OB/GYN

Yellow bumps on the lips: What do they say to you? (Fordyce granules or spots)

Prophylactic antibiotics have long provided asplenic children with a measure of protection against bacteremia and sepsis. Recent progress in vaccines promises to strengthen the defense.

Increased use of intrapartum antimicrobial prophylaxis has greatly reduced the rate of invasive GBS disease. Universal implementation of updated guidelines for disease prevention will accelerate this important trend.

The physical examination for a patient seeking clearance to participate in a sport should focus on areas likely to yield significant findings--notably, the cardiovascular and musculoskeletal systems.

Office pediatricians need to be prepared to evaluate a patient?s suitability to participate in the sport of his or her choosing. Most significant findings can be uncovered by taking a thorough medical history.

Pediatric Puzzler: Swollen eyes (Orbital pseudotumor)

The stimulants your patient is taking won't necessarily be in her chart under "medication history." Consumption of caffeine, ephedra, or another herbal stimulant may be an overlooked factor affecting your patient's health.

The author reviews the presentation, diagnosis, and treatment of a handful (and they are a handful!) of dermatologic complaints: eczema, diaper rash, scabies, lice, and alopecia areata.

Preventing the potentially irreversible effects of congenital hypothyroidism requires early recognition, prompt treatment, and constant reassessment. A screening test for hypothyroidism on all newborns is just the beginning of your role.

Determining the cause of recurrent pneumonia requires that you run through an extensive differential, then order the diagnostic tests that narrow the field.

Recurrent rhinorrhea can present a diagnostic challenge. The authors offer tips for sorting through the differential and recommend a minimalist, individualized approach to management.

A 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.

These guidelines for interviewing patients with a behavioral complaint can eliminate holes commonly found in the history.

Self-healing reticulohistiocytosis

Being familiar with urinary tract anomalies identified on fetal sonography enables you to take steps to prevent problems in the newborn.

A 12-year-old girl complains of headache and vomiting. The symptoms developed two weeks earlier, she reports, and have occurred intermittently since. Pain persists severely for five to 15 minutes and then dully thereafter.

Expanded federal standards aim to better protect health-care workers from blood-borne pathogens transmitted by needlesticks, but they also pose potential problems for a pediatric practice.

When a newborn or his mother is too ill for him to nurse, the pediatrician can do much to help her pump properly, maintain her milk supply, initiate breastfeeding, and more.

When you are presented with a child who has a murmur, chest pain, or syncope, what findings on history and physical exam point to cardiac pathology? When should you refer?

When you are presented with a child who has a murmur, chest pain, or syncope, what findings on history and physical exam point to cardiac pathology? When should you refer?

The widespread use of ultrasonography during pregnancy necessitates that pediatricians monitor conditions diagnosed before the infant was born. Understanding prenatal sonographic findings and what type of follow-up they require can be critical.

As knowledge of the genetics of congenital heart disease in children races ahead, primary care physicians struggle to keep up.

Most children with constipation don&t have an underlying organic disease. The history and physical exam are usually sufficient to diagnose functional constipation. Behavioral modification, education, and oral laxatives are mainstays of treatment.

The newborn girl has just been delivered by emergency cesarean section when the nurse practitioner in attendance calls you with concerns about her appearance and the possibility of sepsis.

Overuse injuries have become common as more and more children participate in sports. A careful history can identify risk factors; targeted patient education can lead to successful rehabilitation and prevent injuries.