A 9-year-old boy presents with progressively worsening right eyelid swelling, pain, and redness for 3 days. He denies blurry vision. Which of the following is more characteristic of orbital cellulitis that periorbital cellulitis?
A newborn presents with swelling of soft tissue of the scalp…
A newborn presents with swelling of soft tissue of the scalp which crosses the suture lines with bruising. You suspect:
You are seeing an 18-month old child for a routine well visi…
You are seeing an 18-month old child for a routine well visit. The parent voices concern that the child hasn’t gotten their first tooth yet. Of the following, which is the next best step in your management plan?
A 4-year-old child can gallop and hop on one foot, copy a sq…
A 4-year-old child can gallop and hop on one foot, copy a square, wash her face and hands, draw a four- to six-part person, has 100% intelligible speech, and parallel plays with other children. Based on the description of her skills, which domain of this child’s development is delayed?
A 12-year-old male has complained of right anterior thigh pa…
A 12-year-old male has complained of right anterior thigh pain intermittently for the past 6 weeks. His mom reports no history of trauma but notes “he is limping more and more”. You note reluctance to walk at all, positioning of the right hip in an extreme external rotation and limited hip flexion on exam. You suspect:
Which of the following infants does NOT require a full worku…
Which of the following infants does NOT require a full workup for pathological causes of hyperbilirubinemia?
A 4-year-old presents to your clinic with multiple petecchia…
A 4-year-old presents to your clinic with multiple petecchiae and bruises overhis entire body. His mother denies any history of trauma but reports he is avery active child. He is currently afebrile, but mom reports he had URIsymptoms about a week ago. Otherwise, his past medical history isunremarkable. Aside from the petecchiae and bruises, his exam is otherwisenormal. You order a CBC. Based on the results, the most likely diagnosis is: Hemoglobin 11.4WBC 10.5k with normal differentialPlatelets 20k
A 6-month old falls out of her high chair onto the kitchen f…
A 6-month old falls out of her high chair onto the kitchen floor and is brought to the ED by her parents. Parents report no loss of consciousness, vomiting, seizure activity, or excessive sleepiness. Her parents note that she should be hungry at this time but she has been fussy and refusing feeds. Her physical exam is normal. Which of the following is the next best step in management?
Which reflex is elicited by placing an infant supine and tur…
Which reflex is elicited by placing an infant supine and turning the head to the side, resulting in an ipsilateral extension of the arm and movement of the leg into a “fencing” position and flexion of the contralateral side.
A 9-year-old boy presents for an annual check up. History an…
A 9-year-old boy presents for an annual check up. History and Physical Exam are unremarkable. Height is 52.5 inches (50th percentile) and weight 70 pounds (75th percentile) BMI is 17.8 (78th percentile). Based on these growth measures, you determine this child is: