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My daughter has been overweight her whole lifeand is always the largest kid in class. She’s juststarted high school and wants so badly to feelattractive, yet she cannot bear trying anotherweight loss program. At 5 ft 6 in, she weighs262 lb. Can you refer her to a surgeon so she canhave the operation that helps her lose weight?

The areas of hyperpigmentation shown here on the trunk of a 15-year-old girl appeared 2 years earlier as 1- to 2-mm hyperpigmented papules with either flat or verrucous surfaces.

A 16-month-old girl was initially brought to her primary care physician because of persistent nonproductive cough of 1 to 2 weeks’ duration, with lethargy, poor feeding, and worsening cough for the past 36 hours. She had been afebrile. The patient was noted to be pale and had a decreased level of interaction. She was promptly sent to the local emergency department. Laboratory studies showed a hemoglobin level of 3.8 g/dL and hypochromic microcytic anemia. The patient was subsequently transferred to the pediatric ICU for evaluation.

An overweight 13-year-old girl, with a body mass index of 29, presented with a lump in her axilla for the fourth time in the past several months. This time, the lump recurred in the left axilla; it had developed in the right axilla on 2 other occasions.

Scoliosis : An update on treatments for children and adolescents Puzzler : Acute shock during Lent Dermcase : More than "Ugg-ly" feet Streamlining your office with technology

Read reviews of "Caring for Your Baby and Young Child: Birth to Age 5;" "Mental Health, Naturally: The Family Guide to Holistic Care for a Healthy Mind and Body;" "Raising Twins: From Pregnancy to Preschool;" and books by Mary Mahony.

A physician in his mid-40s, Dr. Rifkin presumably may be roughly midway through his career as primary care pediatrician. And this has led to some personal reflections about being a pediatrician.

At some point in your career, a child will become critically ill, requiring resuscitation or other acute intervention in the office.

The first pediatric study of recombinant human hyaluronidase (rHuPH20)-facilitated subcutaneous hydration demonstrated that the procedure is safe, well tolerated, and effective in children with mild-to-moderate dehydration.

A single dose of the H1N1 vaccine may be enough to prevent infection in infants and children, according to a new study.

An editorial that examines the validity of certain familial admonitions and family wisdom.

FDA has approved InnoMed's Nasal-Aire II Petite for continuous positive airway pressure (CPAP) therapy for the treatment of obstructive sleep apnea in children aged older than 7 years or weighing more than 40 lbs.

Parents with questions about direct-to-consumer (DTC) genetic tests may be showing up in many pediatricians' offices soon, according to a prominent ethicist.

You are the senior resident covering the pediatric intensive care unit (PICU) when you receive a call from the emergency department (ED) regarding a nearly 14-year-old Caucasian female patient with a diagnosis of "acute abdomen and suspected septic shock." Ten days before admission, she had had a lipoma removed from her back under general anesthesia.

Employing active sonographic surveillance in newborns with mild hip dysplasia yields results similar to those achieved with immediate splinting treatment, according to a new study.

Text message reminders significantly improved adherence to medication regimens in pediatric orthotopic liver transplant patients, according to a new report.

The FDA approved quetiapine tablets as monotherapy for the treatment of schizophrenia in adolescents (aged 13-17 years) and as either monotherapy or adjunctive therapy for the acute treatment of manic episodes associated with bipolar I disorder in children and adolescents (aged 10-17 years).

I really enjoyed Drs Ewasiuk and Andrew's article, "When is a febrile seizure something else?" (Puzzler, November 2009). Haemophilus influenzae A and H influenzae B are diagnoses that young practitioners need to consider in their differentials, since many of us have not seen H influenzae illness firsthand.

Among urban adolescent girls, sexually transmitted infections (STIs) often occur soon after the first occurrence of sexual intercourse.

The Food and Drug Administration (FDA) issued a pair of warning letters to Nestle in December 2009 regarding product misbranding.

A recent study demonstrated that long-term, low-dose trimethoprim-sulfamethoxazole (TMP-SMX) was associated with a modest decrease in urinary tract infections (UTIs) in children who had had at least 1 such symptomatic infection in the past.

The next time you encounter a sleepy teen patient, you may want to discuss bedtimes with the patient's parents.

A 6-year-old girl has peeling soles on her feet. Although the peeling is not usually symptomatic, her feet become cracked, fissured, tender, and occasionally infected during the middle of the winter and summer.

A survey performed by the Substance Abuse and Mental Health Services Administration showed that nearly 70% of teenagers perceive a great health risk from smoking 1 or more packs of cigarettes a day.

Scoliosis is a relatively common childhood disorder that can affect infants, children, and adolescents.

Attorney General Eric Holder said that it is possible to reverse the damage that exposure to violence causes in children.

An expert committee convened by the federal National Toxicology Program carefully chose its wording at a recent meeting to say that there is "minimal concern" about adverse developmental effects in infants fed soy infant formula.

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