OB/GYN

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.

Oral contraceptives are a safe and reliable choice of birth control for most teenage girls. Here&s what you need to know to prescribe them appropriately and counsel your patients effectively.

We may, sometimes, take for granted the knowledge and skills of our mentors, but years later we understand why we made the choices we did and the influence thay had.

Wrestlers and athletes in other "weight-sensitive" sports are at high risk of engaging in unhealthy weight loss practices. Learning how to intervene effectively will help you deal better with weight issues in all your patients.

The latest guidelines for providing pediatric life support recommend changes not only in the practice of cardiopulmonary resuscitation but also how it is taught.

Dissuade mothers from switching formulas unnecessarily and help them avoid disappointment by knowing how formulas differ and what constitutes genuine intolerance.

A growing number of families use herbal preparations to manage dermatologic problems. Are you familiar with what the literature shows about their effectiveness and safety?

A range of issues must be addressed once sexual abuse is suspected or identified: Prophylactic treatment for STDs, emergency contraception, documentation, and reporting.

Knowing the signs and symptoms of sexual abuse, techniques of interviewing, the significance of anogenital findings, and which lab tests to order will help you identify victims and intervene effectively.

Knowing the benefits and limitations of computed tomography, magnetic resonance imaging, and other techniques can help you request the right studies, prepare the family for the exam, and evaluate results.