Authors


Ashley Varkey, BS, MS4

Latest:

Macroglossia and omphalocele in neonate

A 33-year-old female, G3P1011, was transferred from an outside facility at 33 weeks and 6 days gestation for anticipated preterm delivery secondary to preeclampsia. On prenatal ultrasound, her fetus was diagnosed with an omphalocele and delivery was preferred at an institution with a neonatal intensive care unit to manage the infant.


Morgan S Bowling, DO

Latest:

Macroglossia and omphalocele in neonate

A 33-year-old female, G3P1011, was transferred from an outside facility at 33 weeks and 6 days gestation for anticipated preterm delivery secondary to preeclampsia. On prenatal ultrasound, her fetus was diagnosed with an omphalocele and delivery was preferred at an institution with a neonatal intensive care unit to manage the infant.


Amy E Valasek, MD, MS

Latest:

6 phases of return-to-play following a concussion

When a student athlete wants to return to playing following a concussion, there are 6 phases that that athlete will need to follow to get pack to the field.


Kyle S John, MD

Latest:

Improve mental health access: Collaboration, integration, and telepsychiatry

Pediatricians are quite capable of caring for both the physical and mental health of patients. Here is how embedding mental health services into your practice and collaborating with community mental health professionals can accomplish both.


Mick Connors, MD, FAAP

Latest:

After-hours care: What’s happened to the pediatric medical home?

Kids deserve the best care when they are ill or injured, and the best care should come from seeing the pediatrician in the medical home.


Nicholas A Jabre, MD, MS

Latest:

Breath-actuated inhalers in childhood asthma

Tailoring drug delivery modalities to the individual patient based on age, ability level, and preference can optimize control of pediatric asthma.


Mandeep Jassal, MD, MPH

Latest:

Breath-actuated inhalers in childhood asthma

Tailoring drug delivery modalities to the individual patient based on age, ability level, and preference can optimize control of pediatric asthma.


Carlton Lee, PharmD, MPH, FASHP, FPPAG, BCPPS

Latest:

Pneumococcal conjugate vaccine: A glimpse into current recommendations

Infants, young children, and older adults are at the highest risk for pneumococcal infection, and viral illnesses, such as influenza, may predispose sensitive groups to pneumococcal infection.


Shane Rainey, DO

Latest:

Newborn with bilious emesis and weight loss

A 6-day-old, late-preterm male neonate presents to his pediatrician’s office with bilious emesis and is admitted for further evaluation. He was born at 36 weeks and 6 days via spontaneous vaginal delivery to a 23-year-old G4P4 mother with negative serologies, negative antenatal Group B Streptococcus testing, and no significant prenatal events. His stay in the newborn nursery was unremarkable. The neonate is exclusively breastfed, has no history of rectal bleeding, and passed meconium within the first 24 hours.


Venkedesh Raju, MD, FAAP

Latest:

Newborn with bilious emesis and weight loss

A 6-day-old, late-preterm male neonate presents to his pediatrician’s office with bilious emesis and is admitted for further evaluation. He was born at 36 weeks and 6 days via spontaneous vaginal delivery to a 23-year-old G4P4 mother with negative serologies, negative antenatal Group B Streptococcus testing, and no significant prenatal events. His stay in the newborn nursery was unremarkable. The neonate is exclusively breastfed, has no history of rectal bleeding, and passed meconium within the first 24 hours.


Eric Bugaieski, MD

Latest:

Newborn with bilious emesis and weight loss

A 6-day-old, late-preterm male neonate presents to his pediatrician’s office with bilious emesis and is admitted for further evaluation. He was born at 36 weeks and 6 days via spontaneous vaginal delivery to a 23-year-old G4P4 mother with negative serologies, negative antenatal Group B Streptococcus testing, and no significant prenatal events. His stay in the newborn nursery was unremarkable. The neonate is exclusively breastfed, has no history of rectal bleeding, and passed meconium within the first 24 hours.


Nan E Tobias, MSN, APRN

Latest:

Managing enuresis in primary care: Part 2

The continuation of this informative article addresses treatments for nocturnal enuresis, constipation, UTIs, and extraordinary daytime urinary frequency in children.


Nerissa S Bauer, MD, MPH

Latest:

Parental postpartum depression: More than “baby blues”

Pediatricians need to recognize symptoms of perinatal depression in new mothers, provide basic counseling and treatment, and refer for appropriate services when needed.


Amar Davé, MD, FAAP

Latest:

Congenital malalignment syndrome

A 13-year-old girl presents with great toenails have become yellow, thickened, ridged, and crusted proximally on the left over the last 8 months.


