Recent Pediatric Cases

Polyarteritis nodosa in a pediatric patient

A 13-year-old Hispanic female with no significant past medical history presented to an outside facility with episodic vomiting, abdominal pain, 20-lb unintentional weight loss, and malaise over a four-week span.

Labyrinthine ossificans

A 6-year-old girl presented with a 3- to 6-month history of sensorineural hearing loss. Previous hearing exams were normal.

Indolent synovial sarcoma

A 16-year-old Native American male presented with 2 years of gradually worsening left knee pain initially treated with anti-inflammatory medication and physical therapy. Magnetic resonance imaging revealed the presence of an anterior lesion within Hoffa’s fat pad. After referral to orthopedic surgery, he underwent arthroscopy with subtotal synovectomy/excision.

How We Do It


Approach to local anesthesia in children

A minor pain at the beginning of a procedure can upset the child, making completion of the procedure more difficult. The best way to minimize the intensity of a painful stimulus is to provide suitable skin and track anesthesia to the level of the target anatomy.


Ultrasound diagnosis of midgut volvulus

An 11-month-old boy presented to the emergency department with non-bloody, non-bilious emesis. The patient was diagnosed with gastroenteritis and sent home.


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