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Pediatric (as Unknown )
(221 items)
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15-year-old with headaches and acutely worsening altered mental status
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11-year-old with recurrent seizures
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16-year-old female with chronic sinusitis.
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A neonate presents with respiratory distress
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6-year-old male with chest pain
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13-year-old female with palpable neck mass
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6-month-old baby girl with history of seizure
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14-month-old with weak left brachial artery pulse
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17-year-old female with polycystic ovarian syndrome medically treated with oral contraceptives develops swelling in her left lower extremity over multiple days, followed by calf pain with ambulation.
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15-year-old status post severe motor vehicle accident. Hypotensive on arrival.
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11-month-old boy with chronic cough
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Cyanotic neonate born after 33 weeks gestation
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13-year-old male admitted with fever, stridor, productive cough and hemoptysis. The patient's most recent laryngoscopy showed large anterior papillomas in the subglottic airway resulting in 80% obstruction of the airway lumen.
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An AP radiograph of the chest performed on a newborn female for follow-up on an abnormality noted on prenatal ultrasound demonstrates 2 lucent lesions overlying the left lung base.
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8-year-old male presents with a congenital external right ear deformity. Evaluate for middle ear anatomy.
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A 3-year-old boy presents with 2 weeks of low grade fever and cough
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Abdominal MRI performed on neonate (4th day) with abnormal prenatal ultrasound
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Newborn female with a lesion in her mouth
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4-month-old female infant with chronic sinusitis
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A 9-year-old male presents to the ED with facial swelling. Rule out abscess.
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A 15-year-old male presents with history of nasal congestion.
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12-year-old male presents with a history of recurrent headache and vomiting
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10-year-old male with recent viral infection is admitted with lower extremity paralysis and hyporeflexia. CSF findings reveal elevated protein level without pleocytosis.
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A 5-year-old white male with history of recent URI presents with 103 fever for the past 3 days and neck pain. There is no history of trauma.
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A neonate presents with a history of serratia meningitis.
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14-year-old girl underwent MRI of the total spine for pre-op evaluation of scoliosis
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Newborn in the NICU for respiratory distress.
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Inability to pass a nasogastric tube
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6-day-old boy with hypotonia. Delivery history is remarkable for breech presentation.
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5-year-old with hearing loss
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16-year-old with trauma to the back 5 months ago
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A 15-year-old female presents with headache. The patient has a remote, questionable history of seizures.
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2-year-old with neuromuscular deficits
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16-year-old soccer player presented with left posterior ankle pain
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A 3-month-old child presents with a large mass deforming the right upper extremity. Physical examination revealed no skin discoloration, bruit over the lesion on auscultation, and no thrill on palpation. The patient was afebrile, and the lesion was not tender to touch.
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15-year-old African American male with a history of short stature and delayed onset of puberty
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Patient is a 15-year-old male with history of hypertension. Renal angiogram is requested to evaluate for renal artery stenosis.
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7-year-old female with nonproductive cough recently treated for pneumonia
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The patient is a 15-year-old boy with a history of chronic swelling around the left eye.
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A 9-month-old male presenting to emergency department with sudden onset of stridor.
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An 11-year-old boy with left neck mass.
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2-day-old infant noted to have an abnormality on prenatal ultrasound.
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2-month-old infant presents with decreased muscle tone and tachypnea
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An 8-year-old male diagnosed with cerebral palsy with worsening cognitive performance, spasticity, and seizures.
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A 16-year-old male presents to his pediatrician for his yearly checkup
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Neonate with respiratory distress
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Newborn child with a large mass diagnosed on an 18-week antenatal ultrasound.
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Adolescent boy with slowly progressive weakness and extremity stiffness
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3-week-old child was referred for evaluation of a large pelvic mass
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14-year-old female with complaints of left thigh pain and swelling of 3 month duration
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17-year-old girl with sickle cell trait presents with acute onset of right flank pain while playing basketball
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17-year-old obese female, mentally retarded, with hand and foot deformity
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5-year-old female with symptoms of an upper respiratory infection
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Infant with multiple abnormalities diagnosed on prenatal ultrasound
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13-year-old female with abdominal pain
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A 2-year-old girl presents to the emergency department status post motor vehicle collision. She was restrained appropriately in a car seat and has no obvious injury on initial exam. CTs of the head, cervical spine, chest, abdomen, and pelvis were performed.
