MikeGinnyMD

Pediatrics

just a little #Genu-varum with some #Metatarsus-adductus in a 14mo here for her well check. The treatment is observation and reassurance. Not "fresh air and sunlight" or other harmless-sounding things that guilt mothers into thinking that this is their fault. This will resolve by age 4 in the vast majority of cases.

More about this case

Radiograph of the lower extremities shows findings of proximal focal femoral deficiency with an abnormal appearance of the right femur (arrowhead, image 2) and irregularity of the right femoral head. In addition, there is calcinosis at the knee joint (arrow, image 2). Proximal focal femoral deficiency is a malformation of growth and development of the lower extremity associated with four major biomechanical problems: hip instability, malrotation of the thigh, deficient proximal musculature, and a leg length discrepancy. #MSKMonday

Radiograph of the lower extremity and detail radiograph of the knees shows the patient to be bow-legged or have a genu varus configuration. In addition, there is down-sloping of the medial proximal tibia with medial metaphyseal beaking. The configuration of the knees is typical of Blount disease. Blount disease is a growth disorder that leads to tibia vara. There are two main types depending on the age of onset: early-onset and late-onset with the age cutoff of 10 years. Early-onset disease is more common in girls, while late-onset disease is more common in boys. Both types of Blount disease are more common in black children and in children with obesity. #MSKMonday

Update on amniotic band.

7 years old girl who was hit by car and hit her left thigh. Radiograph shows fractured femur with displacement.

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?