OB/GYN

Deformational plagiocephaly may be preventable if early signs of torticollis--believed to be a precipitating factor--are identified and simple instructions for parents are followed. Includes a Guide for Parents.

The role of the generalist pediatrician in the specialized field of genetics is key: Screen for genetic disorders; recognize when findings point to a genetic disorder and warrant referral to a geneticist; and counsel families.

Toilet training done badly can lead to medical complications. This second of two articles describes in detail how to treat toilet training problems before they cause harm. Includes three Guides for Parents.

Specialists in adolescent medicine show you how to evaluate your sexually active female patients for PID and manage this common complication of sexually transmitted disease.

Inflicted head trauma is disturbingly common in infants and carries a poor prognosis. Know what to look for and when to suspect abuse.

One pediatrician's quest to find the answer to colic leads to a hypothesis about the condition and a five-step technique pediatricians can teach parents to calm their crying baby. Includes two Guides for Parents.

Some varicoceles that appear during adolescence impair fertility later on; most do not. How do you decide which ones to refer for treatment? And what treatments are most effective?

From an easy-to-use umbilical cord clamp to an affordable electronic medical record system and a growing number of electronic databases and Internet resources, it was a good year for medical innovation.

Yellow bumps on the lips: What do they say to you? (Fordyce granules or spots)

Prophylactic antibiotics have long provided asplenic children with a measure of protection against bacteremia and sepsis. Recent progress in vaccines promises to strengthen the defense.

Increased use of intrapartum antimicrobial prophylaxis has greatly reduced the rate of invasive GBS disease. Universal implementation of updated guidelines for disease prevention will accelerate this important trend.

The physical examination for a patient seeking clearance to participate in a sport should focus on areas likely to yield significant findings--notably, the cardiovascular and musculoskeletal systems.

Office pediatricians need to be prepared to evaluate a patient?s suitability to participate in the sport of his or her choosing. Most significant findings can be uncovered by taking a thorough medical history.

Pediatric Puzzler: Swollen eyes (Orbital pseudotumor)

The stimulants your patient is taking won't necessarily be in her chart under "medication history." Consumption of caffeine, ephedra, or another herbal stimulant may be an overlooked factor affecting your patient's health.

The author reviews the presentation, diagnosis, and treatment of a handful (and they are a handful!) of dermatologic complaints: eczema, diaper rash, scabies, lice, and alopecia areata.

Preventing the potentially irreversible effects of congenital hypothyroidism requires early recognition, prompt treatment, and constant reassessment. A screening test for hypothyroidism on all newborns is just the beginning of your role.

Determining the cause of recurrent pneumonia requires that you run through an extensive differential, then order the diagnostic tests that narrow the field.

Recurrent rhinorrhea can present a diagnostic challenge. The authors offer tips for sorting through the differential and recommend a minimalist, individualized approach to management.

A 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.

These guidelines for interviewing patients with a behavioral complaint can eliminate holes commonly found in the history.

Self-healing reticulohistiocytosis

Being familiar with urinary tract anomalies identified on fetal sonography enables you to take steps to prevent problems in the newborn.

A 12-year-old girl complains of headache and vomiting. The symptoms developed two weeks earlier, she reports, and have occurred intermittently since. Pain persists severely for five to 15 minutes and then dully thereafter.