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Children who exceed their expected share of infections conjure up a host of differential diagnoses, from allergies to a primary immune defect. The authors walk you through the workup you need to do to get at the source of the problem.

Continuing quest for realistic medicine is discussed for the 21st Century.

A painful or swollen scrotum is a potential emergency. Be sure you know how to distinguish testicular torsion from less urgent problems.

Toddlers are prime candidates for accidental poisonings, and certain medications found in many households dramatically increase the risk of death from swallowing even one or two pills. Recognizing the dangers of these drugs and taking a careful history can save a childs life

The recently recognized link between intussusception and rotavirus vaccination has led to renewed awareness of this uncommon but potentially fatal condition. New diagnostic and treatment modalities are challenging barium enema as the gold standard.

Letters of special interest to pediatricians from our readers.

Herbs and supplements are heavily marketed to teens, who think they are well educated about their use. What many dont realize is that natural is not synonymous with safe. Staying one step ahead with informed questions and answers is your best defense against overlooking an important diagnosis.

What are the genetic and acquired risk factors for thrombosis? How is it treated, and what follow-up is required? Two experts offer some answers&151;and call for additional research.

You have been asked to see a 17-year-old young woman with recurrent life-threatening episodes of asthma. She was admitted to the pediatric intensive care unit two days earlier with profound dyspnea, her seventh ICU admission and tenth hospitalization since her asthma symptoms began when she was 9 years old.

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ER doc struggles to remove magnetic earrings from nose of an 11 year old.

When children are incontinent during the day, it's generally because of a functional bowel or bladder disorder. Successful treatment calls for a systematic evaluation to identify the disorder, followed by behavioral modification and medication. Strong motivation is a must.

New items and interpretation of interest to Pediatricians.

Despite widespread concern about the limitations managed care organizations place on referrals, pediatricians are sending patients to subspecialists more often now than in the past, our latest survey shows.

To determine when an athlete with a head injury can safely return to play, you'll need to evaluate the blow's severity and identify residual symptoms. Concussions beyond the first call for special attention.

Letters from our readers.

All of us want to see children become selfsufficient, selfrespecting adults; the question is: What makes it happen? A landmark study has identified a single variablethe age of a child's mother when she first gives birthwith some striking longterm effects. The data should give every pediatrician pauseand food for thought.

How will pediatrics be practiced in 2010? What will pediatricians need to know to provide the care children will need in the decades to come? How can we ensure that pediatricians in training and in practice have the skills and knowledge they should? How many pediatricians should we train?

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Behavior problems of interest to pediatricians with expert advice responding to questions.

Strabismus is more than a misalignment of the eyes. It affects how well a child sees and occasionally signals pathology. Identifying the condition promptly and knowing when to refer are crucial.

When does your patient merit a serotonin specific reuptake inhibitor for depression, OCD, or another mental disorder? This review of the effectiveness of these agents and their sometimes serious side effects will help you decide. The authors also offer tips on choosing the right SSRI and dosage.

To err is human, managed care backs off, the electronic pediatrician; Eye on Washington

Resurgences of this dangerous disease during the past two decades make it clear that we cant afford to relax our vigilance. This update reviews the latest thinking about diagnosis, treatment, and prevention.

What's new in the 2000 immunization schedule.

New technologiesthe electronic medical record, the smart healthcare card, web-based healthcare services, and integrated diagnostic devices will help pediatricians streamline their practices in the future.