Polycystic Ovary Syndrome: Update on the Pros and Cons of Treatment Options
March 1st 2007ABSTRACT: Polycystic ovary syndrome (PCOS) is the most common endocrinopathy among females of reproductive age. In adolescents, PCOS often manifests with irregular menses, hirsutism, and acne. Despite general agreement that the metabolic derangements of PCOS arise during puberty, the condition is diagnosed more often in adults than in adolescents. Treatment is focused on weight loss, menstrual cycle regulation, and amelioration of physical symptoms. Acute symptoms can be managed with combination oral contraceptives and antiandrogens and potentially with insulin-sensitizing drugs. Lifestyle modification, especially in overweight patients, can reduce symptoms and help prevent long-term health consequences.
Case in Point: Sandifer Syndrome
March 1st 2007A previously healthy full-term, 30-week- old infant presents to the emergency department after a 30-minute episode in which he turned blue after a feeding. His mother states that the infant was also stiff, that he "arched his back," and that his eyes "had a blank look." There was no twitching associated with this episode, and the infant had no fever, cold symptoms, or any sick contact.
Tips to keep children Strep-free during peak months
February 16th 2007Children's Hospital of Pittsburgh of UPMC recently released steps to avoid strep throat. Strep throat is most common in children in late fall, winter and early spring, according to Judith Martin, MD, an associate professor of Pediatrics at the University of Pittsburgh School of Medicine. Infection from Group A Streptococci (GAS)-the bacteria that causes strep throat-is spread by person-to-person contact, which makes children highly susceptible to spreading and getting the infection at school.
FDA approves Colazal for pediatric patients
February 16th 2007In December, the U.S. Food and Drug Administration (FDA) approved the use of Zolazal (balsalazide disodium) capsules 750 mg in pediatric patients between 5 to 17 years of age with ulcerative colitis. Colazal, an anti-inflammatory drug approved for the treatment of mildly to moderately active ulverative colitis, is manufactured by Salix Pharmaceuticals, Ltd.
New recommendations on pox vaccine
February 16th 2007Doctors are urging children to routinely get two shots against varicella instead of just one in an effort to prevent cases of chicken pox. Recommendations released recently by the American Academy of Pediatrics call for children to get a second dose of the varicella vaccine between the ages of 4 and 6.
Pre-teen years a time of weight gain for girls
February 16th 2007A report by the U.S. National Heart, Lung, and Blood Institute found that girls are most likely to gain weight early in adolescence, between the ages of 9 and 12, and the health consequences of being overweight can be evident in girls as young as 9. The study is published in the January issue of the Journal of Pediatrics.
Preparing your office for emergencies-the psychosocial kind
February 1st 2007Office preparedness for pediatric emergencies is assumed in the training, certification, and continual vigilance that defines a proficient practice. Yes, you're confident in your traditional medical skills-but what about when a psychosocial crisis arises?