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Ingested and aspirated foreign bodies: Making sure that what went in comes outThe event may or may not be witnessed; the child may or may not have classic symptoms. A high index of suspicion and knowledge of the many possible presentations are your best insurance against the hazards of a missed or delayed diagnosis.
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"In the deep midwinter," a teenager's headache and cranial-nerve findings leave you coldAn adolescent girl complains of headaches and presents with lateral-gaze paralysis of the right eye. Can you solve this mystery?
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"In the deep midwinter," a teenager's headache and cranial-nerve findings leave you coldAn adolescent girl complains of headaches and presents with lateral-gaze paralysis of the right eye. Can you solve this mystery?
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"In the deep midwinter," a teenager's headache and cranial-nerve findings leave you coldAn adolescent girl complains of headaches and presents with lateral-gaze paralysis of the right eye. Can you solve this mystery?
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Your role in the spectrum of adolescent cancerYou can play a pivotal role in interpreting the diagnosis, understanding how deeply the disease affects psychosocial development, acting as liaison between family and oncologist, and?if treatment fails?supervising end-of-life care
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Type 2 diabetes mellitusType 2 diabetes in children was unheard of a generation ago. Even though very rare event today, the obesity epidemic is placing kids at risk.
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Painful lumps: Cause for concern?Lumps in children that cause pain have six basic causes. Here's how to differentiate among them and determine which require further investigation.
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Caring for the uncircumcised penis: What parents (and you) need to knowA declining circumcision rate means that more and more parents need to be educated about care of their son&s foreskin and that you need to be prepared to manage problems associated with an uncircumcised penis.
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Vitamin D: Benefits for bone, and beyondWe are not yet sure how much vitamin D a growing child needs, but we do know that most need more than they get. New recommendations are forthcoming but, until they are formulated, pediatricians should encourage maximal vitamin D intake from food, supplements, and outdoor activities whenever possible.
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A newborn with a urinary tract anomaly: What role for the general pediatrician?Being familiar with urinary tract anomalies identified on fetal sonography enables you to take steps to prevent problems in the newborn.
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Anxiety disorders in adolescentsOnce you have identified that your adolescent patient has an anxiety disorder, it's time to assess the depth of the problem to discover the best treatment.
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Known HRV infection may not decrease risk of IBIInfection with human rhinovirus (HRV) confirmed by polymerase chain reaction (PCR) does not decrease the likelihood of concurrent urinary tract infection (UTI) in infants aged from 1 to 90 days old, according to a study in well-appearing febrile infants in this age group.
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Prepare your office for a medical emergencyEmergencies in pediatric offices are not uncommon, but practices are seldom prepared to respond. Implementing an emergency office protocol and a mock code program?like those detailed here?might save a life.
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"Stop the car, Mom, I'm going to be sick!"Parents often ask for help with their child&s motion sickness, a condition that has become increasingly common. Is prescribing an antihistamine or a complementary therapy a good idea? Or is prevention the best route?
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Take time today to prepare your patients for their golden yearsYour young patients are more likely to survive to very old age than did previous generations. Will they flourish as senior citizens or be limited by illness and disability? In large measure, that depends on whether their families put into practice the advice you give—advice that comes out of an expanding body of remarkable, illuminating research.
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Educating children with disabilities: How pediatricians can helpEducational opportunities for children with disabilities were greatly expanded by the Individuals with Disabilities Education Act. Your advocacy can determine whether your patients who need special education services benefit from those opportunities.
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Trauma to primary teeth: Setting a steady management course for the officeEvaluate and treat a toddler&s injured loose tooth or lacerated gum in your practice? Or refer these cases to a dental specialist? It all depends?on the injury, the child, and you.
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Beating bad breathBad breath is no laughing matter for the child or adolescent who has it. Most cases can be alleviated by relatively simple measures, but not before the cause is pinpointed by a targeted history and physical exam.
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Beating bad breathBad breath is no laughing matter for the child or adolescent who has it. Most cases can be alleviated by relatively simple measures, but not before the cause is pinpointed by a targeted history and physical exam.
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Putting sleep disturbances to restSleep problems are common in children and adolescents. Understanding sleep physiology and educating parents about sleep hygiene and other interventions can turn an unhealthy situation around.
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Putting sleep disturbances to restSleep problems are common in children and adolescents. Understanding sleep physiology and educating parents about sleep hygiene and other interventions can turn an unhealthy situation around.
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"Stop the car, Mom, I'm going to be sick!"Parents often ask for help with their child&s motion sickness, a condition that has become increasingly common. Is prescribing an antihistamine or a complementary therapy a good idea? Or is prevention the best route?
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Travel Nursing Today: An Alaskan assignment gives this RN northern exposureBarbara Weaver, RN, accepted an assignment in Juneau to escape the punishing summers in St. Croix, and found both cooler climes and plenty of options to unwind in the Alaskan wilderness.
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New codes for 2007: What you need to knowNew codes for the New Year: Addition to circumcision codes, consultations, and nebulizations.
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Pediatric Puzzler: A 13-month-old fails to thrive: Playing those mind gamesA 13-month-old boy has reached a plateau in weight gain, even as his length and head circumference maintained their relative position on growth charts. His diet shows no abnormalities.
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Pediatric Puzzler: Vomiting and abdominal discomfortGrunting, hot, and vomiting:What's the bother in Baby's belly?
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When parents resist immunizationsMany families feel that pediatricians just don't listen when they try to voice concerns about vaccines. Our recommendation: Identify each family's specific issues, target your response accordingly, and use a nonconfrontational approach. Time-consuming lectures on big subjects like immunology generally aren't needed.
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Influenza: Update on strategies for managementAdvances in rapid diagnostic tests and antiviral therapy for influenza have given pediatricians new options for identifying and fighting this old and resilient foe.
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Shedding light on moles, melanoma, and the sunPediatricians must know how to differentiate worrisome moles from benign ones, identify children at risk, and educate families about sun protection.
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Atypical viral exanthems: New rashes and variations on old themesThis practical guide to recently identified, less known, and atypical viral rashes of childhood takes the mystery out of your evaluation.
