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Vol 35 No 9

8 best practices to toss

September 01, 2018

In my 40-plus years of pediatrics, I have sometimes treated patients based on the best of intentions, but with perhaps the worst of evidence. Here are some “best practices” I have used, and discarded, over time.

Obstructive sleep apnea treatment may be a therapeutic option for NAFLD

September 01, 2018

Treatment of obstructive sleep apnea/nocturnal hypoxia with continuous positive airway pressure (CPAP) in children with nonalcoholic fatty liver disease (NAFLD) reduces the severity of liver injury and of oxidative stress.

Newborn with bilious emesis and weight loss

September 01, 2018

A 6-day-old, late-preterm male neonate presents to his pediatrician’s office with bilious emesis and is admitted for further evaluation. He was born at 36 weeks and 6 days via spontaneous vaginal delivery to a 23-year-old G4P4 mother with negative serologies, negative antenatal Group B Streptococcus testing, and no significant prenatal events. His stay in the newborn nursery was unremarkable. The neonate is exclusively breastfed, has no history of rectal bleeding, and passed meconium within the first 24 hours.

Improve mental health access: Collaboration, integration, and telepsychiatry

September 01, 2018

Pediatricians are quite capable of caring for both the physical and mental health of patients. Here is how embedding mental health services into your practice and collaborating with community mental health professionals can accomplish both.

Fistula spied near infant’s eye

September 01, 2018

The mother of a healthy 4-week-old boy brings him to the office for evaluation of a small pit on the medial canthus of the left eye, noted since birth. There is constant drainage of tears onto the left side of his face and exudate on the bottom of the left medial canthus.