Advocacy groups turn national spotlight on child abuse deaths
January 1st 2011Five national groups came together in December to call attention to their assertion that little media attention is given to child abuse deaths, despite the numbers being far higher than many other issues that do make the national news.
An odd case of pallor and splenomegaly
January 1st 2011You are completing rounds as an intern one morning on the general pediatric ward when your colleague from the emergency department signs out a patient to you. She describes an 11-month-old black male who presented with a 4-day history of low-grade fever, nasal congestion, and decreased appetite, without vomiting or diarrhea.
Prevention: If not pediatricians, then who?
January 1st 2011During my medical school pediatric clerkship, I was assigned to spend one half-day per week at the office of a private pediatrician. Over time, it became clear that pediatricians must be active partners with parents in decisions regarding infant feeding and other activities if the disturbing trends of obesity are to be reversed.
Serious adverse events with complementary and alternative medicine use in children
January 1st 2011Complementary and alternative medicine - either medicinal CAM or the substitution of an unproven therapy for a conventional therapy - can lead to serious and fatal adverse events, especially when used in children, according to surveillance of one database.
New meningococcal vaccination schedule recommended by CDC advisory committee
January 1st 2011The Advisory Committee on Immunization Practices for the CDC recommended a booster dose of vaccine for bacterial meningitis after reviewing recent evidence showing that a single dose of vaccine provides immunity for fewer than 5 years, a much shorter duration than previously believed.
Lumbosacral hemangiomas raise risk for spinal anomalies
January 1st 2011Investigators in a new study prospectively examined 48 patients with infantile hemangiomas in the midline lumbosacral region that were at least 2.5 cm in diameter, finding that more than half the infants who underwent magnetic resonance imaging had spinal anomalies.
Caffeine is not associated with enuresis
December 29th 2010A study published online in the Journal of Pediatrics reveals that 5- to 12-year-old children who consume caffeine?almost exclusively in beverages such as soda?are not more likely than their peers who do not ingest caffeine to wet the bed. But caffeine consumption and hours of sleep are correlated, with higher levels of caffeine associated with fewer hours of sleep.
Watch for early cardiac disease in pediatric patients with renal disease caused by SLE
December 22nd 2010Pediatric patients with renal disease secondary to systemic lupus erythematosus (SLE) have nearly twice the risk of death compared with pediatric patients with renal disease secondary to other causes.
Children's doctors don't always practice where the need is greatest
December 22nd 2010Physicians who care for children, including pediatricians and family care physicians, often locate their practices in areas where the number of child practitioners already is high and not where they are needed most.
Positional Plagiocephaly, Part 1:A Practical Guide to Evaluation
December 20th 2010One of the more common conditions pediatricians diagnose is deformity of the skull. Deformational plagiocephaly may be caused by compressive forces in utero (eg, multiple births) or by constant pressure on one portion of the newborn’s malleable skull when the infant is kept in the same supine position for prolonged periods.
A Collage of Genital Lesions, Part 5
December 20th 2010Premature Adrenarche: A 7-year-old girl had growth of pubic hair for the past 6months. The hair was initially limited to the labia majoraand then extended gradually into the pubic area. Isolated Scrotal Hair of Infancy: Infant was born at term to a 32-year-old gravida 2 para 3 after a normal vaginal delivery. Scrotal hair developedat age 1 month.
Transient Neonatal Pustular Melanosis
December 20th 2010This benign but impressive neonatal eruption progresses through several stages, beginning with pustules that quickly rupture and leave flat macules with collarettes of scale. The pustules may rupture in utero, and the neonate may present at birth with the macules, as was the case in this baby boy.
FDA issues warning about cough drug risk for young children
December 15th 2010FDA is adding new information to the Warning and Precaution section of the benzonatate drug label to warn physicians and healthcare professionals that accidental ingestion can result in overdose and death among patients younger than 10 years.
Child Maltreatment Study Findings-Not Surprising
December 8th 2010It is quite frustrating for all of us as children’s advocates to see little change in a high-risk family’s situation, despite the provision of available resources. Most pediatric health care providers and Child Protective Services (CPS) professionals would probably be able to share some uplifting accounts of families improving. However, I assume they could recall many more instances in which nothing seemed to change...
Adenovirus 36 may be associated with obesity
December 1st 2010Investigators assessed the relationship between adenovirus 36-specific antibodies and obesity in children to test the hypothesis that this type of viral infection may play a role in the epidemic increase in prevalence of pediatric obesity.