News

Across the United States, the location where a child is born and raised can make a huge difference in the child's health and well-being, according to a report released on April 2 by the non-profit Every Child Matters Education Fund.

Transplant practices vary worldwide among both pediatric and adult hematopoietic cell transplantation physicians, suggesting the need for clinical trials or observational data to guide the best practice, according to the results of a study published online March 31 in the Journal of Clinical Oncology.

Use acetaminophen or ibuprofen to treat your child's fever, and watch for symptoms and signs that will need a doctor's attention.

Obese adolescents who lose large amounts of weight due to bariatric surgery have better cardiac function and geometry, researchers report in the April 8 issue of the Journal of the American College of Cardiology.

After pediatric liver transplantation, children aged 5 and over have compromised physical function and their parents have higher levels of stress. Although transplant families do not generally appear to have a higher level of family dysfunction, this may not be true for all demographic groups, according to a report published in the April issue of Liver Transplantation.

An anxious mother asks you to evaluate two slowly growing asymptomatic nodules on the third and fourth fingers of her healthy 4-month-old son.

Figures A-D show 4 children with the same congenital malformation pattern. Children with this disorder often have a low birth weight and feeding problems in the nursery, with severe gastroesophageal reflux. Their cry is frequently low-pitched and growling. Among the characteristic birth defects are those that affect the limbs, as shown in these patients.

As pediatricians, we have been encouragingcar seat and seat belt use by our patients formany years-checking them off our list ofanticipatory guidance to be given at healthmaintenance visits. If we are not runningshort on time, we may even remember to remind preteensthat they should not get in the car with anyonewho has been drinking or using drugs. But are thereother issues we should be mentioning related to gettinginto cars that pose a risk to our patients?

The patient's medical history was unremarkable. He had been born via normal vaginal delivery. His father had a history of strabismus. The child had fix-and-follow vision in both eyes. Extraocular muscle movement appeared normal. A Hirschberg test showed orthophoria. A Bruckner test showed symmetrical red reflexes in both eyes. Cycloplegic refraction revealed moderate hyperopic correction, which was symmetrical in both eyes. No retinal or optic nerve head defects were noted on dilated fundus examination.