PhotoclinicA 13-year-old middle-school student being home-schooled under a stay-at-home mandate due to the COVID-19 pandemic presented in mild distress with moderate to severe erythema and cracking to the dorsal aspects of both hands. She reported associated pruritus and pain.
PhotoclinicCopper deficiency myeloneuropathy has been well studied in animal species, but the relationship with neurologic disease in humans has been identified only recently. Neurologic findings of copper deficiency are often underrecognized and therefore not treated.
Case In PointAn 83-year-old man was referred from urgent care to the ophthalmology clinic for evaluation of new-onset binocular diplopia, vision loss in his left eye, and a progressive drooping of his left upper eyelid. These symptoms had progressed in severity over the previous 2 weeks.
Pulmonary PitfallsSarcoidosis will remain a diagnostic challenge in the 21st century by virtue of its protean manifestations and presentations. The difficulties in ascertaining a correct diagnosis have posed a clinical conundrum for clinicians since the ailment was called “Mortimer’s malady” by Dr. Jonathan Hutchinson in 19th-century England.
What's the Take Home?A 67-year-old man was brought to the emergency department for evaluation of an evolving neurological event. He had been watching evening TV with his wife as is usual for them when he reported having an acute headache and nausea. He got up to go into the bathroom, but shortly thereafter his wife heard him fall.
Photo EssayThis article is part 9 of a 15-part series of Photo Essays describing and differentiating conditions affecting the nails. Parts 10 through 15 will be published in upcoming issues of Consultant.
Guest CommentaryPediatrician John W. Harrington, MD, walks readers through a new day in the life of a physician brought on by the changes forced by the COVID-19 pandemic.
Case In PointThe two case reports presented here explore entirely different presentations of the same diagnosis, scurvy, in two children with autism spectrum disorder (ASD). Case 1 is a 3-year-old boy with leg pain, unexplained bruising, and a limp. Case 2 is a 4-year-old boy with a raw, nonhealing rash on the diaper area.
Case In PointA 2-year-old previously healthy boy presented for a well-child visit. His vital signs, growth and development, and physical examination findings were within normal limits. The result of a routine screening test for hemoglobin was low at 8.0 g/dL.
PhotoclinicA 10-month-old girl presented to her pediatrician with uncontrolled movements of the eyes and possible hearing problems. Her mother stated that the child did not react when a fire alarm had gone off at home, which led her to believe that the girl may have a hearing impairment.
PhotoclinicA boy was born via normal spontaneous vaginal delivery at 36 weeks and 1 day of gestation to a 20-year-old, gravida 1, para 1 woman. At 9 hours of life, a neonate presented with a large emesis, this time with palpable loops of bowel, and no passage of meconium. Chest and abdominal radiographs were obtained and revealed the classic double-bubble finding indicative of congenital duodenal atresia.