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A 4-year-old girl with no provided history
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12-year-old boy, previously healthy, is brought to the emergency room after an episode of seizures
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2-day-old boy with abdominal distention and no passage of stool since birth. Diabetic mother.
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3-year-old male child with congenital anomalies
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17-year-old male hockey player with no significant past medical history presents with dull non-traumatic back pain.
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7-year-old boy presents to ED with mild right knee pain and low-grade fever.
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15-year-old-male with a history of cystic fibrosis
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A 9-year-old girl with symptoms of an upper respiratory infection for two days was found by her mother, unresponsive, febrile, and incontinent. She was brought to the Emergency Department, where she began vomiting. She tested positive for Influenza A. A head MRI was ordered.
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15-year-old female presents with 5 days of right-upper-quadrant pain that worsens with eating, and labs reveal elevated liver function tests.
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12-year-old male presents to the emergency room after a fall on the left arm while playing baseball. He reports tenderness over the distal radius but sensation and motor examination are intact. He has palpable distal pulses.
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1-year-old male presents to the Emergency room with fussiness and abdominal fullness on physical exam
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5-year-old boy with macrocephaly and developmental delay
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20-month-old male with fever, knee swelling and no history of trauma
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13-year-old male with right lower quadrant abdominal pain after hitting the handlebars while riding his bike.
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5-year-old girl presented with RIGHT foot pain and limping for one week. Three months later, the left foot became symptomatic.
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2 1/2-year-old child who presents with a history of abdominal trauma
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Two-year-old previously healthy child with persistent open posterior fontanelle
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5-year-old boy presented with LEFT leg pain inability to bear weight while jumping on a trampoline with heavier kids. He developed the same problem in the RIGHT leg five months later under very similar circumstances.
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16-year-old male with right shoulder pain
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A five-year-old boy presented because of 5 days history of limping, physical exam showed right Trendlenburg gait. Blood work revealed a white blood cell count of 7000 erythrocyte sedimentation rate of 7.
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A 6-year-old boy with headache, disequilibrium, nausea and vomiting.
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2-year-old male with ataxia and seizures
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Six-month-old child presents with a two-week history of lethargy and vomiting
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Newborn infant with tachypnea
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A 3-year-old girl presents to the pediatric clinic with a 4-day history of wheezing. The patient has history of asthma, but her albuterol nebulizer treatments have not helped with this episode.
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An 11-year-old child with history of surgery for meningioma. Presents for followup imaging.
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3-year-old male transferred from outside hospital with nausea/vomiting, abdominal pain and distension
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13-month-old male with abnormalities on physical exam
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4-year-old female presents to ER with abdominal pain and distension
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15-year-old female presents with non-radiating abdominal pain, nausea, vomiting and diarrhea. She has a history of prior ileostomy placement for intestinal obstruction as a newborn. This was subsequently reversed without complication.
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A 14-year-old athlete with low back pain
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A young patient with nonspecific back pain
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The patient is a 14-year-old girl who had a 1-month history of shortness of breath and cough with sputum production and fevers. She was treated with Zithromax and then with Biaxin, which were not helpful. She had elevated WBC (16.1), ESR (118), and eosinophilia (43%). PPD and blood cultures were negative. She had a history of multiple respiratory infections.
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A well-appearing, 4-year-old boy complains of cough, wheezing, and fever.
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A 17-year-old patient with a history of spastic diplegia, dorsal nerve root rhizotomy in the distant past as a child in an attempt to reduce spasticity, who was sent for CT and MRI spine imaging for chronic low back pain.
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A newborn male had a mediastinal mass diagnosed on prenatal ultrasound.
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1-week-old female
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36-week-old preterm infant born at home and brought to emergency room forrespiratory distress.
