3-Year-Old Female Patient Admitted to ER with Fever and Vomiting Case Summary 3-year-old female patient, born and raised in São Paulo, Brazil Previously healthy Admitted to E.R. with a 2-d history of fever and vomiting Right Otitis Media diagnosed in another service, treated with azithromycin. Developed with worsening of symptoms and bilateral convergent strabismus, more accentuated to the right
14-Year-Old Male Patient Admitted with Left Visual Loss and Altered Level of Consciousness Case Summary 14-year-old, male, born and raised in São Paulo, Brazil. Previously healthy. Admitted to E.R. with left vision loss and altered level of consciousness. Recurrent episodes of headaches during the past 30 days, blurred vision, and poor balance.
Complex Cloacal Malformation 2-day-old female is admitted with bilious emesis, abdominal distention and failure to pass meconium. Birth weight was 3.5 kg. On physical exam she was noted to have a single perineal orifice.
Updates in Diagnosis and Management of Hyperinsulinism and Neonatal Hypoglycemia: Surgery for Hyperinsulinism Fetal Surgery Editor N. Scott Adzick, M.D. Surgeon-in-Chief