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An otherwise healthy 16-year-old girl presented with medial arm pain after falling on her left elbow while skating. Robert P. Blereau, MD, and Timothy J. Haley, MD, of Morgan City, La, write that a radiograph of the left upper arm showed a spur projecting from the distal humerus; there was no fracture or dislocation.

Parents worry when children don't eat. Once you've ruled out underlying problems, offer reassurance and simple strategies to reduce mealtime stress. Includes a Guide for Parents.

Eye on Washington

Children and the federal budget, FDA woes, and a call to standardize CAM

Part of the care you give is helping parents create a safe, hazard-free environment for their children by discussing a variety of age-appropriate topics at health-maintenance visits. Yet, despite attention given by the national press to the threat of child abduction in recent years, little discussion has taken place about the role pediatricians can play in preventing abduction, as well as in facilitating retrieval of children who are taken. That's surprising, considering the traditional role we have assumed for children and their families.

In telling their story, children's books often paint vivid pictures of human emotions. Some single out happiness, anger, or depression, to name a few, as their obvious focus; others weave together these and other feelings to enhance the tales they tell.