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A 23-month-old male with 2 weeks of viral symptoms presenting with progressive weakness and inability to walk.
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29-month-old female presents with a bowing deformity on physical examination
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A 14-month-old male presents to the ER with intermittent abdominal pain and vomiting.
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A 14-year-old boy with a known bone dysplasia attends orthopedic clinic with a painful knee
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15-year-old male with right arm pain after a fall earlier in the day
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10-year-old female cheerleader presents with recent onset of right knee pain for several days
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16-year-old female with thigh pain
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A 16-month-old female with mental retardation, coarse facies, and recurrent middle ear effusions.
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15-year-old boy with right ankle pain status post trauma
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An 8-year-old female with a history of ruptured appendix and abscess formation undergoes a contrast-enhanced CT of the abdomen and pelvis following drainage of the periappendiceal abscess.
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An 18-month-old boy presenting with 2 week history of unsteady gait
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A 5-year-old male presents with left upper extremity weakness and decreased range of motion.
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Infant with hypotonia, seizures, and a large head
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A 14-year-old male presents with left hip pain for 1 year. On exam, there is tenderness to palpation over the left hip.
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14-year-old female with seizures
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An 8-month-old with abnormally shaped head (intubated for exam)
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A 16-year-old male presents with left flank pain, gross hematuria and intermittent vomiting for 3 weeks. An abdominal CT scan was perfomed.
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A 30-day-old male neonate presents with urinary tract infection.
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The patient is an 18-year-old white female who complains of right upper extremity weakness and numbness for three hours before admission. She has experienced intermittent episodes with similar symptoms over the last two to three months occurring two to three times per day. She had no associated headaches, nausea, or vomiting. She had no history of seizure or loss of consciousness.
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12-year-old male with left hip pain for one month
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15-year-old male with slowly enlarging wrist mass.
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17-year-old female with incidental "mass" found in right upper quadrant on pelvic and abdominal ultrasound.
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15-year-old female fell in basketball practice and is unable to bear weight.
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A 6-year-old boy was referred for knee pain and popping.
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11-year-old female presents to the emergency room with ankle pain following twisting her ankle.
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A neonate developed seizures shortly after delivery.
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A 17-year-old male presents with a palpable right hand abnormality.
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A 15-year-old male presents with right knee pain and "locking" after a sports injury.
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A 14-year-old boy presented to orthopedic clinic with transient tingling in the little and ring fingers
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A 17-year-old male presents with history of intractable seizures.
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A 3-year-old female presents with a two-month history of anorexia and lethargy.
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Patient is a 22-month-old male who presents with a history of four unexplained seizures over the past year and a head circumference that is in the 98th percentile for his age. Complete neurological examination and EEG are normal.
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A 17 year-old man presents to his primary care physician with "bulging" in his medial left thigh, detected on a sports physical. On physical exam, there is a palpable thrill and an audible bruit over the bulge. A faint systolic ejection murmur was heard on cardiac auscultation. An intravenous gadolinium chelate-enhanced abdominal magnetic resonance angiogram (MRA) with bilateral lower extremity run off was performed.
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A 15-year-old girl with bilateral wrist stiffness and dorsoulnar palpable lumps
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A 4-year-old Caucasian female presents with new onset vision loss.
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A 5-year-old male presents with abdominal pain and vomiting for one day.
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A 4-year-old boy with ataxia and dizziness for three months
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A 14-year-old little leaguer, who swung and missed a fastball earlier in the day, comes to the emergency room with knee pain and swelling.
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A 15-year-old male presents with left leg pain status post trauma while playing football.
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A full-term newborn with normal APGAR scores presents to the neonatal ICU with increased oral secretions and mild respiratory distress shortly after birth.
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Newborn male with poor response to stimulation.
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A 13-year-old boy with foot and ankle pain
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An 8-year-old male with bony swelling over right scapula and restricted movement of right shoulder for past six months.
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Initial presentation as a 2-year-old boy favoring the left knee.
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A 6-year-old girl with recent onset of headaches of increasing severity and diabetes insipidus
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A right-handed little league baseball player presents with right shoulder pain exacerbated by throwing and no history of trauma.
