20 questions to ask yourself as you write that prescription
August 1st 2004You took a thorough history, performed a solid physical examination, made a reasonably good diagnosis, decided on a proper course of treatment, and wrote a prescription for your young patient. All done? Not so, unless you asked yourself:
Counseling parents on infant day care: How to do it effectively
August 1st 2004Putting their baby in day care is an emotional occasion for parents, as well as a subject that often comes up during office visits. You're in an opportune position to provide advice and support on returning to work and finding the best child-care arrangement for the family.
Case In Point: Clavicle Fractures in Children
August 1st 2004Clavicle fractures in the pediatric population are very common. Clavicle fractures in the pediatric population are very common. Clinical manifestations include decreased movement of the arm on the affected side, crepitus, and/or bony irregularity at the fracture site. Here, a review of fracture in newborns and older children.
Fever and cough persist, a faint rash comes on: Another viral syndrome?
July 1st 2004As the attending on the community hospital's general pediatric service, you're called in this afternoon to see a 9-year-old girl who was admitted the evening before for chief complaints of a fever (axillary temperature, 102° F to 103° F) and cough of five days' duration. She has been observed to have a dry hacking cough, and broke out in a faint rash after admission. Can you solve this Pediatric Puzzler?
Fever and cough persist, a faint rash comes on: Another viral syndrome?
July 1st 2004As the attending on the community hospital's general pediatric service, you're called in this afternoon to see a 9-year-old girl who was admitted the evening before for chief complaints of a fever (axillary temperature, 102° F to 103° F) and cough of five days' duration. She has been observed to have a dry hacking cough, and broke out in a faint rash after admission. Can you solve this Pediatric Puzzler?
Caffeine may raise adolescents' blood pressure—especially among African-Americans
July 1st 2004In a recent study, adolescents who consumed a large amount of caffeine (more than 100 mg/day, the equivalent of almost four 12-ounce cans of cola soda) had a higher systolic BP than peers who consumed smaller amounts of caffeine.
How will the new guideline for managing otitis media work in your practice?
June 1st 2004The first round of recommendations from two expert groups illuminates several areas: diagnostic criteria, pain management, observational management, and the use-or withholding-of initial antibiotics. Here is a sweeping review of what the guideline might mean for the kind of care you give.
Newborn respiratory problems: When the grunting and flaring won't go away
June 1st 2004Respiratory signs and symptoms in newborns may reflect a problem that requires treatment or referral. A systems-based approach will help you recognize true respiratory distress and keep evaluation and management on track.