Pahroul Davé, APRN

Latest:

Congenital malalignment syndrome

A 13-year-old girl presents with great toenails have become yellow, thickened, ridged, and crusted proximally on the left over the last 8 months.


Ingrid K. Ichesco, MD

Latest:

Recognizing the importance of energy availability in the young athlete

A guide to recognizing the female and male athlete triad in young athletes.


Hugh Bigg, DO, FAAP

Latest:

How I found my calling as a volunteer

Joining a global telehealth program can profoundly change a child’s life-and yours!


Alexandra J Mihalek, MD

Latest:

Teenager suffers diarrhea, emesis, and weight loss

A 16-year-old male with a history of nephrotic syndrome and gastritis presents to the emergency department (ED) with worsening emesis, diarrhea, and abdominal pain of 3-weeks’ duration.


Katherine W Canty, MD

Latest:

Teenager suffers diarrhea, emesis, and weight loss

A 16-year-old male with a history of nephrotic syndrome and gastritis presents to the emergency department (ED) with worsening emesis, diarrhea, and abdominal pain of 3-weeks’ duration.


Miriam Chan, MD

Latest:

Teenager suffers diarrhea, emesis, and weight loss

A 16-year-old male with a history of nephrotic syndrome and gastritis presents to the emergency department (ED) with worsening emesis, diarrhea, and abdominal pain of 3-weeks’ duration.


Melinda Braskett, MD

Latest:

Teenager suffers diarrhea, emesis, and weight loss

A 16-year-old male with a history of nephrotic syndrome and gastritis presents to the emergency department (ED) with worsening emesis, diarrhea, and abdominal pain of 3-weeks’ duration.


Vrinda Bhardwaj, MD, FAAP

Latest:

Teenager suffers diarrhea, emesis, and weight loss

A 16-year-old male with a history of nephrotic syndrome and gastritis presents to the emergency department (ED) with worsening emesis, diarrhea, and abdominal pain of 3-weeks’ duration.


Kira A Molas-Torreblanca, DO

Latest:

Teenager suffers diarrhea, emesis, and weight loss

A 16-year-old male with a history of nephrotic syndrome and gastritis presents to the emergency department (ED) with worsening emesis, diarrhea, and abdominal pain of 3-weeks’ duration.


Darrel Waggoner, MD

Latest:

Red flags for genetic disorders

At a minimum, the pediatrician should be familiar with genetic disease on the newborn screen and other genetic diseases they may see in their office. It’s also important to recognize the child with multiple medical issues who also may need referral to a genetic or metabolic specialist.


Laura Livaditis, MD

Latest:

Boy’s progressive extremity rash looks fishy

A previously healthy 8-year-old boy presents to the dermatology clinic with a progressively worsening elbow rash over the course of the last week. The rash does not itch. He spent the previous weekend sailing on the Chesapeake Bay. His pediatrician prescribed a course of cephalexin as well as a trial of topical antiviral ointment, neither of which improved the rash. The patient denies any other new exposures. 


Anne H Rowley, MD, FAAP

Latest:

Kawasaki disease: AHA statement and recommendations

Pediatricians must suspect Kawasaki disease (KD) in children with prolonged unexplained fever. This article reviews the latest scientific statement on KD from the American Heart Association that is of practical importance for all clinicians.


Julie H Wu, BA, MS4

Latest:

Persistent pruritic rash in an 8-year-old boy

An 8-year-old boy is brought to the office for evaluation of a persistent itchy rash on his extremities, trunk, and face. Although the rash has been present for longer than 3 months, individual skin lesions change from hour to hour and occasionally the rash clears completely only to recur several hours later. He is otherwise healthy with no known allergies, changes in diet, medication use, or recent illness.


Jeffrey Ni, BS, MS4

Latest:

Chronic cough in a 4-year-old boy

A previously healthy 4-year-old male, born late preterm by urgent cesarean delivery with an uncomplicated postnatal course, presents to the outpatient clinic for a chief complaint of worsening cough over the past 5 months. He denies current fever, rhinorrhea, shortness of breath, diarrhea, or vomiting. His cough has been worsening in severity and frequency, and mostly occurs during the daytime.


Bridget Boyd, MD

Latest:

Lower-extremity nodules in a 2-year-old girl

A 2-year-old girl presents with an itchy, bilateral leg rash. Additionally, the child had several bruises that felt like "hard welts" and were warm to the touch. What's the diagnosis?


Erin Bowen, MD, FAAP

Latest:

Groundbreaking guidelines issued for unexplained pediatric death

New consensus guidelines clarify the procedural guidance for investigation, certification, and reporting of sudden unexplained pediatric deaths to help medical professionals and families through these crises.

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