Vol 35 No 10

State of the anti-vax union

August 08, 2018

The number of kindergartners starting school without protection against vaccine-preventable diseases is increasing in states that allow nonmedical exemptions to recommended immunizations.

Teens plus heavy screen time equals ADHD?

September 17, 2018

Although digital media isn’t proven to cause attention-deficit/hyperactivity disorder (ADHD), researchers are now linking self-reported ADHD symptoms in some teenagers to heavy social media and other digital media use.

Behavioral sleep interventions really work, parents say

October 01, 2018

Most parents in a Facebook peer support group for parents using behavioral sleep interventions (BSIs) reported in an online survey that their infant cried significantly less by the end of 1 week of BSI implementation and that they achieved complete success within 2 weeks, regardless of which type of BSI they used.

Red flags for genetic disorders

October 01, 2018

At a minimum, the pediatrician should be familiar with genetic disease on the newborn screen and other genetic diseases they may see in their office. It’s also important to recognize the child with multiple medical issues who also may need referral to a genetic or metabolic specialist.

Coding basics: Medical decision making is the key

October 01, 2018

Pediatricians need to document visits correctly to ensure continuity of care and to bill appropriately. Are you confident your office notes will pass muster with those inevitable insurance company audits?

Boy’s progressive extremity rash looks fishy

October 01, 2018

A previously healthy 8-year-old boy presents to the dermatology clinic with a progressively worsening elbow rash over the course of the last week. The rash does not itch. He spent the previous weekend sailing on the Chesapeake Bay. His pediatrician prescribed a course of cephalexin as well as a trial of topical antiviral ointment, neither of which improved the rash. The patient denies any other new exposures. 

Advice for new parents and their babies

October 01, 2018

By the time most of us become parents, we have been pediatricians for a while and do not find parenting all that scary. To get the right dose of empathy, think back to when we first started handling babies-in medical school. Here are some things I tell new parents.

Kawasaki disease: AHA statement and recommendations

October 01, 2018

Pediatricians must suspect Kawasaki disease (KD) in children with prolonged unexplained fever. This article reviews the latest scientific statement on KD from the American Heart Association that is of practical importance for all clinicians.

Riddle me this: Genetics

October 01, 2018

If it's been a while since you confidently knew your genotypes from your phenotypes, here are 6 questions to test your genetic knowledge and see how you stack against your pediatric peers.