Pediatricians and schools: Partners for children
September 1st 2010If the overall goal for pediatricians is to ensure that, to the greatest extent possible, children grow to adulthood healthy in mind and body and prepared to become productive members of society, then we need a great deal of help to achieve that goal.
Boy With Exercise-Related Exhaustion, Hypertrophic Calf Muscles, and Thigh Muscle Wasting
August 5th 2010Otherwise healthy 9-year-old African American boy seen for first time for complaints of frequent exhaustion, particularly when climbing stairs or walking for long periods. He could no longer participate in sports because of inability to keep up with his peers. He had been toe walking and had become clumsier over the past year, tripping and falling more frequently. Besides a mild delay in walking (around 16 months), his mother had reported no outstanding gross motor delays in infancy. He was in a regular class in school, although he did receive extra help in math and reading.
Young Girl With Enlarging Tender Neck Mass
August 4th 2010A 6-year-old girl presented with tender mass on the left side of her neck that had enlarged over the past week. Her primary care doctor initially prescribed amoxicillin/clavulanate for suspected bacterial lymphadenitis. The swelling progressed, and a CT scan was ordered.
AAP issues statement on cochlear implants
August 1st 2010Children preparing for cochlear implant surgery should receive all age-appropriate doses of pneumococcal conjugate and Haemophilus influenzae type b conjugate vaccines and appropriate annual immunization against influenza at least 2 weeks before surgery, according to a recent policy statement.
Urgent care and parental satisfaction
August 1st 2010A survey of more than 1,000 parents who brought their children to either an urgent care clinic or a well care clinic during an 18-month period provided some insights into the association between parents' knowing the care provider's name and how satisfied they were with their visit.