Boy With Growth Retardation, Craniofacial Anomalies, and Hemihyperplasia
June 30th 2011A 4 1/2 year-old Hispanic boy is referred to the pediatric clinic because of failure to thrive and growth retardation. He was born at full-term in Mexico and weighed 1.9 kg at birth (lower than the 3rd percentile).
Genetic Disorders: Recognition and (Yes!) Therapy
June 25th 2011Genetic diseases are individually rare but common in the aggregate. They account for over 60% of early miscarriages and underlie most cases of developmental delays. Genetic changes predispose to common multifactorial disorders, such as diabetes mellitus or schizophrenia, and are present in every cancer.
Child With Unusual Appearance, Inguinal Hernia, Accelerated Growth, and Developmental Delay
June 25th 2011A 10-month old white child was admitted for evaluation of an enlarged abdomen, splenomegaly, and developmental delay. The child had a normal gestation and birth weight. He had a right hydrocele at birth and rapid scrotal enlargement at age 3 months that led to repair of a right inguinal hernia.
Cognitive training may help children with problem solving
June 24th 2011A child?s problem-solving skills can be improved by cognitive training through the use of computerized video game-like tasks, and the improvement can persist for at least 3 months after completion of the training, report researchers from the Department of Psychology at the University of Michigan, Ann Arbor.
Children on public insurance denied access to, or wait longer for, specialty care
June 17th 2011Evidence from a new study suggests that children covered by Medicaid and the Children?s Health Insurance Program (CHIP) are less likely to receive outpatient specialty care than children covered by private health insurance and are more likely to wait longer times for appointments.
Disparities in bottled water use, beliefs could have health consequences for children
June 17th 2011A cross-sectional survey found that African American and Latino parents are more likely than non-Latino whites to give their children bottled water, largely because of differences in beliefs and perceptions about drinking water.
Aggressive resuscitation at delivery does not adversely affect long-term outcome
June 10th 2011For very-low-birth-weight (VLBW) infants who receive intense resuscitation at delivery, long-term prognosis for neurodevelopmental disability remains low despite elevated risk for bronchopulmonary dysplasia (BPD) and retinopathy of prematurity (ROP), according to a new study.
Gaming devices, mobile phones put children at risk for wrist, finger pain
June 10th 2011Playing Xbox and Game Boy systems for long periods of time and frequently using mobile phones for texting are associated with wrist and finger pain in children, according to a study presented at the European League Against Rheumatism (EULAR) 2011 Annual Congress in London.
Parents still worry, retain misperceptions about childhood vaccines
June 10th 2011The good news is that most parents in the United States are vaccinating their children against infectious diseases. However, a new study shows that many parents still harbor doubts about vaccine safety and effectiveness or question if so many childhood immunizations are necessary.
Contemporary Pediatrics, Digital Edition, June 2011
June 1st 2011No needless pain : Managing pediatric pain in minor injuries "Growing" pains : Apophysitis of the lower extremities Dermcase : Multiple brown bumps in 9-month-old Puzzler : The problem is not all in her head Updates : Feds on Viral Hepatitis, Kwasaki disease, AAP on Pediatric Patient Safety, Secondhand smoke
Too much Internet information cannot replace a doctor's visit
June 1st 2011In medicine, as in many other fields, we quickly retrieve information from electronic sources when we need it, but we also are sent information that is "pushed out" by journal publishers, medical organizations, newspapers, and advertisers.
The problem is not all in her head
June 1st 2011Your patient is a 4-year-old girl with a 5-day history of unsteady gait, tremors, and loss of balance. Her mother became particularly concerned wher her daughter progressed to the inability to walk independently and then complete refusal to stand 2 days ago.
Infliximab may best intravenous immunoglobulin for retreatment of Kawasaki disease
June 1st 2011A retrospective study in patients with intravenous immunoglobulin-resistant Kawasaki dsease showed that, compared with retreatment with IVIG, retreatment with infliximab results in faster resolution of fever and shorter hospitalization.
Managing pediatric pain in minor injuries
June 1st 2011A 3-year-old child presents to your community urgent care clinic with a small laceration along her chin that requires just a few sutures. The young girl is crying and anxious. It is worth it to come up with a creative strategy to handle her pain and anxiety in order to ensure success in handling the sutures.