What Should Parents Teach Their Children About Stranger Safety?
Written by Everette Tessler on 2017-08-19
Patient Presentation A 5-year-old female came to clinic with her mother for her health supervision visit. She was starting kindergarten in the fall and had not been in a childcare or an educational setting before. Her mother described her as a sociable child whom other children and adults liked. She was a very trusting child and therefore her mother was concerned that she would be vulnerable to...(Read More)
What Can Parents Do To Promote Literacy?
Written by Everette Tessler on 2017-08-09
Patient Presentation A 12-month-old male came to clinic with his mother for a health maintenance examination. When the pediatrician walked into the room, the infant was trying to give his mother a book, but she did not notice as she was playing a game on her cellphone. She stopped the game appropriately and did not use it again during the visit. The mother said she was only concerned that he didn’t...(Read More)
What Conditions is Erythema Nodosum Associated With?
Written by Everette Tessler on 2017-07-30
Patient Presentation A 12-year-old male came to clinic with a history of 3-4 days of painful bruising on his shin and lower arms. He had Streptocococcal pharyngitis diagnosed by rapid strep testing approximately 4 weeks previously and had taken all of his amoxicillin antibiotic per his parents. He had recovered without any problems until 3-4 days ago when his legs and arms started to have painful...(Read More)
How Common Are STIs?
Written by Everette Tessler on 2017-07-20
Patient Presentation An 18-year-old male came to clinic for his health supervision visit. His past medical history showed that he was generally healthy and had all of his immunizations. During the social history he denied using alcohol, drugs, tobacco or being sexually active. The pertinent physical exam showed a healthy male with normal vital signs and BMI of 22.2, He was Tanner stage V and the...(Read More)
Do Children Grow Overnight?
Written by Everette Tessler on 2017-07-10
Patient Presentation A 14-year-old male came to clinic for his health maintenance examination. He was well and his mother was joking with the pediatrician saying, “He’s really growing. I measured him only 3 weeks ago and he’s already grown an inch since then. I can see it in his pants too because they were fitting a month ago and now you can see his ankles.” The past medical...(Read More)
Written by Everette Tessler on 2017-06-30
What Causes Urinary Hesitancy?
Written by Everette Tessler on 2017-06-20
Patient Presentation A pediatrician asked his colleague for help with considering a differential diagnosis for a college age male who presented with true urinary hesitancy for ~2 weeks. “It’s just not that common a problem in pediatrics,” the pediatrician noted. “The patient has never had any urinary or bowel problems previously, denies dysuria or other pain, or fever. He...(Read More)
How Do I Keep My Prescription Stimulant Safe At College?
Written by Everette Tessler on 2017-06-10
Patient Presentation A 17-year-old female with attention deficit disorder with hyperactivity was being seen for her health maintenance examination. She was going to college in the fall and wanted to know what was the best way to keep her methylphenidate prescriptions safe in her dorm room. The past medical history showed she had been diagnosed after having school difficulties when she was in the...(Read More)
What Adult Problems Can Start with Fetal Undernutrition?
Written by Everette Tessler on 2017-05-30
Patient Presentation After watching a movie set during World War II, a pediatrician’s teenage son said, “That movie wasn’t very realistic. They didn’t have the right arms for a lot of the troops. Plus somebody forgot when they filmed it that the Battle of the Bulge occurred in the winter. There was no snow on the ground in the movie. Plus, if you look, all the people, including...(Read More)