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The patient is a 10-year-old boy with a history of mixed hearing loss.
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A 13-year-old female presents with abdominal pain, right lower quadrant tenderness, guarding, elevated lipase, and history of GERD.
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A 7-year-old child presented to the Emergency Department with left hip pain. An MR was ordered with the history "rule out septic hip".
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A 13-year-old girl with left-sided chest pain
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A 15-year-old boy with right arm pain following trauma
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A 7-year-old boy with history of unusual laughing (gelastic) seizures
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A 4-year-old male status post fall with wrist pain
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A 17-year-old female with increasing left lower extremity pain.
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A 9-year-old white female with progressive multifocal bone pain
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A well-developed, 4-year-old girl presents to her primary care physician with an erythematous scaly facial rash, decreased activity, difficulty climbing stairs, and muscle aches
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A 16-year-old girl presents with visual changes and gait disturbances
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A 13-year-old boy with history of seizure onset at four months of age, gradual loss of milestones, and port wine stain on right side of face
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An 8-year-old girl with a history of port-wine stain covering most of her left lower extremity, asymmetry of her leg length (left longer than right), and pain in her left leg.
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A 15-year-old boy presents with hypoglycemia and polydipsia. He drank over one gallon of juice a day but recently stopped after he began practicing for football. Since this time he began experiencing "black-outs" that were relieved by drinking more juice.
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A 6-year-old girl with back pain developing over several weeks
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A 5-year-old boy with elbow pain and swelling
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A 12-year-old boy with knee pain
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A 17-year-old boy sent for MRI of his lower leg to evaluate for a suspicious lesion seen on plain films at an outside institution. The plain films were not available at the time of this exam.
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Recurrent seizures in a young infant with developmental delay
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A 5-year-old boy with short stature
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A 2-month-old child with bulging fontanelle and increased head circumference.
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Newborn with abnormal prenatal ultrasound suggestive of Dandy-Walker malformation, failure to thrive, and poor feeding.
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A 12-year-old with right shoulder pain
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A 2-year-old boy presents with an enlarged head circumference during a healthy-child checkup .
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Palpable calvarial defects in a 10-year-old child.
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A 2-month-old male with a palpable left parietal mass.
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An 8-month-old male with seizures and developmental delay.
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A 16-year-old male presented to the emergency room with abdominal pain and mildly elevated pancreatic enzymes after a sleigh riding accident in which he slid into a wall. Prior CT scan from an outside institution 3 days prior was reported as normal.
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A 14-month-old boy presents with nausea, abdominal pain, vomiting, and bloody stools.
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A 5-month-old male presents with difficulty breathing.
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A 3-year-old male presented with a 1-week history of acholic stools, constipation, and abdominal distension. On physical exam, the abdomen was hard and distended but was not tender.
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A 5-day-old, 32 week premature newborn presented with convulsions. A prior brain US performed on the 1st day of life was normal. You are now presented with ultrasound images performed on 5th day of life.
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A 17 year-old boy presented with right-sided neck swelling and tenderness following an upper respiratory infection. A CT-scan of the right neck was performed.
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Right scrotal swelling in an otherwise asymptomatic 8-year-old male
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2-year-old boy who presented to the ED with intermittent abdominal pain
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6-month old female presenting with painless right neck mass
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15-year-old female with history of right upper quadrant pain, elevated liver enzymes, and fatigue. The alpha-fetoprotein level was normal.
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1-month-old female with thrombocytopenia and anemia
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12-year-old male with left scrotal swelling and intermittent pain
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9-month-old male presents with abdominal mass and hypertension
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2-year-old female patient presented with intractable pruritis, jaundice, and elevated bilirubin.
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3-year-old female, history withheld
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A 19-year-old, 32-week gestation primigravida was referred after an ultrasound showed a cystic brain lesion that needed further characterization
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1-day-old male with history of "renal abnormalities" on antenatal ultrasound. Distended abdomen is noted on physical examination.
