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  • JAMA Pediatrics October 1, 2016

    Figure 3: Examination of the Thyroid Gland in Pediatric Patients

    Examination of the thyroid gland is an important and readily accomplished aspect of a complete pediatric physical examination. The examination follows the important steps of any examination; look (A) and feel and listen (B and C). An enlarged thyroid (goiter) is defined by the ability to visualize the shape of the thyroid gland during physical examination (A and Table 3). Auscultation may be restricted to patients with suspected hyperthyroidism, in which a bruit, a continuous “murmur-like” sound from increased blood flow in the gland, may be appreciated using the bell of the stethoscope. A complete examination of the lateral neck lymph nodes (C) is an important addition to the examination of patients with thyroid nodules because differentiated thyroid cancer frequently metastasizes to lymph nodes in the neck. Palpable symmetric level IIA and IIB lymph nodes are a common finding in pediatric patients but thyroid cancer should be in the differential diagnosis for patients found to have persistent, large, firm lymph nodes in levels III, IV, and V.
  • Picture of the Month—Quiz Case

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    Arch Pediatr Adolesc Med. 2012; 166(1):89-89. doi: 10.1001/archpedi.166.1.89
  • Picture of the Month—Quiz Case

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    Arch Pediatr Adolesc Med. 2011; 165(9):865-865. doi: 10.1001/archpediatrics.2011.141-a
  • Picture of the Month—Quiz Case

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    Arch Pediatr Adolesc Med. 2007; 161(7):711-711. doi: 10.1001/archpedi.161.7.711
  • JAMA Pediatrics January 1, 2004

    Figure 1: Comparison of Traditional and Plethysmographic Methods for Measuring Pulsus Paradoxus

    Correlation between pulsus paradoxus measured by auscultation (PPausc) and pulsus paradoxus measured by the plethysmographic waveform method (PPpleth).
  • JAMA Pediatrics January 1, 2004

    Figure 2: Comparison of Traditional and Plethysmographic Methods for Measuring Pulsus Paradoxus

    Bland and Altman plot for all patients. PPausc indicates pulsus paradoxus measured by auscultation; PPpleth, pulsus paradoxus measured by the plethysmographic waveform method.
  • Comparison of Traditional and Plethysmographic Methods for Measuring Pulsus Paradoxus

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    Arch Pediatr Adolesc Med. 2004; 158(1):48-51. doi: 10.1001/archpedi.158.1.48
  • Radiological Case of the Month

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    Arch Pediatr Adolesc Med. 2000; 154(3):307-307. doi: 10.1001/archpedi.154.3.307
  • Picture of the Month

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    Arch Pediatr Adolesc Med. 1999; 153(9):997-997. doi: 10.1001/archpedi.153.9.997
  • Radiological Case of the Month

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    Arch Pediatr Adolesc Med. 1999; 153(8):887-888. doi: 10.1001/archpedi.153.8.887
  • Radiological Case of the Month

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    Arch Pediatr Adolesc Med. 1999; 153(6):645-645. doi: 10.1001/archpedi.153.6.645
  • Radiological Case of the Month

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    Arch Pediatr Adolesc Med. 1999; 153(5):541-541. doi:
  • Radiological Case of the Month

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    Arch Pediatr Adolesc Med. 1999; 153(3):303-303. doi:
  • Radiological Case of the Month

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    Arch Pediatr Adolesc Med. 1999; 153(1):85-86. doi:
  • Pathological Case of the Month

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    Arch Pediatr Adolesc Med. 1998; 152(7):709-710. doi: 10.1001/archpedi.152.7.709
  • Simultaneous Percussion Auscultation Technique for the Determination of Liver Span

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    Arch Pediatr Adolesc Med. 1994; 148(8):873-875. doi: 10.1001/archpedi.1994.02170080103020
  • Auscultation of the Heart—Early Neonatal Period

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    Am J Dis Child. 1961; 101(5):575-586. doi: 10.1001/archpedi.1961.04020060033004
  • VARIABILITY IN DETECTION AND INTERPRETATION OF HEART MURMURS: A Comparison of Auscultation and Stethography

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    AMA Am J Dis Child. 1952; 83(6):740-754. doi: 10.1001/archpedi.1952.02040100038003
  • Effect of Nebulized Hypertonic Saline Treatment in Emergency Departments on the Hospitalization Rate for Acute Bronchiolitis: A Randomized Clinical Trial

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    JAMA Pediatr. 2017; 171(8):e171333. doi: 10.1001/jamapediatrics.2017.1333

    This randomized clinical trial examines whether hypertonic saline nebulization treatment can decrease the hospital admission rate among infants with a first episode of acute bronchiolitis.

  • Thyroid Disorders in Children and Adolescents: A Review

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    JAMA Pediatr. 2016; 170(10):1008-1019. doi: 10.1001/jamapediatrics.2016.0486

    This review provides a practical review of the presentation, evaluation, and treatment of thyroid disorders commonly encountered in a primary care practice.