
letters from readers

Religious faith doesn't come up regularly in examining room conversation. Yet patients--and parents--beliefs can sometimes affect medical care.

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.

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

Grunting, hot, and vomiting:What's the bother in Baby's belly?

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.


Compulsive habits: How serious?

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

Adolescent with left knee pain


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."

Sleep problems are common in children and adolescents. Understanding sleep physiology and educating parents about sleep hygiene and other interventions can turn an unhealthy situation around.

New products for pediatricians


A declining circumcision rate means that more and more parents need to be educated about care of their son&s foreskin and that you need to be prepared to manage problems associated with an uncircumcised penis.

A baby who is wheezing but in no apparent respiratory distress and a nasal antigen test positive for respiratory syncytial virus. What to do? Or, perhaps more important, what not to do?

Tantrums to the max. Salt pica?mental or physical problem?

Evaluate and treat a toddler&s injured loose tooth or lacerated gum in your practice? Or refer these cases to a dental specialist? It all depends?on the injury, the child, and you.

EMRs are here.

Eat less (especially fat and carbohydrates) and exercise (a lot) more. Mothers, teens, sex. Of lice and schoolchildren. Eye on Washington

These guidelines for interviewing patients with a behavioral complaint can eliminate holes commonly found in the history.

An otherwise healthy 15-year-old boy tells you that he has had six days of documented fever, a slight cough, and back pain that shifts location.

An otherwise healthy 15-year-old boy tells you that he has had six days of documented fever, a slight cough, and back pain that shifts location.

October signals the beginning of flu immunization season, and expanded guidelines encourage the vaccination of even healthy young children.