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Male newborn after 34 weeks gestation with respiratory distress upon C-section delivery. Physical examination reveals a large abdomen, with severe laxity of the abdominal wall. Additionally, the testicles could not be palpated within the testicular sacs.
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A 17-year-old male with a two month history of a nonpainful left testicular mass
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2-year-old male with incidental abnormality detected on pelvic ultrasound. Images from the ultrasound examination are shown. Subsequently the patient underwent both pelvic MRI and voiding cystourethrogram (VCUG). T2 weighted MRI images and images from the voiding cystourethrogram are also shown.
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A 12-year-old boy presents to the ER with acute scrotal pain.
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A 15-year-old female presented to the Pediatric Emergency Department with painful swelling of the right neck. An ultrasound examination was performed.
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The patient is a 1-day-old neonate delivered preterm at 31 week's gestation by cesarean section presenting with respiratory failure and convulsions.
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Newborn female infant with skeletal abnormality demonstrated on prenatal ultrasound and initial workup consistent with Type II sacral agenesis
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2-month-old male with right neck mass and torticollis.
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A 13-year-old male with a palpable nontender inferior right scrotal mass. An ultrasound was performed.
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Newborn male with failure to thrive
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Pediatric patient presents with left upper quadrant pain
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A 20-month-old male presents to the ER from an outside hospital with painless scrotal mass.
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A 5-day-old asymptomatic boy
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An 8-year-old girl with pelvic pain
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A 3-year-old female presents to the pediatric clinic with history of a recently discovered lump in her genital parts, and the mother is concerned about a swollen lymph node. The patient is in general good health and has no history of chronic illness. The pediatrician found 2 palpable lumps, and requested an ultrasound exam of these areas. Sonographic images of the left inguinal area and the right labium are provided.
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Newborn male with distended abdomen and palpable right-sided abdominal mass, in no apparent distress
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A 13-year-old girl with end-stage renal disease secondary to IgA nephropathy, post-op day #1 s/p renal transplant, now with abrupt onset of anuria and graft site tenderness.
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A two-month-old female presents with persistent jaundice since birth and worsening abdominal distension. Initially, an abdominal ultrasound was performed.
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Patient is a 3-year-old girl who presents to her pediatrician with right hip pain, a limp, and fever.
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Neonate of unknown gestational age (estimated between 31 and 35 weeks) born at 2650 grams. The neonate is now a fussy feeder at 26 days old. A head ultrasound (Figures 1 and 3) was ordered as a routine followup to one performed in the first week of life (Figures 2 and 4).
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A 4-week-old with projectile vomiting on and off since birth. It has become more frequent lately.
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13-year-old female with no significant past medical history complains of hemoptysis
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2-year-old male infant with palpable mass in bilateral thighs
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21-month-old female presents for preoperative evaluation prior to colonic reanastamosis surgery.
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A 16-month-old otherwise healthy girl presents with two days of cough
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A 12-year-old girl presents with abdominal pain and bleeding per rectum.
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11-year-old boy with right heel pain, worse after basketball practice
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An otherwise healthy 9-year-old boy complained of right hip and knee pain, which was worse at night. Radiographs were reported as normal.
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14-year-old, previously healthy girl with vague, persistent right upper-quadrant pain. No other signs or symptoms.
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A 6-month-old infant presents to her well-child check-up with a head circumference above the 99th percentile.
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A 9-year-old girl presents with right upper quadrant pain and an abdominal mass.
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A 22-month-old boy presents with abdominal pain.
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An 8-month-old boy presents to the emergency department with fever.
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An asymptomatic male newborn presents with an abnormal thyroid screening test.
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A 17-year-old man presents with complaints of a soft scalp mass that he has had for several years. As a young child, he was advised by a neurologist that it was a cyst; therefore, he underwent aspiration. However, the mass persisted. Per the patients mother, pathology results from the aspiration are unknown. The patient denied any associated pain or discharge. There is no prior history of trauma or meningitis.
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A newborn boy presents with persistent leakage of fluid from the umbilicus. A physical exam reveals a nonerythematous, protruding umbilical stump.
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A 15-month-old girl presents with newly diagnosed hypertension and hepatomegaly.
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