ABSTRACT
A 15-month-old black male was brought to the pediatric emergency department by his grandmother because she was concerned about his 2 swollen big toes. The patient's grandmother said that the swelling began 36 hours prior and that her grandson's big toes had continued to increase in size. She denied trauma, bites, or unusual exposures and said that although her grandson had been fussier than usual that day, he was eating and drinking normally and had normal urine output. What is your diagnosis? How would you treat this patient?
Subject(s)
Edema/etiology , Streptococcal Infections/complications , Diagnosis, Differential , Edema/diagnosis , Humans , Infant , Male , Streptococcal Infections/diagnosis , Streptococcus/isolation & purification , ToesABSTRACT
It's unclear which women we should screen. No randomized controlled trials (RCTs) demonstrate that either universal screening or risk factor screening for gestational diabetes mellitus (GDM) prevents maternal and fetal adverse outcomes. That said, the common practice of universal screening is more sensitive than screening based on risk factors. Historic risk factors are poor predictors of GDM in a current pregnancy.
