A 3 1/2-year-old girl, who is nonverbal because of an underlying neurological disorder, presented to day care with a pelvic bruise. The day-care attendant feared abuse and reported the findings to Child Protective Services (CPS). The parents told CPS that the child had been alone with her father and fell getting out of the bathtub.
Dr Wilson-series editor of our "Genetics Disorder" feature-has been practicing pediatrics and genetics for nearly 30 years. He has written more than 150 articles and 6 books and CD ROMs for clinicians on pediatrics and medical genetics. Examples include a collection of checklists to assist the primary physician with preventive health care1 and a "Keep Up With the Genetics Revolution"2 CD ROM to foster genetic education for nurses. He is also the author of Four Mothers: Four Faces of disAbility,3 which he wrote "for the desperate parent, hearing or thinking for the first time that something is wrong." He also dedicated that book to those clinicians who face the task of informing parents or for directing care for children with disabilities. He writes: "Here you can realize the value of your care and experience the enormous gratitude for those who make time for special needs of children."
A 3-year-old girl, who is nonverbal because of an underlying neurological disorder, presented to day care with a pelvic bruise. The day-care attendant feared abuse and reported the findings to Child Protective Services (CPS).
This image was obtained from a 5-month-old boy who was brought to the emergency department (ED) by his parents who noted new-onset rectal prolapse. The prolapse had promptly recurred following initial successful reduction under sedation in the ED. A surgical consultation was obtained, and abdominal radiographs were requested.
The photos presented this month reveal disease entities I have seen that did not respond to conventional therapy and that became resistant "diaper rashes." You may have seen some of these "bottoms" in previous issues of Consultant For Pediatricians. Next to each photograph, I have given several clues to the diagnosis. See if you can match these clues with the diagnostic choices listed below. You can check to see whether your diagnostic choices are correct on page 61.
Mary Engle, MD, a heart surgery pioneer, died at the age of 86 on Wednesday....
In women with anticipated early preterm delivery, intravenous maternal magnesium sulfate administration is associated with a 50 percent lower risk of moderate to severe cerebral palsy in their offspring, according to research presented this week at the 28th annual meeting of the Society for Maternal-Fetal Medicine in Dallas.
A recent prospective observational study of mercury concentration in blood, urine and stool of neonates and infants recently vaccinated with thimerosal-containing vaccines showed that ethyl mercury had a short half-life in these children and was primarily excreted rapidly in feces. This differs from oral methyl mercury from fish, which has a longer half-life in humans and toxicity at low concentrations, researchers report in the February issue of Pediatrics.
Two of the five new additions to the advisory council of the National Institute of Allergy and Infectious Diseases are pediatricians: Ann Arvin, MD, and Christel Uittenbogaart, MD....
The American Academy of Pediatricians (AAP) wants to make it explicitly clear that a new legal drama on ABC is just that -- fiction...
A study from the Centers for Disease Control and Prevention found that over 7,000 emergency room visits per year could be attributed to improper use of over-the-counter cough and cold medications...
A second attempt by Congress tried unsuccessfully to override President Bush's veto of the SCHIP (State Children's Health Insurance Program) expansion failed on Wednesday...
A long-term study of children with attention-deficit hyperactivity disorder (ADHD) found that the disorder?s long-term effects appear regardless of treatment...
A new survey by FitPregnancy magazine found that Portland, Ore. was the best place to raise a baby...
Edetate disodium and edetate calcium disodium have very similar names, but do quite different things to the body...
Specific genetic mutations have been discovered that may point to a significant chance of relapse in children with acute lymphoblastic leukemia (ALL).
One in three teenagers are within walking distance from school to cheap, greasy food, according to a new study...
The worry about safety with long-acting beta agonists (LABAs) should not be a problem, provided the LABAs are used with a corticosteroid...
The Centers for Disease Control and Prevention updated its immunization schedules from 2008, changing three recommendations....
The 1996 pediatric clinical trial run by Pfizer during a Nigerian meningitis epidemic has caused the world's largest drug company more problems...
A pair of recent studies bolstered evidence of autism's genetic origin...
If at least one parent of an infant has an atopic disease like asthma, food allergies or atopic dermatitis, the infant should be either breastfed or given a cow's milk-free formula for the first four to six months of life....
Ankyloglossia can have a significant impact on breastfeeding moms and their growing newborns. More often than not, resolutions can be delivered in snip--literally. Here's how.
The 125th anniversary commemorating the life of pediatrician and poet, William Carlos Williams.
A listing of camps throughout the US for diabetic children.
A listing of links about all types of diabetes that help explain what diabetes is, what other diseases and conditions it's associated with, and how to treat it.
How to negotiate esoteric E/M codes when billing for the care of special needs patients.