News

You are asked to evaluate an 8-year-old boy who recently developed white rings around moles on his neck and back. Although he complains of slight itching, you don't see signs of scratching.

The link between infection with group A streptococci and rheumatic fever was made in the 1940s. In 1950, Denny and colleagues published the landmark study demonstrating that treatment of group A streptococcal pharyngitis with penicillin could prevent rheumatic fever.

Recurrent rhinorrhea can present a diagnostic challenge. The authors offer tips for sorting through the differential and recommend a minimalist, individualized approach to management.

Despite recent changes to residency training by the Accreditation Council for Graduate Medical Educations, key ingredients of successful training will continue to include recruitment of talented and committed young physicians, exposure to numerous and diverse patients, and guidance by faculty who are knowledgeable and interested enough to interpret, teach, and inspire.

Updates

Autism on the rise, but MMR vaccine is not the cause. A boom in drugs prescribed for children (and other reasons for concern). Eye on Washington

New this year: An online service to help you practice evidence-based medicine, a panoramic ophthalmoscope, an all-in-one vital signs monitor, an office glycosylated hemoglobin assay, a circumcision chair, and electronic products to help you keep in touch. And more.

Updates

What should we do about smallpox immunization? Report card: The quality of health care. Knowing what's in a name: New rules for labeling "organic" food. Eye on Washington

This year, for the first time, the Centers for Disease Control and Prevention (CDC) and the American Academy of Pediatrics have issued a statement that yearly influenza immunization for infants 6 to 23 months of age "is encouraged when feasible."