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A young male child was referred for evaluation of sexual abuse

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1 A young male child was referred for evaluation of sexual abuse
A young male child was referred for evaluation of sexual abuse. He had a history of constipation associated with painful defecation. A rectal culture was positive for GABHS. (Photo contributor: Binita R. Shah, MD.) Source: Chapter 2. Conditions Mistaken for Child Abuse and Sexual Abuse, Atlas of Pediatric Emergency Medicine, 2e Citation: Shah BR, Lucchesi M, Amodio J, Silverberg M. Atlas of Pediatric Emergency Medicine, 2e; 2013 Available at: Accessed: December 29, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved

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Copyright © 2016 McGraw-Hill Education. All rights reserved.

Copyright © 2016 McGraw-Hill Education. All rights reserved.
Erythematous maculopapular and urticarial edematous plaques are seen on the thighs (A). (B) in a patient 2 weeks after receiving Bactrim. Fever, arthralgia,

Erythematous maculopapular and urticarial edematous plaques are seen on the thighs (A). (B) in a patient 2 weeks after receiving Bactrim. Fever, arthralgia,
(A) Coronal noncontrast sinus CT section (same patient; Figure 9

(A) Coronal noncontrast sinus CT section (same patient; Figure 9
(A, B) An 8-year-old girl with abdominal pain and cystic mass arising from the right ovary on sonography. Notice fat plug (white arrow). (C) MRI showing.

(A, B) An 8-year-old girl with abdominal pain and cystic mass arising from the right ovary on sonography. Notice fat plug (white arrow). (C) MRI showing.
The fruit is a pea-shaped pod approximately 4 cm in length

The fruit is a pea-shaped pod approximately 4 cm in length
A dorsal view of the brain shows severe brain swelling with flattened gyri and effaced sulci. Evidence of brain swelling with herniation was seen on the.

A dorsal view of the brain shows severe brain swelling with flattened gyri and effaced sulci. Evidence of brain swelling with herniation was seen on the.
A child presenting with high fever, refusal to eat, and sores in the mouth. (Photo contributor: Binita R. Shah, MD.) Source: Chapter 3. Infectious Diseases,

A child presenting with high fever, refusal to eat, and sores in the mouth. (Photo contributor: Binita R. Shah, MD.) Source: Chapter 3. Infectious Diseases,
The fruit is a pea-shaped pod approximately 4 cm in length

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(A) Conjunctivitis due to Chlamydia trachomatis is the most common infectious cause of ophthalmia neonatorum. This 10-day-old neonate presented with lid.

(A) Conjunctivitis due to Chlamydia trachomatis is the most common infectious cause of ophthalmia neonatorum. This 10-day-old neonate presented with lid.
(A) Head computed tomographic scan of a young woman who experienced ecstasy-induced syndrome of inappropriate antidiuretic hormone secretion (SIADH) shows.

(A) Head computed tomographic scan of a young woman who experienced ecstasy-induced syndrome of inappropriate antidiuretic hormone secretion (SIADH) shows.
(A) Extrapyramidal signs seen here such as torticollis, inability to speak, and trismus were the presenting complaints in this girl who was brought to.

(A) Extrapyramidal signs seen here such as torticollis, inability to speak, and trismus were the presenting complaints in this girl who was brought to.
(A) Swelling of the knee and pain were the presenting complaints of this 12-year-old adolescent girl who was seen twice in the ED and sent home without.

(A) Swelling of the knee and pain were the presenting complaints of this 12-year-old adolescent girl who was seen twice in the ED and sent home without.
CT scan of the abdomen demonstrates grade 4 laceration of the spleen, extending to hilum with smaller areas of laceration. Active extravasation was also.

CT scan of the abdomen demonstrates grade 4 laceration of the spleen, extending to hilum with smaller areas of laceration. Active extravasation was also.
(A) The most commonly aspirated food products by infants and children include peanuts, chunky peanut butter, hot dogs, popcorn, seeds, grapes, raisins,

(A) The most commonly aspirated food products by infants and children include peanuts, chunky peanut butter, hot dogs, popcorn, seeds, grapes, raisins,
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(A) The king cobra (Ophiophagus hannah) is the world’s longest venomous snake and can measure up to 5.5 m. When undisturbed, they have cylindrical bodies.
Cellulitis spreads more slowly and extends more deeply into the subcutaneous tissues; hence, the borders of cellulitis are ill-defined (in contrast to.

Cellulitis spreads more slowly and extends more deeply into the subcutaneous tissues; hence, the borders of cellulitis are ill-defined (in contrast to.
(A) This child dislocated the MCP joint of his thumb as a result of hyperextension force while falling on an outstretched hand. Gentle traction along with.

(A) This child dislocated the MCP joint of his thumb as a result of hyperextension force while falling on an outstretched hand. Gentle traction along with.
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(A) An axial CT scan demonstrates a grade II splenic laceration with a small amount of hemoperitoneum. (B) An axial CT scan demonstrates a grade III splenic.
(A–D) Progression of 12-Lead ECG obtained from the same patient (Figure 5.41) over a 15-minute period. (A) ECG showing sinus tachycardia at a rate of 150.

(A–D) Progression of 12-Lead ECG obtained from the same patient (Figure 5.41) over a 15-minute period. (A) ECG showing sinus tachycardia at a rate of 150.
(A) A 14-month-old Chinese boy was found unconscious with vomitus on floor of his grandmother’s bedroom. An open tube of a topical rubefacient was also.

(A) A 14-month-old Chinese boy was found unconscious with vomitus on floor of his grandmother’s bedroom. An open tube of a topical rubefacient was also.

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