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A 10-YEAR-OLD Hispanic boy fell from a swing, had medial joint pain of the lower left extremity, and was unable to fully extend the knee. Plain radiography of the left lower extremity showed no evidence of fracture or dislocation. Arthroscopy revealed an old anterior cruciate ligament tear and...
A 5-DAY-OLD boy was seen for poor feeding, nonbilious vomiting, lethargy, and decreased urine output. The history was notable for an unremarkable pregnancy with normal findings from 16-week fetal ultrasound. Findings from initial physical examination revealed a large, nontender right flank mass....
Time to Heal is a massive tome, 399 pages of text divided into 3 sections and 18 chapters and supplemented by nearly 100 additional pages of notes. Exhaustive is the word that comes to mind. The author clearly explains his thesis in the introduction: the century-long contract between society and...
A 3-YEAR-OLD boy was referred to the pediatric gastroenterology department for evaluation of abdominal pain and vomiting. The patient had a 1-year history of recurrent, acute, episodic abdominal pain that was often associated with vomiting. The episodes occurred infrequently and typically lasted...
A 10-YEAR-OLD Malaysian girl was seen for a 7-month history of multiple swellings over the left thigh, upper arm, and anterior chest. Traditional healers had been consulted; however, the swellings continued to increase in size and to ulcerate. There was loss of weight and loss of appetite. On...
A 4-MONTH-OLD infant with musculoskeletal anomalies had a history of poor feeding and hypotonia. He was born by breech delivery to a multigravida mother whose pregnancy was complicated by oligohydramnios and decreased fetal movements. At birth, the infant's hips were dislocated and a right femur...
In Navajo culture, each time a story is told its source is acknowledged and honored. My friend, Sue Bennett, shared with me this story of the loss of her friend Dugald Brenner
Pediatricians and family practitioners should carefully consider the implications of the Boy Scouts of America (BSA) policy excluding homosexual persons from membership. According to a national BSA spokesperson, an openly gay child may be "worked with" and asked to leave the BSA if he or she...
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