OB/GYN

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.

Parents look to pediatricians for advice on bathing their newborn and avoiding diaper rash. Discolorations and lesions (usually benign) are another concern. This review also updates the best way to care for the umbilical cord and addresses special skin-care considerations in premature infants.

New medicines for children; On the little screen; Get the lead out; AAP recommends conjugate pneumococcus vaccine

General pediatricians can perform the initial evaluation of newborns with bleeding disorders and, often, reach a diagnosis and make treatment decisions. Sometimes, however, it's best to call in a specialist.

Persistent fever in UTIs: What does it mean?; Kawasaki disease vs. adenoviral infection; Urban teens speak out on pregnancy prevention

The eosinophil can either enhance or suppress immune function, and it's associated with a wide variety of diseases. Little wonder a finding of eosinophilia often leaves pediatricians scratching their heads.

Open fetal surgery is improving outcomes in fetuses with a variety of fatal or severely disabling disorders. Developments in minimally invasive procedures hold great promise for in utero treatment, as do studies in gene therapy.

Condom use is up, and other options have expanded in recent years. This review of contraceptive management for adolescent patients will bring you up to date.

Arthritis can be caused by a range of viruses or other infectious agents, or develop in the wake of an enteric, genitourinary, or respiratory tract infection. Knowing the possible causes and typical signs and symptoms of infection-related arthritides helps make the diagnosis.

As new data correct past misconceptions and add new knowledge, it's up to pediatricians to debunk myths about "crack babies," watch for varied developmental consequences in infancy and beyond, and help parents and other caregivers maximize these children's potential.

Most health education materials intended for children or their parents are written at too high a reading level. This review will help pediatricians choose and create handouts that get their message across.

The baby born through meconium-stained amniotic fluid is at risk for acute respiratory distress, long-term sequelae, or even death. Early identification and treatment of sick infants limits complications.

A 7-year-old boy is brought to your office for evaluation of an asymptomatic birthmark on his left buttock. Except for proportional growth, there have been no changes in the lesions.

aunt vs. pediatrician

Herbs and supplements are heavily marketed to teens, who think they are well educated about their use. What many dont realize is that natural is not synonymous with safe. Staying one step ahead with informed questions and answers is your best defense against overlooking an important diagnosis.

When children are incontinent during the day, it's generally because of a functional bowel or bladder disorder. Successful treatment calls for a systematic evaluation to identify the disorder, followed by behavioral modification and medication. Strong motivation is a must.

All of us want to see children become selfsufficient, selfrespecting adults; the question is: What makes it happen? A landmark study has identified a single variablethe age of a child's mother when she first gives birthwith some striking longterm effects. The data should give every pediatrician pauseand food for thought.

Cryptorchidism is more common that you might think, especially in premature infants. Accurate diagnosis and early correction, made easier by laparoscopy, relieve stress on the family and may reduce the risks of long-term complications such as infertility.