News

The challenges of making and using flu shots. Plus: What does thimerosal do to young children?

The author discusses the efforts to build a pediatric hospital in devastated Sri Lanka.

Milk warmer * Baby carrier * Office screening tool

Pediatric hypertension * Procalcitonin and C-reactive protein * Newborn hearing tests * Total parenteral nutrition

Just because you can bill well and sick visits together, doesn't mean you should. Pick and choose the encounters that justify doing so.

Administering a psychotropic med to a young patient can be an uneasy venture, but you can build your comfort level through review.

Your journey through pediatric ECGs continues with the last four principles essential to their analysis, and a review of normal/abnormal findings.

A 6-year-old patient presents with an annular, scaly lesion on his leg. What could be the cause?

A 20-year-old presents in the emergency department with abdominal pain, and fever.

Letters to the Editor

A thank you from the Editor-in-Chief, years later, to her fellow residents, who helped her with scheduling and on call when she was pregnant and about to have her child.

A 2-week-old infant was assessed for an abnormal penis with a dorsal hood and a meatus that extended to the corona. Both testes were palpable in the scrotum. No chordee was apparent. Hypospadias occurs in 1 in 250 male newborns.1 In neonates with this congenital anomaly, the urethral meatus is ectopically positioned to open proximal to the normal site and on the ventral aspect of the penis or, in severe cases, on the scrotum or perineum. The prepuce is incompletely developed over the glans and presents as a hood. Some cases are associated with a chordee, which causes a ventral curvature of the penis with erection.

ABSTRACT: Chronic recurrent multifocal osteomyelitis (CRMO) is an inflammatory bone disease that occurs primarily in childhood. The clinical picture often is confused with bacterial osteomyelitis. Awareness of CRMO as a clinical entity helps avoid diagnosis and treatment delays. Our patient, an 8-year-old girl, presented with acute left hip pain. One month after presentation, a lytic lesion was seen on plain radiographs; biopsy revealed nonspecific inflammation. It was not until more than 2 years later, when multifocal bone lesions and psoriasis developed, that the diagnosis became clear. Our patient's case demonstrates several key points: not all children with CRMO present with multifocal disease, patients frequently have comorbid inflammatory conditions, and there are no diagnostic laboratory studies. The optimal treatments remain unknown.

The sharply demarcated, smooth red plaques on this 3-year-old's tongue had been present for several months. The child initially refused to stick out his tongue. He cooperated after he was offered a lollipop (with the stipulation that "the wider he opened his mouth, the bigger the lollipop he would receive").

The parents of a 7-month-old girl brought their daughter for immediate medical attention after she passed bright green-colored stool. For the past 24 hours, the child had mild fussiness and a low-grade fever (temperature, 38.1°C [100.6°F]); she also had vomiting and mild diarrhea, with yellow-colored stools. The mother was advised to begin small, frequent feedings of oral rehydration solution with gradual return to the baby's normal diet, as tolerated. Over the next 12 hours, the vomiting and fussiness decreased and the fever resolved, but the mild diarrhea persisted and stools turned bright green. The parents denied giving the child green-colored drinks or food.

The Centers for Disease Control and Prevention have joined forces with other public and private groups to raise the nation’s awareness of the health benefits of fruits and vegetable consumption.

Information on voluntary recalls of Dole packaged salads called Dole Hearts Delight sold in the US and Canada, and B. Braun Medical's Normal Saline Flush syringes .

An updated Vaccine Information Sheet for the Meningococcal Conjugate Vaccine (MCV4)is now available from the Centers for Disease Control and Prevention.

The Food and Drug Administration has approved the use of the intranasal influenza vaccine FluMist in children ages 2 to 5 years.

With increasing rates of premature births, primary care providers face questions about how to follow the neurodevelopment of these at-risk infants and children. Here's what to expect and how to optimize outcomes.

With increasing rates of premature births, primary care providers face questions about how to follow the neurodevelopment of these at-risk infants and children. Here's what to expect and how to optimize outcomes.

Promoting pediatric oral health and hygiene

Pediatric exam room decals * Handheld blood analyzer * Nasal wash system

A review of sixteen children's books that address the back-to-school season.

Promoting healthy eating to kids.

Diarrheal infection * Urinary tract infection * Respiratory syncytial virus ... and more

Doctors are expanding office hours to meet growing competition, improve patient access, and cope with limited space.