Kawasaki disease: AHA statement and recommendations
October 1st 2018Pediatricians 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.
Boy’s progressive extremity rash looks fishy
October 1st 2018A 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.
Advice for new parents and their babies
October 1st 2018By the time most of us become parents, we have been pediatricians for a while and do not find parenting all that scary. To get the right dose of empathy, think back to when we first started handling babies-in medical school. Here are some things I tell new parents.
Red flags for genetic disorders
October 1st 2018At 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.
Behavioral sleep interventions really work, parents say
October 1st 2018Most parents in a Facebook peer support group for parents using behavioral sleep interventions (BSIs) reported in an online survey that their infant cried significantly less by the end of 1 week of BSI implementation and that they achieved complete success within 2 weeks, regardless of which type of BSI they used.
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.