
Several hours before he was seen in the office, a 2-year-old boy passed stool that contained a large intact sunflower seed. He had poor appetite and abdominal cramps but no recent history of emesis or fever.

Several hours before he was seen in the office, a 2-year-old boy passed stool that contained a large intact sunflower seed. He had poor appetite and abdominal cramps but no recent history of emesis or fever.

This young girl is brought to your office with a rash that her mother thinks is triggered by sunlight. The mother is concerned because her own aunt has lupus erythematosus. The mother also reports that several children at her daughter's school have a similar eruption.

A 13-year-old boy presented with marked periorbital swelling of the left eyelid that started 12 hours earlier. His eyelashes and lid were matted with yellow discharge. He did not wear contact lenses or eyeglasses and denied ocular trauma or foreign bodies. He had been nauseated and vomited once; his mother attributed these symptoms to an antibiotic he had been taking for 5 days for a sinus infection. The medical history was noncontributory; there was no family history of ocular problems.

The Robert Wood Johnson Foundation has awarded $4.5 million in grants to 15 community programs aimed at bringing school-connected mental health services to all children in need, with an emphasis on those from low-income immigrant and refugee families.

Intracranial bleeding in newborns has been found common after a vaginal birth, although the bleeding is limited and apparently has no effect, according to researchers at the University of North Carolina School of Medicine.

A small study recently published in the New England Journal of Medicine found that repeated topical use of products containing lavender oil and/or tea tree oil may cause prepubertal gynecomastia, which is considered to be rare in boys prior to puberty.

Consumers are warned not to use certain jars of Earth's Best Organic 2 Apple Peach Barley Wholesome Breakfast baby food, because of a risk of Clostridium botulinum contamination. The affected foods were sold in individual jars and in variety packs (containing four jars of the apple peach barley in the pack along with other types). This line of food is a part of the "2nd Vegetables, Fruits, and Blends" intended for infants six months and older. Distribution was through retail stores and the Earth's Best Web site. Consumers should not use and destroy any of this product, even if it does not look or smell spoiled.

There is increasing evidence that environmental toxicants affect kids' health. Given this reality, pediatricians need to know the most important environmental health questions to ask, and what resources to draw from.


Television can have a powerful effect on children. If it is viewed as a tool, TV can exert a positive influence on its audience of children.

There is increasing evidence that environmental toxicants affect kids' health. Given this reality, pediatricians need to know the most important environmental health questions to ask, and what resources to draw from.

There is increasing evidence that environmental toxicants affect kids' health. Given this reality, pediatricians need to know the most important environmental health questions to ask, and what resources to draw from.

A look at how cell phones, PDAs, and wireless networks interact with medical devices.






Several cases are discussed to remind pediatricians to consider HIV in the differential diagnosis for children when appropriate.

Television can have a powerful effect on children. If it is viewed as a tool, TV can exert a positive influence on its audience of children.

It is early evening when a previously healthy 2-year-old Hispanic girl is brought to the hospital by her mother. The girl has a history of fever to 100.2 F axillary, and skin lesions that began four days earlier. The skin lesions are described as following a progressive course. The lesions would begin as non-itchy red patches with a central vesicle that would burst, leaving an ulcer with a black base.

You are asked to evaluate a healthy 14-year-old boy who is peppered with asymptomatic golden brown spots. What's the diagnosis and how would you manage him?





Deciding whether to mandate protection of the public involves consideration of evidence, and risk and burden.

