Although relatively common in children, certain pathogens remain unknown to most office clinicians. This review discusses fo?5{oa implicated as causes of chronic diarrhea and other gastrointestinal symptoms. Awareness of these organisms will improve the management of challenging GI illnesses, the identification of outbreaks, and the collection of epidemiologic data.
At the beginning of this new century, only incremental improvements in the 10 great public health achievements of the 20th century are in view ahead. No single discovery or policy will affect diet, exercise, smoking avoidance or cessation, or health education for parents, or will make effective preventive health care available to all children. For now, we continue to work in increments?but wouldn't it be fascinating to see, at this moment, the list that the CDC will generate in 2100?
We can no longer assume that all new-onset diabetes in children and adolescents is type 1. As type 2 diabetes creeps downward from adults into younger age groups, differentiating it from type 1 disease and starting appropriate treatment become vitally important.
Parental drinking can cause a child to have problems in school, somatic complaints, or other difficulties. Pediatricians need to uncover alcohol addictions and tactfully and firmly steer parents toward appropriate help.
The world's children in 2001, The rising cost of health care, Teens and HIV. Eye on Washington
With an array of asthma medications from which to choose, pediatricians must understand the pharmacology of the different drugs in order to make appropriate choices for each child. The author reviews the medications used for long-term asthma management and quick relief, delivery systems for these agents, and promising new drug therapies that lie on the horizon.
Despite guidelines calling for universal immunization of children against chickenpox, many clinicians still are not vaccinating their patients. Here's the latest information on the issues that should guide the decision to immunize?vaccine safety and efficacy, transmission of the vaccine virus, duration of immunity, and more.
If the resident applicants seen so far this year are indicative of the pediatrics-bound medical students around the country, the future looks bright.
A 4-month-old girl is referred to you to evaluate a large pigmented birthmark covering her left flank and abdomen.
This troublesome group of diseases—from juvenile rheumatoid arthritis to lupus to fibromyalgia—presents problems for pediatricians and patients alike. A guided tour will help you make an accurate diagnosis and initiate effective management.
The 15 1/2-year-old seated in your office is obviously uncomfortable. He has been referred for evaluation by his physician because of decreased growth and failure to develop secondary sexual characteristics, or, as he puts it, "not developing like the other boys."
AAP annual meeting, Children and computers, What parents don't know about early childhood. Eye on Washington
This year's innovations include a hearing screener, a glucose monitor, new rapid optical immunoassays, and a CD-ROM version of the Red Book. Meanwhile, technologies that could revolutionize your practice are getting more sophisticated and affordable all the time.
Parents often believe that their child's hives or GI upsets are caused by a sensitivity to a particular food. Confirming their suspicions relies on knowledge of common symptoms of food allergy and a diagnostic process that may or may not include skin prick or blood tests.
Acne remains an unavoidable part of growing up for many adolescents, who must cope with both the cosmetic and psychosocial effects of the disorder. Here's a look at the latest topical and systemic treatment options for mild to moderate acne.
Pediatricians can't always have immediate feedback for every patient, but decreases in serious illness later on life may be delayed gratification that can still be satisfying.
The office visit seems pretty routine: a 4-week-old whose mother is concerned about swelling in his left groin.
Using books to sell snacks, Resources for pediatricians, What happened to children's health insurance? Do all children with otitis need antibiotics? Eye on Washington
Artificial fingernails are all the rage among adolescents, but those who wear them may be playing with fire?literally. Educating yourself and your patients about the health and safety risks of acrylic nails, including the previously undocumented danger reported here, could prevent potentially disfiguring complications.
Skin lesions are signposts to an array of systemic conditions. This review covers some of the most distinctive associations.
