Book Reviews: Updates on four pediatric-related texts
January 1st 2010Read reviews of "Caring for Your Baby and Young Child: Birth to Age 5;" "Mental Health, Naturally: The Family Guide to Holistic Care for a Healthy Mind and Body;" "Raising Twins: From Pregnancy to Preschool;" and books by Mary Mahony.
Journal Club: Subcutaneous rehydration trial has promising results for dehydrated children
January 1st 2010The first pediatric study of recombinant human hyaluronidase (rHuPH20)-facilitated subcutaneous hydration demonstrated that the procedure is safe, well tolerated, and effective in children with mild-to-moderate dehydration.
Adolescent girl is diagnosed with acute abdomen and shock
January 1st 2010You are the senior resident covering the pediatric intensive care unit (PICU) when you receive a call from the emergency department (ED) regarding a nearly 14-year-old Caucasian female patient with a diagnosis of "acute abdomen and suspected septic shock." Ten days before admission, she had had a lipoma removed from her back under general anesthesia.
Viewpoint: Consider nonaccidental trauma, bleeds in differential diagnosis of seizures
January 1st 2010I really enjoyed Drs Ewasiuk and Andrew's article, "When is a febrile seizure something else?" (Puzzler, November 2009). Haemophilus influenzae A and H influenzae B are diagnoses that young practitioners need to consider in their differentials, since many of us have not seen H influenzae illness firsthand.
Journal Club: Does antibiotic prophylaxis prevent recurrent urinary tract infections?
January 1st 2010A recent study demonstrated that long-term, low-dose trimethoprim-sulfamethoxazole (TMP-SMX) was associated with a modest decrease in urinary tract infections (UTIs) in children who had had at least 1 such symptomatic infection in the past.
News Update: Survey shows teens believe tobacco is more dangerous than drugs or alcohol
January 1st 2010A survey performed by the Substance Abuse and Mental Health Services Administration showed that nearly 70% of teenagers perceive a great health risk from smoking 1 or more packs of cigarettes a day.
News Update: National Toxicology Program reviews soy-based infant formula
January 1st 2010An expert committee convened by the federal National Toxicology Program carefully chose its wording at a recent meeting to say that there is "minimal concern" about adverse developmental effects in infants fed soy infant formula.