Website created for electronic health records incentive programs
July 1st 2010To help healthcare providers navigate through the language of HIT requirements in order to quality for EHR incentive payments, CMS has launched an official informational website for the Medicare and Medicaid incentive programs scheduled to begin in 2011.
Committee focuses on healthcare disparities
July 1st 2010On June 4, the Health Information Technology Policy Committee's meaningful use workgroup gave testimony on how to include in the definition of "meaningful use" measures that could reduce racial, ethnic or any other disparities in the health of patients.
In Wheezing Infant With Toddler Sibling-Consider Foreign-Body Aspiration
July 1st 2010I read with interest Drs Ha and Wilson’s “What’s Your Diagnosis?” case of an infant with a history of wheezing and dry cough ("History of Cough in an Infant and a Toddler"). In a setting such as this, one should also consider the possibility of foreign-body aspiration, which can result in recurring wheezing and pneumonia.
Words of Wisdom for New Residents
June 22nd 2010Thoughts of my summer vacation are on the back burner now as I prepare to welcome the incoming pediatric residents. July 1st has a special meaning to all of us who have survived the grind of an internship. Fear was probably my main emotion at the start of my residency, while I’m sure for others it was excitement and anticipation. On July 8, I have to give a talk to the newcomers at our institution.
Atypical Dermatitis Herpetiformis
June 10th 2010An 18-year-old boy presented with a several-month history of an intermittent, very pruritic rash on his back that did not improve with topical corticosteroids. Physical examination revealed grouped erythematous papules with a few scattered small vesicles on his posterior neck and bilateral posterior shoulders at the location where his backpack frequently rubbed.
Toddler With Nonpruritic Rash That Does Not Respond to Corticosteroids
June 9th 2010A 1-year-old boy presented with a 10-day history of a nonpruritic rash that had persisted and spread despite treatment with a topical corticosteroid. Mother reported that he was febrile at the onset of the eruption; he was given over-the-counter antipyretics. On day 3, his pediatrician evaluated his condition and prescribed amoxicillin for his fever and hydrocortisone cream for his atopic dermatitis. Over the next several days, the fever subsided; however, the rash, which had started on the child’s right hand, persisted and spread to his face and elsewhere.
Unexplained Bruising: Weighing the Pros and Cons of Possible Causes
June 8th 2010A 3-month-old boy was brought by his mother to his busy primary care physician’s office for follow-up of bronchiolitis when numerous bruises were noted. The mother said that the infant had a 1-week history of unexplained bruising, petechiae, and irritability. The child was referred to the local emergency department (ED) because of concern for nonaccidental trauma.
Is this a dermatophyte infection of the scalp?
June 8th 2010The mother of this 7-year-old girl originally thought these peculiar scales in her daughter’s scalp and hair were nits, since there had recently been an outbreak of head lice at the child’s school. However, she was not able to find any lice, and the scales resisted removal with mineral oil and a “nit comb.”
Whether to Pull Kids From School for a Family Vacation
June 2nd 2010I’ve just committed my family to a 5-day July vacation to Orlando so we can visit a new amusement park dedicated to Harry Potter. The famous series of books about the teenage wizard has really sparked the love of reading in many children, including mine. My kids are really excited about seeing Hogwarts come to life, but my husband is not so thrilled about being in the potentially sweltering heat of Florida in the middle of the summer.