OB/GYN

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.

The consequences of contracting a sexually transmitted disease can be devastating and long-lasting for adolescent girls. This review of the latest diagnostic testing methods and treatments will help you offer at-risk teens the best of care.

We can no longer assume that all new-onset diabetes in children and adolescents is type 1. As type 2 diabetes creeps downward from adults into younger age groups, differentiating it from type 1 disease and starting appropriate treatment become vitally important.

AAP annual meeting, Children and computers, What parents don't know about early childhood. Eye on Washington

The office visit seems pretty routine: a 4-week-old whose mother is concerned about swelling in his left groin.

Prompt screening for proteinuria can bring this uncommon condition to light in children who present with periorbital edema. Close consultation with a pediatric nephrologist offers the best hope for minimizing complications.

Hyperandrogenism, most notably polycystic ovary syndrome, is a common cause of acne and menstrual difficulties in teenage girls, yet many pediatricians fail to recognize the condition. Prompt diagnosis and treatment can relieve a significant source of distress for patients, while helping to prevent serious complications later in life.

A hospital in Michigan has developed a program to aid compliance with AAP guidelines on newborn discharge. Its plan could serve as a model for other institutions.

A hospital in Michigan has developed a program to aid compliance with AAP guidelines on newborn discharge. Its plan could serve as a model for other institutions.

Children referred for evaluation of an endocrine disorder often turn out to have findings that merely mimic the suspected disease. Early identification of these nondiseases can save patients and parents a lot of unnecessary testing and worry. First of two parts.

Not at all rare in teens, endometriosis is sometimes severe even in early adolescence. Accurate and early diagnosis is important so you can start treatment before this disease affects reproductive potential. Family history is one red flag.

Emesis in the first year of life, though generally not a cause for concern, can suggest serious disease. Certain signs and symptoms associated with vomiting, particularly the presence of bile, call for imaging studies and other tests.