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Evaluation, treatment, and prevention of obesity in community settingsA unique program addresses the crisis of pediatric and adolescent obesity and its effects on child and family health in the state of Pennsylvania.
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Child with punctate opacities in the colonAn 11-year-old male presents to the emergency department (ED) with complaint of 2 days of focal, crampy, periumbilical abdominal pain associated with anorexia, fever, and 1 episode of emesis. What's the diagnosis?
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Child with punctate opacities in the colonAn 11-year-old male presents to the emergency department (ED) with complaint of 2 days of focal, crampy, periumbilical abdominal pain associated with anorexia, fever, and 1 episode of emesis. What's the diagnosis?
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Hypopigmented lesions in a teenaged girlA healthy 14-year-old girl with a progressive asymptomatic rash on her arms, legs, trunk, and face presents for evaluation. She was treated for eczema with minimal improvement.
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Hypopigmented lesions in a teenaged girlA healthy 14-year-old girl with a progressive asymptomatic rash on her arms, legs, trunk, and face presents for evaluation. She was treated for eczema with minimal improvement.
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Adolescent privacy and the EHRAdolescents are more likely to see a healthcare provider if they are certain their private information will be kept confidential. Here’s how to create a secure environment for these patients within your electronic health record (EHR) system.
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Adolescent privacy and the EHRAdolescents are more likely to see a healthcare provider if they are certain their private information will be kept confidential. Here’s how to create a secure environment for these patients within your electronic health record (EHR) system.
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Probiotics in children: To use or not to use?More clinical studies and safety data are needed to clarify any benefits of using probiotics for children.
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Probiotics in children: To use or not to use?More clinical studies and safety data are needed to clarify any benefits of using probiotics for children.
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The power of shared decision-makingAs a Physician Assistant (PA) in a highly acute and specialized level 4 neonatal/infant intensive care unit (NICU), ethical issues come up on a daily basis. How to appropriately handle this part of our job is rarely discussed, and as a PA, I had minimal training related to handling situations in which medical ethics are involved.
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Evolution of pediatric drug developmentPediatric drug development has made exceptional strides in the last 10 years. The outlook going forward is remarkably positive, but new pressures to expedite the process are emerging.
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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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Diffuse rash spreads from infant’s scalp to extremitiesA 3-month-old boy presents for evaluation of a diffuse asymptomatic rash that began on his scalp and skin creases 6 weeks ago and has spread over his trunk and extremities. This week he has begun to scratch at his neck and abdomen.
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What to do in neurologic emergenciesPediatricians must be able to identify emergent neurologic problems when they present in the office or are suspected in children and proceed with appropriate workup and treatment.
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What to do in neurologic emergenciesPediatricians must be able to identify emergent neurologic problems when they present in the office or are suspected in children and proceed with appropriate workup and treatment.
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Fever and neck swelling in a teenaged girlA previously healthy 15-year-old female presents to the emergency department (ED) with complaints of right-sided neck swelling, pain, decreased range of motion, and fever for 3 days. She also reports a sore throat and mouth pain with decreased oral intake. She denies any rhinorrhea, shortness of breath, difficulty swallowing, vomiting, or dental pain. What's the diagnosis?
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Fever and neck swelling in a teenaged girlA previously healthy 15-year-old female presents to the emergency department (ED) with complaints of right-sided neck swelling, pain, decreased range of motion, and fever for 3 days. She also reports a sore throat and mouth pain with decreased oral intake. She denies any rhinorrhea, shortness of breath, difficulty swallowing, vomiting, or dental pain. What's the diagnosis?
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Fuzzy brown spots on a healthy 3-year-oldA healthy 3-year-old girl presents for evaluation of light brown spots on her trunk and extremities that have appeared over the last 2 years. The spots are not symptomatic but the girl’s parents are worried that she could have neurofibromatosis.
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Fuzzy brown spots on a healthy 3-year-oldA healthy 3-year-old girl presents for evaluation of light brown spots on her trunk and extremities that have appeared over the last 2 years. The spots are not symptomatic but the girl’s parents are worried that she could have neurofibromatosis.
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How to identify and treat bullyingBullying is a preventable health problem that has lasting impacts. Pediatricians need to screen patients for risk factors, empower families with coping skills, and advocate for antibullying resources in their communities.
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How to identify and treat bullyingBullying is a preventable health problem that has lasting impacts. Pediatricians need to screen patients for risk factors, empower families with coping skills, and advocate for antibullying resources in their communities.
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How to identify and treat bullyingBullying is a preventable health problem that has lasting impacts. Pediatricians need to screen patients for risk factors, empower families with coping skills, and advocate for antibullying resources in their communities.
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Urine drug screens: Caveats for interpreting resultsRapid drug screening immunoassays quickly assess pediatric patients for drug exposure. However, certain limitations of these immunoassays call for caution when interpreting presumptive positive results.
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Urine drug screens: Caveats for interpreting resultsRapid drug screening immunoassays quickly assess pediatric patients for drug exposure. However, certain limitations of these immunoassays call for caution when interpreting presumptive positive results.
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Rifampin for biofilm-related InfectionsSpecific therapies for biofilm-related infections are rare. However, studies have shown rifampin to be an effective treatment for these staphylococcal infections in children.
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Rifampin for biofilm-related InfectionsSpecific therapies for biofilm-related infections are rare. However, studies have shown rifampin to be an effective treatment for these staphylococcal infections in children.
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Rifampin for biofilm-related InfectionsSpecific therapies for biofilm-related infections are rare. However, studies have shown rifampin to be an effective treatment for these staphylococcal infections in children.
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Rapidly growing nodule on an infant’s fingerAn otherwise healthy 5-month-old girl presents with an asymptomatic, rapidly growing, firm, smooth nodule on the side of her left fifth finger since she was 2 months of age.
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Massive splenomegaly in a 6-year-old girlA 6-year-old female with history of previously resolved iron-deficiency anemia presents to the emergency department (ED) for numerous episodes of nonbloody, nonbilious vomiting and diffuse abdominal pain that began on the day of presentation. She had initially presented to her pediatrician who felt a large left-upper-quadrant abdominal mass and referred her to the ED for further evaluation. She has no associated diarrhea or urinary symptoms. What's the diagnosis?
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Massive splenomegaly in a 6-year-old girlA 6-year-old female with history of previously resolved iron-deficiency anemia presents to the emergency department (ED) for numerous episodes of nonbloody, nonbilious vomiting and diffuse abdominal pain that began on the day of presentation. She had initially presented to her pediatrician who felt a large left-upper-quadrant abdominal mass and referred her to the ED for further evaluation. She has no associated diarrhea or urinary symptoms. What's the diagnosis?
