Swallowed Object: Wait or Intervene?

Foreign bodies that have been present for longer than 24 hours
A 3-year-old girl ingests a metal pendant. Explore the clinical decision-making for managing esophageal foreign bodies in children. When is observation safe?
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A Child’s Fever & ‘Doughnut’ Lesions

Group A streptococcus
Discover the cause behind a child's sore throat, fever, and classic 'doughnut' lesions. A key clinical sign in pediatric pharyngitis.
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Bilious Emesis in a Neonate

Hirschsprung's disease
A newborn presents with bilious emesis, abdominal distention, and no meconium in 24 hours. Explore this classic case of neonatal bowel obstruction.
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A Cry-Associated Genital Mass

Hydrocolpos
A 1-day-old girl presents with a soft, protruding genital mass that enlarges with crying. Explore the differential diagnosis and key investigations.
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The Split-Colored Newborn

Infant harlequin syndrome
A neonate with a heart condition develops a striking unilateral erythema. Explore this benign, transient vascular phenomenon seen in newborns.
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The Great Imitator in an Infant

Congenital syphilis
A 6-month-old girl presents with a perirectal mass, frontal bossing, and severe periostitis on tibial radiograph. Explore the diagnostic workup.
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Nodules in an Immunocompromised Child

Fusariosis
An 8-year-old with leukemia presents with fever and skin nodules, unresponsive to standard antibiotics and antifungals. Explore the differential diagnosis.
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Neonate with a ‘Coat Hanger’ Chest

Paternal uniparental disomy 14 (UDP 14 pat) thoracic dysplasia
A preterm neonate presents with respiratory distress, a giant omphalocele, and a unique 'coat hanger' chest on X-ray. Explore this rare genetic diagnosis.
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A Worsening Rash in an Infant

Zinc deficiency
A 4-month-old, exclusively breast-fed boy presents with a 6-week history of a worsening rash and extensive erosive plaques. Explore this challenging diagnosis.
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A Newborn’s Silent, Distended Abdomen

Hirschsprung's disease
A 3-day-old infant presents with vomiting, constipation, and a distended abdomen. What's the underlying cause of this neonatal intestinal obstruction?
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