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When you are presented with a child who has a murmur, chest pain, or syncope, what findings on history and physical exam point to cardiac pathology? When should you refer?

Enabling adolescents with chronic pulmonary disease to exercise or play sports regularly can improve their health. The keys are to arrive at the proper diagnosis, prescribe the right treatment, and recommend the most appropriate activity.

Until we learn to recognize susceptible infants and avert the immunologic response that results in asthma, we must improve the means by which we treat it.

New products of interest to pediatricians

The Web is the place to go when you need to examine literature that addresses a specific clinical question. The authors illustrate what this tool reveals about novel protocols for treating acute attacks of asthma.

Research is shedding light on the mysteries of this distressing disorder, which isn&t as rare as you might think. Once the diagnosis is made, antiemetic and antimigraine drugs provide reasonably effective relief.

Extreme, persistent fear of storms, chewing her hair, habitually.

Bad breath is no laughing matter for the child or adolescent who has it. Most cases can be alleviated by relatively simple measures, but not before the cause is pinpointed by a targeted history and physical exam.

EMRs are here.

You're called to communicate and form partnerships with your patients and their families, educate and advocate for them, and promote their health and prevent illness in specific and measurable ways. That goal, the authors say, is achievable.

Keeping track of changes in immunization recommendations is the best way to be certain that our patients receive maximal benefit.

Parents are turning to herbs and dietary supplements to treat problems their children have falling and staying asleep. Do these products work? Are they risky?

The 2002 immunization schedule is here: What's changed? Schools where children learn. Eye on Washington

A 1-year-old refuses to walk any longer

Limping takes many forms, and the cause is not always obvious. The keys to diagnosis are careful observation of the gait disturbance and systematic evaluation, especially high-quality radiographs.

This practical guide to recently identified, less known, and atypical viral rashes of childhood takes the mystery out of your evaluation.

Movement on the germ-warfare front. Eye on Washington

The widespread use of ultrasonography during pregnancy necessitates that pediatricians monitor conditions diagnosed before the infant was born. Understanding prenatal sonographic findings and what type of follow-up they require can be critical.

Depression in children and adolescents is both common and underrecognized by pediatricians. Accurate diagnosis and effective therapy can measurably improve the lives of children and teens with a potentially serious illness.

Intervention to prevent reading problems needs to occur long before first grade. Incorporating a reading promotion program into your practice can improve the reading ability of children and bestow lifelong benefits.

As knowledge of the genetics of congenital heart disease in children races ahead, primary care physicians struggle to keep up.

Habit of waking up for a drink of milk, thumb sucking is affecting mouth structure

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