September 6th 2024
Can you diagnose this adolescent with an 11-day history of diffuse targetoid and bullous lesions on his extremities and trunk?
Collaborating Across the Continuum™: The Role of Multidisciplinary Care in the Management of Patients with Exocrine Pancreatic Insufficiency
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Tackling Inequities in IBD: Inclusive Solutions for Elevated Patient Care
October 26, 2024
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Clinical Consultations™: Managing Depressive Episodes in Patients with Bipolar Disorder Type II
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Medical Crossfire®: Understanding the Advances in Bipolar Disease Treatment—A Comprehensive Look at Treatment Selection Strategies
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'REEL’ Time Patient Counseling: The Diagnostic and Treatment Journey for Patients With Bipolar Disorder Type II – From Primary to Specialty Care
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Clinical ShowCase™: Finding the Best Path Forward for Patients with COPD
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Surv.AI Says™: What Clinicians and Patients Are Saying About Glucose Management in the Technology Age
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A Tethered Approach to Type 2 Diabetes Care – Connecting Insulin Regimens with Digital Technology
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Addressing Healthcare Inequities: Tailoring Cancer Screening Plans to Address Inequities in Care
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How cystic fibrosis can manifest in the gastrointestinal system
February 17th 2020Although the majority of patients with cystic fibrosis (CF) will be managed by specialty care, the primary care provider is often the first line of contact for many routine concerns. When encountering a patient with CF in the primary setting, there are extrapulmonary symptoms that must be considered in patients, which includes gastrointestinal symptoms.
Gastrointestinal manifestations of cystic fibrosis: A primer for pediatricians
February 13th 2020Significant improvements in cystic fibrosis (CF) care have focused primarily on the pulmonary system, but addressing the gastrointestinal complications of CF presents a major opportunity for improvement in disease management.
Probiotics vs placebo against gastroenteritis
February 1st 2019Of 973 preschool-aged children with acute gastroenteritis who visited 1 of 10 geographically diverse pediatric emergency departments (EDs), those who received a 5-day course of Lactobacillus rhamnosus GG, a commonly recommended and used probiotic, did not have better outcomes than those who received placebo, a prospective, randomized trial found.
Cardiovascular Disease Screening Misses At-Risk Youth
February 19th 2011Hypercholesterolemia, atherosclerosis, and coronary artery disease are ever-growing problems in our society. While these “adult” medical issues rarely concerned pediatricians in the past, it is now well recognized that these troublesome processes begin in childhood.
Obstructive Sleep Apnea in Children: Accurate Diagnosis, Effective Treatment
April 5th 2010Obstructive sleep apnea (OSA) has a high prevalence in the pediatric population and is associated with significant morbidity, both physical and in the realms of development, cognition, behavior, and school performance.
Type 1 Diabetes Mellitus in Children and Adolescents: Part 1, Overview and Diagnosis
February 12th 2010Type 1 diabetes mellitus (T1DM) is the most common type of diabetes encountered in children. The incidence of T1DM in children is increasing in some populations. Early recognition of symptoms of T1DM is critical to avoid life-threatening metabolic decompensation. Such symptoms can include polyuria, polydipsia, fatigue, weight loss, urinary tract infection, vaginal candidiasis, and “fruity” breath. In the presence of clinical symptoms of hyperglycemia, diagnosis requires just 1 laboratory blood glucose measurement above the established threshold for the child’s age. In the absence of typical symptoms, a second abnormal blood glucose measurement on a different day is needed.
Fructose-Obesity Connection Exposed: Can of Soda Metabolized Much Like Can of Beer, Says Lustig
October 20th 2009In his plenary address of October 19, Dr Robert H. Lustig delivered a powerful, scientifically rigorous indictment of the central role of fructose in the current epidemic of childhood obesity.
It Takes a Village to Treat ADHD: Community and Clinical Collaborations
October 6th 2009Attention-deficit/hyperactivity disorder (ADHD) is the most common mental health disorder treated by pediatricians.1 Some pediatricians may not have the training, clinical experience, or time to adequately evaluate and treat children with ADHD-and most may feel their skills are insufficient in children with medication treatment resistance, comorbid psychiatric illnesses, or complex family dynamics.
Childhood Obesity, Part 1: Weight Evaluation and Comorbidity Screening
December 1st 2008Measurement of body mass index (BMI) is an effective way to screen for obesity and is an important part of the routine health evaluation of all children. A fasting blood sugar test is recommended for obese children 10 years and older who have a BMI above the 85th percentile for their age and sex and 2 high-risk criteria for diabetes (eg, positive family history or signs of insulin resistance). Patients with a BMI at the 85th percentile or higher also require screening for other comorbidities. Such screening includes measurement of waist circumference, blood pressure, lipid levels (specifically, levels of high- and lowdensity lipoprotein cholesterol and triglycerides, as well as total cholesterol), and liver transaminase levels.
Polycystic Ovary Syndrome: Update on the Pros and Cons of Treatment Options
March 1st 2007ABSTRACT: Polycystic ovary syndrome (PCOS) is the most common endocrinopathy among females of reproductive age. In adolescents, PCOS often manifests with irregular menses, hirsutism, and acne. Despite general agreement that the metabolic derangements of PCOS arise during puberty, the condition is diagnosed more often in adults than in adolescents. Treatment is focused on weight loss, menstrual cycle regulation, and amelioration of physical symptoms. Acute symptoms can be managed with combination oral contraceptives and antiandrogens and potentially with insulin-sensitizing drugs. Lifestyle modification, especially in overweight patients, can reduce symptoms and help prevent long-term health consequences.