Dysmenorrhea and Abnormal Uterine Bleeding
HIGH-YIELD FACTS Print Section Listen The pain of dysmenorrhea may be experienced in the pelvis, abdomen and lower back, or anterior thighs. NSAIDs are the first-line treatment for dysmenorrhea. In…
Non-Traumatic Eye Emergencies
HIGH-YIELD FACTS Print Section Listen Normal visual acuity is 20/40 in a 3-year-old, 20/30 in a 4-year-old, and 20/20 in a 5- to 6-year-old child. Steroids should not be used…
The Limping Child
HIGH-YIELD FACTS Print Section Listen In a child with a limp that occurs after trauma, localized radiographs or radiographs of the tibia on the affected side are most likely to…
Tumors of Bone
HIGH-YIELD FACTS Print Section Listen Many benign bone tumors are painless and are incidental findings on radiographs. Osteoid osteoma is a relatively common benign tumor. It frequently causes pain that…
Oncologic Emergencies
HIGH-YIELD FACTS Print Section Listen Acute leukemia is the most common malignancy in childhood and may present with a variety of symptoms including fever, fatigue, bleeding, adenopathy, or bone pain….
Skin Signs of Systemic Disease
HIGH-YIELD FACTS Print Section Listen Erythema nodosum (EN) is an acute panniculitis consisting of deep, painful, bilateral erythematous nodules, usually on the lower extremities, resulting from an underlying systemic illness….
Newborn and Infant Rashes
HIGH-YIELD FACTS Print Section Listen Nevus flammeus, or port-wine stain, when present in the area innervated by the ophthalmic branch of the facial nerve, is associated with Sturge–Weber syndrome, a…
Slipped Capital Femoral Epiphysis
HIGH-YIELD FACTS Print Section Listen Classic presentation of slipped capital femoral epiphysis (SCFE) is that of an obese adolescent with nonradiating, dull pain in the hip, groin, thigh, or knee…
Inflammatory Musculoskeletal Disorders
HIGH-YIELD FACTS Print Section Listen Nonsteroidal anti-inflammatory drugs (NSAIDs), glucocorticoids, immunosuppressants, and biologic agents ameliorate the underlying inflammatory process of systemic lupus erythematosus (SLE). Admit patients with suspected acute rheumatic…
Bleeding Disorders
HIGH-YIELD FACTS Print Section Listen Aggressive treatment of hemophilia patients with head trauma is imperative, as signs and symptoms of intracranial bleeding may be delayed. Even though initial imaging studies…
