News

This story was told to me by Dr W, a pediatric resident whom I run into every now and then. He swears that it's true. He had an afternoon to kill one Sunday in late August, before taking call that night, so he went to the Hamtramck Street Festival. Hamtramck is a small city completely surrounded by the city of Detroit. Until 20 or 25 years ago, it was populated nearly almost entirely by families of Polish origin--immigrants and their descendants. Then, as in other Rust Belt cities, time and unemployment produced some drastic changes. The city became poorer; physical decay became more evident. Immigration from Albania, Yugoslavia, the Middle East, Pakistan, and Bangladesh reduced the Polish majority. Still, it's the only city in North America that has a park with a statue of Pope John Paul II. "A touch of Europe in America" say the bumper stickers.

This 21-month-old toddler was brought for a well child visit. His head had been large since birth; at this visit, head circumference was 51 cm (significantly above the 95th percentile). Neurological findings were normal; except for some early developmental gross motor delays, he was on a par with his peers. All other physical findings were normal. His mother's head circumference is 59 cm and his father's is 64 cm.

For years we have been prescribing prophylactic antibiotic therapy for children with a first-time urinary tract infection (UTI) before obtaining imaging studies-as is recommended in the 1999 American Academy of Pediatrics' practice parameter1-and for those with vesiculoureteral reflux (VUR). Although many pediatricians have raised questions about the efficacy and safety of this practice, the risks and benefits of antibiotic prophylaxis have not been well studied.

Does repeated antibiotic use in an individual patient increase his or her personal risk of infection with a resistant organism? Does such use also increase the risk for the community at large?

After studying the issue, the US Preventive Services Task Fore (USPSTF) cannot recommend for or against the routine screening for dyslipidemia in children, adolescents, and young adults (up to 20 years of age).[more]

After studying the issue, the US Preventive Services Task Fore (USPSTF) cannot recommend for or against the routine screening for dyslipidemia in children, adolescents, and young adults (up to 20 years of age).[more]

On August 15, the FDA issued an advisory that warns parents not to give over-the-counter cough and cold medications to children under 2 years of age, unless directed to do so by their child?s health care provider. [more]

Bristol-Myers Squibb (BMS) said the FDA has agreed to review the company’s supplemental biologics license application for its arthritis drug, abatacept (Orencia). The drug is currently used by adults with moderate-to-severe rheumatoid arthritis who have had an inadequate response to one or more anti-rheumatic medications. [more]

Q and A with Alain Joffe, MD about current recommendations for adolescent vaccinations.

An office newsletter is an ideal way to teach parenting skills, announce practice policies, pass on health care recommendations, and reinforce instructions on managing a child's illness.

Eating away allergies

Research into the progression of allergic diseases among infants shows that feeding choices can have an impact.

Counseling teenage patients on contraceptive options can and should be part of a day's work. Here's what you need to know.

You are asked to evaluate a 2 ;½-year-old healthy boy with a 2-day history of a generalized asymptomatic skin eruption.

A 3-year-old presented to the ED with "butt and penis pain". His parents reported that he had a gradual decrease in frequency of stools, increased straining, and development of small, hard "balls" of stool.