One of the first dictums that is taught in clinical medicine is that appendicitis is the great imitator.   While there is a classic presentation for an acute appendicitis, far too often it can be subtle and take on the appearance of something entirely different. That is why clinicians must have a very high index […]

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It was a busy Sunday afternoon and my weekend on call was coming to an end.   With winter officially here pediatric illnesses had picked up in both the office and the hospital. There were the typical viral upper respiratory tract infections, flare-ups of asthma, ear infections and gastrointestinal infections. It is a predictably busy […]

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Nikki’s mother brought her to the office because of a number of issues that had been going on for awhile. Her mom states that Nikki has an endless abundance of energy…that is, until a couple of weeks ago.   The young lady is 12 years old and usually an active sixth grader—a real “go-getter” according […]

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Mrs. White made an appointment for Kacie, her happy and thriving 3 month old daughter. According to mom, Kacie spits up, or vomits, “every ounce of formula” she seems to take in.   Like clockwork, Kacie vigorously eats every 3-4 hours, polishing off every drop of formula in her bottle. After her tummy is full, […]

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