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The important role of technology in successful value-based careHigh-quality data can improve care coordination, lower readmission rates
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Novel genetic therapies for sickle cell disease and β-thalassemiaAs safe and effective gene-editing and gene-replacement therapies become more attainable, developing the delivery systems that ensure these treatments are equitably available will be equally essential.
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Looking at the spectrum of diaper dermatitisDiaper dermatitis is common and the differential diagnosis is broad. Here are 5 cases that illustrate the various diagnoses that fall within this spectrum.
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Epidural bleeding in an infant with hemophiliaA 7-month-old male with severe hemophilia A (less than 1% factor VIII [FVIII] activity) presented to his pediatrician with fussiness and inability to sleep for 3 days. He had received his influenza vaccine 3 days earlier. What's the diagnosis?
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Using artificial intelligence in day-to-day practiceThe technology may be new, but the position we find ourselves in as clinicians is not.
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Persistent birthmark grows on a toddler’s backThe parents of a healthy 20-month-old boy ask for advice about a birthmark on his lower back. The lesion is asymptomatic and has grown proportionately with their son. What's the diagnosis?
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Examining the prevalence of prediabetes in pediatrics (VIDEO)For Contemporary Pediatrics, Dr Bobby Lazarra discusses a survey study published in JAMA Pediatrics that looks at the prevalence of prediabetes in the pediatric population of the United States.
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Food allergy: A trigger for atopic dermatitis?Recommendations for whether to test for and treat food allergy in the setting of atopic dermatitis have changed.
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Fever, conjunctivitis, rash, and belly painA 3-year old male presents with 3 days of fever (maximal temperature, 105°F), diffuse abdominal pain, and several episodes of nonbilious, nonbloody emesis and loose nonbilious, nonmucousy stools. On day 3 of illness, he was seen at an urgent care clinic where he was diagnosed with acute otitis media and prescribed amoxicillin and ondansetron. He could not tolerate any oral intake and developed red eyes, abdominal pain, and redness of his hands and feet. Later that same night, he presented to the pediatric emergency department and was admitted to the pediatric ward for management of his fever, abdominal pain, and dehydration.
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New evidence changes guidelines for food allergiesEmerging evidence reveals that earlier introduction of highly allergenic foods into infants’ diets may actually lead to immune tolerance. Here’s what you should know.
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When parents say “no” to newborn nursery protocolsParental refusals of protocols in the newborn nursery do happen. Providers need to know how to respond to parents with patient-centered yet medically safe care for their newborns.
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When parents say “no” to newborn nursery protocolsParental refusals of protocols in the newborn nursery do happen. Providers need to know how to respond to parents with patient-centered yet medically safe care for their newborns.
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When parents say “no” to newborn nursery protocolsParental refusals of protocols in the newborn nursery do happen. Providers need to know how to respond to parents with patient-centered yet medically safe care for their newborns.
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Suspicious fever of unknown originA 5-month-old Hispanic boy, previously healthy, presents to the emergency department (ED) for 5 days of fever, 3 days of diarrhea and rash, and 2 days of vomiting. He had been diagnosed with acute otitis media by his primary care physician 3 days prior to his presentation and started on amoxicillin. The parents brought their son to the ED because of his persistent fever up to 104°F and decreased oral intake. He has no recent travel and no known sick contacts. His immunizations are up to date and he has never been hospitalized. He was born in the United States, full term with an uncomplicated birth history.
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New violaceous nodules in a neonateFollowing an uncomplicated pregnancy, labor, and delivery, a healthy 13-day-old girl presents for evaluation with a 2-day history of firm, violaceous nodules on her mid-upper back and right arm just above the axilla.
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Teenager bothered by painful bumps on toesA healthy 15-year-old girl presents for evaluation of itchy, painful bumps on her toes that developed 3 weeks earlier. The bumps become more numerous and bothersome when she is outdoors sledding and skiing. What's the diagnosis?
