS
A mother brings her 9-year-old boy to your clinic because he has been complaining of being tired in physical education class at school for the past few months. When you…
Use medical tests judiciously
dear all The first step in understanding a test is to assess the ability of the test to correctly diagnose the diseased and nondiseased. Sensitivity and specificity are test characteristics that…