Jonah Preston, a five-year-old boy with a history of asthma, was brought to triage by his mother early one morning with a chief complaint of “difficulty breathing.” (This case is a composite based on our experience.) Ms. Preston reported that her son had recently been sneezing and had a runny nose. Over night, he’d begun to cough, finally waking her at 5 am complaining that he couldn’t breathe....

Primary care physicians have the opportunity, especially within the context of the medical home, to be the first point of contact when parents have concerns about their child's development or behavior. The goal of this policy statement is to help the pediatrician recognize the early symptoms of autism and participate in its diagnosis and management. This statement and the accompanying technical...

The first patient was a 7-year-old male child who presented with red lesions over the face after a single episode of vomiting [Figure 1]. On examination the lesions were purpuric, but not palpable (except for a few lesions where the petechia seemed to be superimposed over pre-existing milia).The child presented to us on the same day of the vomiting episode. The father mentioned that the vomitin...