News

A 2-month-old girl who lost 30 g over 7 days is noted to have multiple hepatic masses during abdominal ultrasonography to rule out pyloric stenosis; she is referred for further evaluation. She has a history of physiological jaundice and gastroesophageal reflux (GER). She continues to vomit despite treatment with ranitidine.

An 18-month-old white boy is brought to his well-care visit by his parents, who are concerned that for the past month he has been less social and active. He has appeared weak and has refused to walk or play with his siblings. He has also had a decreased appetite and has lost about 2 kg. He has vomited several times but with no bile or blood.

The chief residents at the Children’s Hospital of The King’s Daughters in Norfolk, Va, handle about 1 or 2 cases per week. About once a month, they have a great teaching case in their morning report. These standout cases challenge the residents’ diagnostic acumen and underscore key points that are both applicable to daily practice and likely to appear as questions on future board certification examinations.

This baby boy was born at 40 weeks’ gestation via repeated cesarean section without any distress after uncomplicated antenatal and perinatal periods. Weight was 6 lb 4 oz. Apgar scores were 9 and 9 at 1 and 5 minutes, respectively. He was noted to have lower lip asymmetry. While at rest, the lower lip protruded slightly on the right but otherwise appeared normal (A). During vigorous crying, the lower lip pulled downward to the right (B). All other physical findings were normal.

The SAFEKIDS Initiative is a cleverly-named program with a wholly positive goal: to determine the effects of sedatives and anesthetics in the developmental skills of very young children.

There aren't too many castles in South Dakota. A new one in Sioux Falls contains not dragons and princesses but doctors and nurses.

Photo contest winners!

In 2008, Contemporary Pediatrics asked its readers to join the journal in celebrating its' 25th year by participating in a Call For Photos contest. Readers were asked to submit photos of pediatricians engaging with their patients, and photos of their patients participating in activities. Awards were given for first, second and third place winners.

Although the majority of children with mild traumatic brain injury will not face any long-lasting adverse effects, there is a "substantial minority" -approximately 25%- who will experience a significant sharp rise in post-concussive symptoms, according to new research.

There's no more need to look for the BPA-free label on new baby bottles -- the chemical won't be used anymore.

On Monday, President Obama nominated Kansas governor Katherine Sebelius to head up the Department of Health and Human Services.