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Trauma to primary teeth: Setting a steady management course for the officeEvaluate and treat a toddler&s injured loose tooth or lacerated gum in your practice? Or refer these cases to a dental specialist? It all depends?on the injury, the child, and you.
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Educating children with disabilities: How pediatricians can helpEducational opportunities for children with disabilities were greatly expanded by the Individuals with Disabilities Education Act. Your advocacy can determine whether your patients who need special education services benefit from those opportunities.
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Decorating the "human canvas": Body art and your patientsTattoos and body piercing have caught on as teenage, and even preteen, fashion statements. Here&s how to help your patients avoid the pitfalls of this form of self-expression.
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When parents resist immunizationsMany 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.
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Influenza: Update on strategies for managementAdvances in rapid diagnostic tests and antiviral therapy for influenza have given pediatricians new options for identifying and fighting this old and resilient foe.
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CME: New hope for children with cyclic vomiting syndromeResearch is shedding light on the mysteries of this distressing disorder, which isn&t as rare as you might think. Once the diagnosis is made, antiemetic and antimigraine drugs provide reasonably effective relief.
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Caring for the uncircumcised penis: What parents (and you) need to knowA declining circumcision rate means that more and more parents need to be educated about care of their son&s foreskin and that you need to be prepared to manage problems associated with an uncircumcised penis.
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CME: Chronic fatigue syndrome in youth: Maybe not so chronic after allChronic fatigue in children and adolescents shares many features with the adult variant of the syndrome. The most important differences for younger patients? A shorter course and better outcome.
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Tough seizures: When the first anticonvulsant failsChildren with epilepsy can usually achieve seizure control, but not always with the first medication prescribed. General pediatricians can learn from a child neurologist&s approach to this problem.
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"Stop the car, Mom, I'm going to be sick!"Parents often ask for help with their child&s motion sickness, a condition that has become increasingly common. Is prescribing an antihistamine or a complementary therapy a good idea? Or is prevention the best route?
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Your role in the spectrum of adolescent cancerYou can play a pivotal role in interpreting the diagnosis, understanding how deeply the disease affects psychosocial development, acting as liaison between family and oncologist, and?if treatment fails?supervising end-of-life care
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"Stop the car, Mom, I'm going to be sick!"Parents often ask for help with their child&s motion sickness, a condition that has become increasingly common. Is prescribing an antihistamine or a complementary therapy a good idea? Or is prevention the best route?
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Unearthing good evidence for better care of acute asthma attacksThe Web is the place to go when you need to examine literature that addresses a specific clinical question. The authors illustrate what this tool reveals about novel protocols for treating acute attacks of asthma.
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CME: New hope for children with cyclic vomiting syndromeResearch is shedding light on the mysteries of this distressing disorder, which isn&t as rare as you might think. Once the diagnosis is made, antiemetic and antimigraine drugs provide reasonably effective relief.
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Pediatric Puzzler: Vomiting and abdominal discomfortGrunting, hot, and vomiting:What's the bother in Baby's belly?
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Educating children with disabilities: How pediatricians can helpEducational opportunities for children with disabilities were greatly expanded by the Individuals with Disabilities Education Act. Your advocacy can determine whether your patients who need special education services benefit from those opportunities.
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CME: A practical approach to the child who limpsLimping takes many forms, and the cause is not always obvious. The keys to diagnosis are careful observation of the gait disturbance and systematic evaluation, especially high-quality radiographs.
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An emerging dyslipidemia: New NHLBI and NLA treatment guidelinesElevated blood lipids in childhood are risk factors for cardiovascular disease in young adults. New guidelines for universal lipid screening and treatment of dyslipidemia in children will help clinicians to identify these patients and establish treatment goals that will reduce overall cardiovascular risk factors later in life.
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Bronchiolitis dilemma: A happy wheezer and his unhappy parentA baby who is wheezing but in no apparent respiratory distress and a nasal antigen test positive for respiratory syncytial virus. What to do? Or, perhaps more important, what not to do?
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CME: Chronic fatigue syndrome in youth: Maybe not so chronic after allChronic fatigue in children and adolescents shares many features with the adult variant of the syndrome. The most important differences for younger patients? A shorter course and better outcome.
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Impact and consequences of medical misinformationExperts discuss the impact of misinformation in medicine at the recent American College of Asthma, Allergy & Immunology annual scientific meeting.
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Video lesson boosts skin-cancer awareness at schoolA single lesson made an impact on high school students' knowledge and behavior when it came to sun protection.
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Pediatric change makers: Winter Berry, DOFor Winter Berry, DO, addressing diaper need in urban Syracuse was just the start of her child advocacy work.
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Final Thoughts on the Management of Pediatric ADHDRobert L. Findling, MD, MBA; and Timothy Wilens, MD, share advice on the treatment of pediatric ADHD and new agents in the pipeline.
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Having "the talk" with teen patientsA visit with a pediatric clinician is an ideal time to ensure that a teenager knows the correct information, has the opportunity to make certain contraceptive choices, and instill the knowledge that the pediatric office is a safe place to come for help.
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Fewer opioids lead to fewer pain-related visits after T+A"I suspect that some doctors still have not changed their ways, so if you see your ENT, EM, or pediatric colleagues prescribing them, please ask them to stop." - Jon Matthew Farber, MD.
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Montelukast treatment for asthma raises risk of a neuropsychiatric eventChildren who are prescribed montelukast for managing their asthma are nearly twice as likely to experience a neuropsychiatric event as asthmatic children who are taking other asthma maintenance medications.
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An approach to acne managementAcne flare-ups in adolescents respond best to treatment when patients and parents understand what acne is, follow their therapy guidelines, and have reasonable expectations about what therapy can achieve.
