Office management of a palpable breast lump with aspiration
March 1, 2010

Aspiration of a palpable breast lump allows immediate reassurance for women with breast cysts and timely investigation and referral for women with solid masses. Full article

Acquired primary hypothyroidism: vaginal bleeding in a quiet child
February 22, 2010

A girl aged six years, nine months presented with vaginal bleeding, which included clots about 3 cm in diameter. The bleeding had started six days previously, and the patient was using three or four menstrual pads a day. The family had initially attributed the bleeding to a possibly unwitnessed straddle injury, but the child denied it. No other signs of puberty were noted. Full article

Acute urinary tract infection in infants and young children
February 16, 2010

A nine-month-old girl is brought to the family physician’s office with a temperature of 39.5°C for two days. She has been slightly fussier than usual but has been eating well and acting appropriately. Her vaccinations are up to date. There are no other reported symptoms, and her medical history is clear. On examination, she appears well, and there is no identifiable source of the fever. Is this a urinary tract infection? Full article

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