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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.

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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.

PEDIATRIC PUZZLER

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?

Whether to circumcise a newborn son is one of the first decisions parents must make for their child. Pediatricians can help them sort through the confusion and controversy surrounding the issue by providing accurate information and answers to their questions.

Despite promising developments such as the new rotavirus vaccine, acute diarrhea won't disappear from pediatric practice any time soon. This straightforward strategy for office management rests on the cornerstones of oral rehydration and continued feeding.