OB/GYN

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.

Alternative therapies seem to thrive where mainstream medicine is most challenged. The focus here is on herbs and supplements used to treat childhood cancers?why they're used, what families hope for from them, and how the evidence stacks up.

Crohn disease and ulcerative colitis are not confined to the gastrointestinal tract. Growth failure, painful joints, and oral or skin lesions are just a few of the nonintestinal signs and symptoms of inflammatory bowel disease that can help you make a diagnosis-- sometimes even before GI problems appear.

As more and more kids participate in recreational and competitive sports, pediatricians must be able to recognize and treat infectious diseases that commonly plague athletes and to make sound decisions about when athletes may resume play.

A spoonful of sugar, Healthy people 2000: A report, Quality child care, AAP goes head to head with the generic drug industry--and wins, Breastfeeding tragedy: The last act; Eye on Washington

Do you do a genital exam on your male adolescent patients? You should. These adolescent specialists demystify the process by teaching you where the landmarks are and what to look for.

Recognizing cerebral palsy in the first year of life has substantial benefits for both the infant and the family. Here are the risk factors and motor signs to look for.

Repetitive motions put athletes in these performance sports at high risk for overuse injuries. Here are the signs to look for and tests to perform. Look for disordered eating and amenorrhea, too.

General pediatricians do not always have access to a neonatologist when they need one. This case-based review will refresh and update your knowledge of how to approach neonatal problems ranging from the need for resuscitation to development of a rash.

For almost 20 years, pediatricians have hesitated to use acyclovir for "minor" ailments like fever blisters and chickenpox. These authors make the case that even minor illnesses deserve this proven therapy--especially now that it is off-patent and reasonably priced. See if their argument persuades you.

Vigilant monitoring and management are the keys to keeping the healthy, full-term infant with hyperbilirubinemia healthy and heading off the danger of brain damage.

As more mothers breastfeed, and for a longer time, pediatricians and their staffs are being called on to answer a wide variety of questions. These lactation experts show you how to respond to worries ranging from babies with too many or too few bowel movements to concerns about engorged breasts.

Some pediatricians consider hospitalists a threat to their professional scope and to continuity of care for their patients. But when conditions are right, hospitalists can be just what the doctor ordered.

For almost 20 years, pediatricians have hesitated to use acyclovir for "minor" ailments like fever blisters and chickenpox. These authors make the case that even minor illnesses deserve this proven therapy--especially now that it is off-patent and reasonably priced. See if their argument persuades you.

A newborn infant is cyanotic, hypoxemic, tachypneic, and grunting. Despite endotracheal intubation with 100% oxygen delivery, his percent oxygen saturation by pulse oximetry is only in the twenties. There seems to be a difference in oxygenation.

A gentle, patient approach is important when examining a prepubertal girl. Pay special attention to anatomic and pathophysiologic differences in the child. Emphasize setting the stage to make the examination a positive experience for your young patient.

Physicians have known for three decades that taking high doses of oral contraceptive pills afterunprotected intercourse can prevent ovulation and implantation. Isn't it time you considered offering adolescent patients this effective means of avoiding unintended pregnancy?