A 15-year-old previously healthy boy was admitted for a blunt abdominal trauma owing to cycling crash. On admission he alert; blood pressure and pulse rate were 145/95 mm Hg 75 beats/min, respectively. Physical examination result remarkable severe left-sided flank pain with guarding. No others injuries found. His urine like laboratory tests showed normal hemoglobin level, at 13.5 g/dL, hematocr...

reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page A 15-year-old male with severe cognitive impairment and history of speech delay presented to his primary physician with fungal infection of his toe nail. Review of systems revealed that he had been complaining of diffuse dull, right-sided ab...

Objective. To determine male vaccination rates with quadrivalent human papillomavirus vaccine (HPV4) before and after the October 2011 national recommendation to routinely immunize adolescent males. Methods. We reviewed HPV4 dose 1 (HPV4-1) uptake in 292 adolescent males in our urban clinic prior to national recommendations and followed-up for HPV4 series completion rates. After national recomm...