
From an easy-to-use umbilical cord clamp to an affordable electronic medical record system and a growing number of electronic databases and Internet resources, it was a good year for medical innovation.

From an easy-to-use umbilical cord clamp to an affordable electronic medical record system and a growing number of electronic databases and Internet resources, it was a good year for medical innovation.

Yellow bumps on the lips: What do they say to you? (Fordyce granules or spots)

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The role of dogs in the care of children is surprisingly broader today than just the familiar guide animals for the blind. Do you have a patient whose autism or ADHD or other disability might benefit from "paws-on" attention?

How can you distinguish intentionally inflicted injuries from findings not caused by abuse?

Bitnun A et al: Pediatrics 2003;112:e261




Q Parents of a 4 1/2-year-old boy in my practice are concerned because he takes too many risks. They report that he always seems to be doing something dangerous, which often results in injury.




Recurrent epistaxis (Wilson disease)

At pediatricians' disposal today are numerous formulations of approved medications for ADHD--traditional psychostimulants and newer agents. We also have developed an appreciation of the value of a multipronged approach to this chronic disorder.

Step-by-step evaluation of an adolescent girl who may have ADHD highlights the strengths and limitations of the AAP diagnostic guidelines and offers insight into how to augment them.

Diagnosing and treating a child?s ADHD is often not enough. Most patients have coexisting developmental or psychiatric disorders that must be addressed.


How can you distinguish intentionally inflicted injuries from findings not caused by abuse?

Accident-prone child: Stress, temperament, or ADHD?

A call to root out "pejorativism" in the medical lexicon

Appropriate evaluation and treatment of fractures of the distal radius, elbow, clavicle, and tibia hinge on the clinician?s recognition of mechanisms and patterns of injury and physical and radiographic findings.





From the point of view of a pediatric practitioner, little changed in the work of the federal government since being reviewed in these pages last month.

