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Eye on Washington

Tackling threats from dirty air, mad cows, and food allergens

Removing ticks is often difficult, especially if the patient or parent breaks off the body from the head when trying to dislodge the tick.

You took a thorough history, performed a solid physical examination, made a reasonably good diagnosis, decided on a proper course of treatment, and wrote a prescription for your young patient. All done? Not so, unless you asked yourself:

Putting their baby in day care is an emotional occasion for parents, as well as a subject that often comes up during office visits. You're in an opportune position to provide advice and support on returning to work and finding the best child-care arrangement for the family.

Clavicle fractures in the pediatric population are very common. Clavicle fractures in the pediatric population are very common. Clinical manifestations include decreased movement of the arm on the affected side, crepitus, and/or bony irregularity at the fracture site. Here, a review of fracture in newborns and older children.

Your Voice

Lead poisoning: The correct therapy, possible sources / Two views on exaggerated inspirations / Virginity pledges: Some value after all / Keep euphemisms out of the medical office

Bookshelf

The Reach Out and Read program and how to promote early literacy through the pediatrician's office.

Fifty years have witnessed unprecedented progress in the pediatrician's ability to diagnose, treat, and prevent illness. What lies ahead for you and your colleagues? Part One of a three-part series.

Congenital lesions originally thought to be a hemangioma often are something else. These experts in vascular abnormalities show you how to differentiate such tumors and malformations.

6-year-old has fever, headache, abdominal pain, and sore throat followed three days later by a rash on the hands and feet.

As the attending on the community hospital's general pediatric service, you're called in this afternoon to see a 9-year-old girl who was admitted the evening before for chief complaints of a fever (axillary temperature, 102° F to 103° F) and cough of five days' duration. She has been observed to have a dry hacking cough, and broke out in a faint rash after admission. Can you solve this Pediatric Puzzler?

As the attending on the community hospital's general pediatric service, you're called in this afternoon to see a 9-year-old girl who was admitted the evening before for chief complaints of a fever (axillary temperature, 102° F to 103° F) and cough of five days' duration. She has been observed to have a dry hacking cough, and broke out in a faint rash after admission. Can you solve this Pediatric Puzzler?

Gone in a tick!

Parents often rush into my office complaining that their child has a tick embedded in his skin that they have been unable to remove with tweezers

Because nickel allergy, which affects children of all ages, can cause severe contact dermatitis, it is important to identify sources of nickel on clothing and accessories.

The first round of recommendations from two expert groups illuminates several areas: diagnostic criteria, pain management, observational management, and the use-or withholding-of initial antibiotics. Here is a sweeping review of what the guideline might mean for the kind of care you give.