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Vol 36 No 3

Riddle me this: Depression, suicide, and the screening imperative

March 02, 2019

This month’s quiz will test your knowledge of key diagnostic points in the screening process for depression in primary care. You’ll test your knowledge on 5 key points. Each point gives you context for the correct answer-and, most importantly, provides valuable resources.

Feel more comfortable about recommending HPV vaccine

March 01, 2019

Watching a short training video that addresses provider related barriers to vaccination against human papillomavirus (HPV) corrects common misperceptions about HPV and the vaccine, increases providers’ comfort in counseling vaccine-hesitant parents, and facilitates vaccine completion.

Painful, tense acral bullae in a 12-year-old girl

March 01, 2019

A healthy 12-year-old girl presents to the clinic with 2 days of low-grade fever and enlarging, painful, tense bullae on both hands. She had recently been diagnosed with streptococcal pharyngitis and was being treated with oral cefixime.

Supplements for sadness: Safe or senseless?

March 01, 2019

More parents are looking to nutritional supplements to address depression symptoms in their children. Here’s what pediatricians need to know about the risks and benefits of these treatment options.

Congenital upper limb deficiency: A case report

March 01, 2019

Abnormalities of the limbs at birth can be devastating for the parents of a newborn. However, the primary care pediatrician, a rehabilitation team, and the family can help the child develop normal functioning and be independent.

7 ways to involve parents in care

March 01, 2019

Often we treat a child without considering the parental role, as when we prescribe an antibiotic to be multiple times a day. Other times we do need to consider the parents. Here are the thoughts from Jon Matthew Farber, MD, on how parents view, interact with, and advocate for their children in these situations.

Teenager with ankle pain and swelling

March 01, 2019

A 15-year-old adolescent Caucasian male with no significant past medical history presented to the clinic with gradually worsening left ankle pain over the past 2 weeks, ever since he started his football practice. He complained of dull aching pain at the lower end of his left leg for the past 4 months, which was slightly relieved by over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs). He twisted his left ankle and noticed further worsening pain, which prompted this doctor visit.

Child physical abuse is linked to Friday report card release

March 01, 2019

Release of school report cards on a Friday is associated with a significant rise in certified child physical abuse reports the following day, a retrospective study of a single academic year in Florida found. 

Too few teenagers are screened for depression

March 01, 2019

Whereas rates of screening for adolescent major depressive disorder (MDD) have increased in recent years, they still are insufficient to address the current mental health crisis among adolescents, an analysis of countrywide data for 413,080 12- to 14-year-olds showed.

Role of infectious disease in mental illness development

February 18, 2019

Infections and how they are treated early in life may impact how mental health disorders develop early on, according to a new report, highlighting the need for a better understanding of the mind/body connection.

LGBT teens and suicide risk: How you can help

January 10, 2019

The teenaged years are difficult across the board, but a report highlights the additional challenges for lesbian, gay, bisexual, transgender (LGBT) adolescents and calls to attention their increased risk for suicide attempts.