News
Young Child With Hematuria and Dysuria
July 1st 2007A 3-year-oldgirl is brought to the office because of a 1-week history of hematuria and dysuria. Her mother had noticed bright red blood in the child's urine and diaper. The child did not have dysuria initially but later complained of a burning sensation. A week earlier, the patient had been seen at an urgent care center. Oral trimethoprim/sulfamethoxazole was prescribed after urinalysis showed numerous red blood cells and few white blood cells. However, the hematuria persisted.
NIH Announces Pediatric Seizure Study
June 26th 2007The National Institute of Child Health and Human Development (NICHD) has announced plans to conduct a large-scale study to determine which of the two most commonly-prescribed medications; diazepam (Valium) or lorazepam (Ativan), is the safer and more effective treatment for children with status epilepticus [more].
NICU micropreemies: How do they fare?
June 14th 2007When preemies weighing less than 800 g survive--as more and more of them do--parents want to know what quality of life their child can expect. The answer is that despite the risk of neurodevelopmental disabilities difficulties are rarely severe, resources are available for overcoming problems, and most of these children will live a productive life.
Thyroid testing: When to worry (not often) and when to reassure
June 14th 2007Thyroid problems can be worrisome, but relatively few children referred for workup for an abnormal thyroid test have clinically significant disease. Choosing the right screening tests can prevent these costly encounters without compromising children whose test results warrant close follow-up and possible intervention.
Managing concussion in a young athlete
June 14th 2007A "rung bell" is common and can do significant acute and long-term harm to a developing brain. Because no guideline or protocol has been adequately studied for application to children and adolescents, take a cautious approach to management of concussion in youth, the author advises.
A new day in preventing meningococcal disease: Sizing up the available vaccines
June 14th 2007The new conjugate vaccine MCV4 promises longer duration of immunity and, perhaps, greater clinical efficacy than the polysaccharide vaccine MPSV4. Questions remain about booster doses, vaccinating young children, and safety.
What do we know about cutaneous melanoma of childhood?
June 14th 2007Childhood melanoma is a challenging diagnosis even for a clinician who sees pigmented skin lesions every day. The authors share their international experience with you and describe what you need to know in your practice about the rare, but real, childhood melanoma.
Hymenoptera stings: A practical guide to prevention and management
June 14th 2007Summertime stings?which actually peak in incidence late in the season?can result in either a mild local reaction and a lesson learned, or a systemic allergic reaction with a devastating outcome. Here are strategies to help you and your patients prevent stings and their potentially devastating outcomes.
Re-educating the self-educated: Completing the picture patients get from web research
June 4th 2007How do you deal with "internet-savvy" parents? Dr. Lise Johnson, host of Contemporary Pediatrics Radio discusses the scope of internet information and misinformation with writer Lisette Hilton and practicing pediatrician, Dr. Eileen Costello. Hear about great web resources that are out there and how to make sure your patients share the concerns that web research can often stimulate.
The crying child: What are they trying to tell you? Part 2
June 1st 2007Crying and irritability are nonspecific complaints whose etiologies in a nonverbal child are often obscure. Therefore, a thorough history and a careful physical examination, combined with selected diagnostic tests, are crucial in arriving at an accurate diagnosis.
The crying child: What are they trying to tell you? Part 2
June 1st 2007Crying and irritability are nonspecific complaints whose etiologies in a nonverbal child are often obscure. Therefore, a thorough history and a careful physical examination, combined with selected diagnostic tests, are crucial in arriving at an accurate diagnosis.
