As more mothers breastfeed, and for a longer time, pediatricians and their staffs are being called on to answer a wide variety of questions. These lactation experts show you how to respond to worries ranging from babies with too many or too few bowel movements to concerns about engorged breasts.
Pediatricians can handle most cutaneous and subcutaneous abscesses. The site of the lesion, agent of infection, and age and immunologic status of the child are the keys to treatment strategies.
Some pediatricians consider hospitalists a threat to their professional scope and to continuity of care for their patients. But when conditions are right, hospitalists can be just what the doctor ordered.
Catheterizing infants to monitor urine production has become so common that practitioners can lose sight of the procedure's dangers. These guidelines will help prevent urethral injuries.
For almost 20 years, pediatricians have hesitated to use acyclovir for "minor" ailments like fever blisters and chickenpox. These authors make the case that even minor illnesses deserve this proven therapy--especially now that it is off-patent and reasonably priced. See if their argument persuades you.
The manifestations of attention deficit hyperactivity disorder in adolescence can be subtle. Pediatricians need to know how to identify teens with the disorder and provide treatment that meets their developmental needs.
A newborn infant is cyanotic, hypoxemic, tachypneic, and grunting. Despite endotracheal intubation with 100% oxygen delivery, his percent oxygen saturation by pulse oximetry is only in the twenties. There seems to be a difference in oxygenation.
Two days after the onset of fever and sore throat, a toddler developed painful lumps on his chest.
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It is impossible to appreciate the health and well-being of children without understanding the families in which they live. We can't fix families that are broken, but at least we can recognize where we might be able to fill some of the cracks.
Medicine-pediatrics, the child of pediatrics and internal medicine, has become a young adult, and its parents can be proud of its achievements to date. This expert's crystal ball shows a rosy future as well
Many toddlers are deficient in iron and on their way to becoming obese. Pediatricians can help these little ones establish healthy eating habits by educating their parents.
From Ma huang to bee pollen, deep breathing to acupuncture, alternative asthma therapy is in vogue. You need to know what your patients are using, whether it's safe, and how it works. Here's the evidence.
A gentle, patient approach is important when examining a prepubertal girl. Pay special attention to anatomic and pathophysiologic differences in the child. Emphasize setting the stage to make the examination a positive experience for your young patient.
Medicine-pediatrics, the child of pediatrics and internal medicine, has become a young adult, and its parents can be proud of its achievements to date. This expert's crystal ball shows a rosy future as well
It was once the only way to treat acute otitis media. Now it's more useful than ever, the author argues, especially in light of increasing antibiotic resistance. Learn what tympanocentesis can do for your patients and how to perform it in the office.
Every day pediatricians must diagnose middle ear disease and decide whether to prescribe antibiotics. To help meet this challenge, consider using the technologies described here--tympanometry, spectral gradient acoustic reflectometry, and distortion product otoacoustic emissions audiometry.
Physicians have known for three decades that taking high doses of oral contraceptive pills afterunprotected intercourse can prevent ovulation and implantation. Isn't it time you considered offering adolescent patients this effective means of avoiding unintended pregnancy?
A 14-year-old is referred to your emergency department for evaluation of recurrent episodes of abdominal pain. Over the past year he has had five such episodes, separated by symptom-free intervals of about two months. The pain has been consistently periumbilical, without radiation or localization, and each of the five instances of pain has been associated with a bifrontal headache. The last episode before the present one, two months ago, was the first associated with fever.
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We speak a common language when we discuss and try to provide optimal health care for children. However ambiguous and misleading those other words may be, "pediatrician" is a word we understand.
Most eye defects in children are correctable, but delay can lead to permanent vision loss. Pediatricians must check young infants and preschoolers and not wait for school exams to identify problems.