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New violaceous nodules in a neonateFollowing an uncomplicated pregnancy, labor, and delivery, a healthy 13-day-old girl presents for evaluation with a 2-day history of firm, violaceous nodules on her mid-upper back and right arm just above the axilla.
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Child with abnormal eye lesionsA 12-year-old girl is referred to the office after a routine dilated eye exam shows unusual retinal lesions. The child has been having headaches for the past 2 years that are described as mostly in the vertex with no other associated vomiting symptoms. Headaches are intermittent and usually relieved with ibuprofen.
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Suspicious fever of unknown originA 5-month-old Hispanic boy, previously healthy, presents to the emergency department (ED) for 5 days of fever, 3 days of diarrhea and rash, and 2 days of vomiting. He had been diagnosed with acute otitis media by his primary care physician 3 days prior to his presentation and started on amoxicillin. The parents brought their son to the ED because of his persistent fever up to 104°F and decreased oral intake. He has no recent travel and no known sick contacts. His immunizations are up to date and he has never been hospitalized. He was born in the United States, full term with an uncomplicated birth history.
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Child with abnormal eye lesionsA 12-year-old girl is referred to the office after a routine dilated eye exam shows unusual retinal lesions. The child has been having headaches for the past 2 years that are described as mostly in the vertex with no other associated vomiting symptoms. Headaches are intermittent and usually relieved with ibuprofen.
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Kid care on the slopesSkiing is an enormously popular winter sport for children, teenagers, and families. Here's a review of winter sports injuries and how to provide the best care.
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Kid care on the slopesSkiing is an enormously popular winter sport for children, teenagers, and families. Here's a review of winter sports injuries and how to provide the best care.
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Tight, shiny membrane encases newborn’s skinAfter a cesarean delivery at 30 weeks, a 1430-gram premature female neonate was noted to have generalized thick, dark brown scale forming a tight membrane over her entire skin surface. Her mother was a healthy 19-year-old gravida 1 with normal prenatal screening ultrasound and laboratory studies. Family history did not reveal any congenital malformations or genetic disorders.
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Tight, shiny membrane encases newborn’s skinAfter a cesarean delivery at 30 weeks, a 1430-gram premature female neonate was noted to have generalized thick, dark brown scale forming a tight membrane over her entire skin surface. Her mother was a healthy 19-year-old gravida 1 with normal prenatal screening ultrasound and laboratory studies. Family history did not reveal any congenital malformations or genetic disorders.
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Tight, shiny membrane encases newborn’s skinAfter a cesarean delivery at 30 weeks, a 1430-gram premature female neonate was noted to have generalized thick, dark brown scale forming a tight membrane over her entire skin surface. Her mother was a healthy 19-year-old gravida 1 with normal prenatal screening ultrasound and laboratory studies. Family history did not reveal any congenital malformations or genetic disorders.
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Itchy blisters bother a 12-year-old girlThe mother of a 12-year-old girl brings her daughter to the office for evaluation of recurrent, itchy red bumps and blisters on her legs. The mother gets the same rash recurrently as well.
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Get smart about metabolic syndrome!As pediatricians we are all too aware of our nation’s struggle with childhood overweight and obesity. Approximately 1 of every 5 children that we see in the office every day is obese. Despite tremendous efforts to reverse this trend, it is clear we are in this battle for the long haul.
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Infant with failure to thrive and hypotoniaA 4-month-old girl arrives at the clinic for a well-child visit. Her mother voices concerns about the infant’s poor weight gain, slow feeding habits, and physical delays such as head lag, poor grasp reflex, and rolling over.
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Infant with failure to thrive and hypotoniaA 4-month-old girl arrives at the clinic for a well-child visit. Her mother voices concerns about the infant’s poor weight gain, slow feeding habits, and physical delays such as head lag, poor grasp reflex, and rolling over.
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Pruritic vesicles erupt on a boy’s legsA healthy 12-year-old boy with eczema shows up at the office with an incredibly itchy rash on his legs that has exploded over the last 48 hours. He has a history of dry skin to which his mother regularly applies various moisturizers, including calendula oil.
