Recent Pediatric Cases

Wolman Disease

A 1-month-old female presented to our institution with a history of poor feeding, diarrhea and a 2-lb weight loss. Upon evaluation, the patient was determined to have severe dehydration, acute renal failure, and metabolic acidosis.

Pierre Robin sequence

A 2990-g, full-term, baby girl with multiple congenital anomalies was born to a G4P2 mother.

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.

Pediatric Forum

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