News

The 5-week-old girl just admitted to your pediatric service is here for evaluation of lethargy, jaundice, and poor weight gain after hardly a month at home. Admission came at the request of the gastroenterologist to whom she had been referred by her primary care pediatrician because of rising direct hyperbilirubinemia.

Q In keeping with the national trend, I've noticed that more and more of my school-age and adolescent patients are becoming overweight.

Once Thanksgiving 2003 passed, Congress grew anxious to adjourn; members prefer to spend the Christmas season at home, with family and constituents.

Jaundice and lethargy (septo-optic dysplasia or SOD)

Some varicoceles that appear during adolescence impair fertility later on; most do not. How do you decide which ones to refer for treatment? And what treatments are most effective?

For today's teenagers, a psychosocial review of systems is at least as important as the physical exam. The popular and effective HEADSS method of interviewing has been expanded.

Welcome to our year-long celebration of 20 years of publication!

From an easy-to-use umbilical cord clamp to an affordable electronic medical record system and a growing number of electronic databases and Internet resources, it was a good year for medical innovation.

Yellow bumps on the lips: What do they say to you? (Fordyce granules or spots)

Obtain free CME credit online

The role of dogs in the care of children is surprisingly broader today than just the familiar guide animals for the blind. Do you have a patient whose autism or ADHD or other disability might benefit from "paws-on" attention?

How can you distinguish intentionally inflicted injuries from findings not caused by abuse?

Bitnun A et al: Pediatrics 2003;112:e261

Q Parents of a 4 1/2-year-old boy in my practice are concerned because he takes too many risks. They report that he always seems to be doing something dangerous, which often results in injury.

Recurrent epistaxis (Wilson disease)

At pediatricians' disposal today are numerous formulations of approved medications for ADHD--traditional psychostimulants and newer agents. We also have developed an appreciation of the value of a multipronged approach to this chronic disorder.