Vol 36 No 2

Probiotics vs placebo against gastroenteritis

February 01, 2019

 Of 973 preschool-aged children with acute gastroenteritis who visited 1 of 10 geographically diverse pediatric emergency departments (EDs), those who received a 5-day course of Lactobacillus rhamnosus GG, a commonly recommended and used probiotic, did not have better outcomes than those who received placebo, a prospective, randomized trial found.

Child with a history of multiple fractures

February 01, 2019

The patient, an 8-year-old male who recently immigrated to the United States from El Salvador, initially presented to the emergency department (ED) for a cough. The next day, he went to the general pediatrics clinic for follow-up and was noted to have a significant history of recurrent fractures.

Poverty raises risk of bacterial infection in febrile infants

February 01, 2019

Febrile infants from disadvantaged neighborhoods with high rates of childhood poverty are much more likely than their peers from more affluent neighborhoods to have a bacterial source for their fever, according to a retrospective study of infants aged 90 days or younger with a temperature of 100°F or greater who visited an emergency department (ED) of an urban children’s hospital.

Do-it-yourself pediatrics

February 01, 2019

Jon Matthew Farber, MD, practices in Northern Virginia where he can refer patients to a large variety of pediatric specialists, but he often chooses not to do so. Here are some common conditions/findings that are often referred out that he believes are often unnecessary.

Not sleeping through the night by age 12 months? Not to worry!

February 01, 2019

Many 6- and 12-month-old infants do not yet sleep through the night, but Canadian researchers found no significant associations between this situation and infants’ mental and psychomotor development or their mothers’ mood.

Pediatric oral health: Fluoride use recommendations

February 01, 2019

The second part of this article on integrating oral health into primary pediatric care discusses the important role of fluoride and fluoride varnish application for preventing dental caries in children.

Reticulated rash on boy’s lower extremities

February 01, 2019

A healthy 11-year-old boy is brought to the office for evaluation of asymptomatic reticulated rash that started on his ankles 3 weeks ago and since has spread to his shins and the tops of both feet. He is on no medications and has had no history of trauma or recent illness. What's the diagnosis?

A pediatric epidemic: Deformational plagiocephaly/brachycephaly and congenital muscular torticollis

February 01, 2019

Pediatric healthcare providers are on the front lines to provide early identification and treatment of plagiocephaly/brachycephaly and torticollis for those infants spending more time supine/reclined and less time prone. Here’s why early intervention is so important.