Category Archives: Pediatrics

Moffet’s Pediatric Infectious Diseases, 5e (2017)

I write with reverence about what I believe to be one of the best medical books of all time: Moffet’s Pediatric Infectious Diseases, 5e (2017). The main problem with tackling infectious diseases from a diagnostic standpoint is that ID can be hard to classify clinically. The traditional approach is, basically, to ask the question Does the patient have an infection and,… Read More »

Purpura in Children

The differential diagnosis of purpura in children depends about two considerations: (1) Does the patient look ill? and (2) What is the platelet count? Here’s how it goes: Appearance Platelet Count Causes Sick Low Meningococcemia, Leukemia, DIC, Hemolytic-Uremic Syndrome (HUS) Sick Normal or High (*) Viremia (e.g., EBV), Vasculitis (e.g., Mucocutaneous lymph node syndrome [Kawasaki]) Well Low Immune Thrombocytopenic Purpura (ITP),… Read More »

Primary Pediatric Radiology

The formula for writing an exceptionally good radiology book is pretty straightforward: Well-organized chapters based on cardinal clinical scenarios Specific recommendations with regard to when and whom to image (or not to image!) Excellent images and annotations Primary Pediatric Radiology, by Susan Williamson, M.D., delivers on all of these points. It is a clinically oriented book, with chapters that are organized… Read More »

When to suspect an inherited metabolic disease

Here are seven cardinal clues to the presence of an inherited metabolic disease (“inborn error of metabolism”): Normal pregnancy and birth, but the infant begins to deteriorate after an asymptomatic interval (usually after the first 24 hours of life) Symptoms are precipitated or exacerbated by changes in metabolic state or dietary habits: feeding, starvation, dietary changes, or exertion. Progressively worsening dysmorphic… Read More »

Atopic Dermatitis (“Eczema”): How to Control it

Step 1: First of all, make sure it’s really atopic dermatitis! Atopic dermatitis is a pruritic, immune-mediated skin condition that is common in all age groups, but is particularly common among infants, toddlers and small children. It is commonly called eczema by clinicians and laypersons alike. There are three different highly pruritic skin conditions that you absolutely need… Read More »

Book Review: The Bedside Dysmorphologist

The Bedside Dysmorphologist by Dr. William Reardon is a great book about diagnosing malformation syndromes at the bedside.  It is only about 300 pages long, but it is packed with essential clinical pearls. Unlike other books in the field which break things down by syndromes, this book delves into the differential diagnosis based on clinical presentations. For example, suppose one comes… Read More »