Though not as deadly as it once was, HUS remains a serious threat to young children, with a real risk of dangerous complications. Continuing outbreaks caused by E coli O157:H7 highlight the need for accurate diagnosis, intensive supportive care, and effective prevention.
Vaccine news, A Red Book for the new millennium, Preventing SIDS; Eye on Washington
Not at all rare in teens, endometriosis is sometimes severe even in early adolescence. Accurate and early diagnosis is important so you can start treatment before this disease affects reproductive potential. Family history is one red flag.
Emesis in the first year of life, though generally not a cause for concern, can suggest serious disease. Certain signs and symptoms associated with vomiting, particularly the presence of bile, call for imaging studies and other tests.
Editorial discusses the value of continuing medical education for pediatricians.
Advice for pediatricians who use the Web.
Your secretary receives a frantic call from the mother of one of your patients: "My son is having a seizure and we're on the way to the emergency department!"
Pediatricians increasingly are being asked about PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococci) by parents who read about this entity on the Internet and in the lay press. An association with group A streptococcal infection remains to be confirmed.
AIDS threatens the world's children, Preventing the complications of childhood diabetes, On the vaccine front; Eye on Washington
In the last few years, a growing number of physicians have started using procedural sedation and analgesia to help children tolerate unpleasant therapeutic and diagnostic procedures. This review will familiarize you with the sedatives used, when and how they're administered, and what type of monitoring patients require.
Despite some formidable obstacles, lung transplantation has become an accepted treatment for children with end-stage lung disease caused by conditions such as cystic fibrosis. Do you have a patient who could benefit?
Parents look to pediatricians for advice on bathing their newborn and avoiding diaper rash. Discolorations and lesions (usually benign) are another concern. This review also updates the best way to care for the umbilical cord and addresses special skin-care considerations in premature infants.
Comments on specific factors that protect children from risky adolescent behavior.
A call has come from an emergency medicine physician who wishes to transfer a 12-year-old boy with an acute onset of ataxia.
Providing emergency care to children is a special challenge with risks for both patient and pediatrician. Attention to some basic precautions promotes good medical care for the child and heads off legal problems for the physician at the same time.
New medicines for children; On the little screen; Get the lead out; AAP recommends conjugate pneumococcus vaccine
Providing emergency care to children is a special challenge with risks for both patient and pediatrician. Attention to some basic precautions promotes good medical care for the child and heads off legal problems for the physician at the same time.
General pediatricians can perform the initial evaluation of newborns with bleeding disorders and, often, reach a diagnosis and make treatment decisions. Sometimes, however, it's best to call in a specialist.
Persistent fever in UTIs: What does it mean?; Kawasaki disease vs. adenoviral infection; Urban teens speak out on pregnancy prevention
Advice about teens' acceptance of themselves and the adults, particularly pediatricians, who should be helping them do just that.
Many families feel that pediatricians just don't listen when they try to voice concerns about vaccines. Our recommendation: Identify each family's specific issues, target your response accordingly, and use a nonconfrontational approach. Time-consuming lectures on big subjects like immunology generally aren't needed.
A 3-year-old boy has had a rash on his face for at least six months, and no family history of skin disease.
Cover for July 2000
