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SSRI monitoring form for a primary care pediatric nurse practitioner

Are any of your patients headed for legal trouble? Can you do anything to alter their risk? The authors provide navigation through the juvenile justice system so that you can accomplish the most good.

Hands down, the electronic health record improves your efficiency and productivity. Prices for fully functional EHR software continue to decline, hardware is now affordable, and financing comes more easily. So why do many physicians still resist the EHR?

Revised guidelines help evaluate the child who doesn't meet all the classic criteria for KD and provide a framework for long-term management based on the risk of myocardial infarction.

A tear to the anterior cruciate ligament is more common in children and adolescents than was once thought. Prompt, accurate diagnosis and referral can reduce long-term problems from this potentially devastating knee injury in a skeletally immature patient. First of two parts.

What's causing a 17-year-old female to complain of diarrhea; vomiting; severe, cramping abdominal pain; tenesmus; and fever?

What is the mysterious "red mark and bruising" on an infant girl's cheek?

The disappearance of the "family doctor."

A male neonate was born at 39 weeks' gestation by vertex vaginal delivery with focal swelling of the head. Vacuum extraction and forceps were not necessary for delivery. The mother had no complications during labor. Apgar scores were 7 and 9 at 1 and 5 minutes, respectively. A cephalhematoma was suspected when the fluctuant parietal swelling did not transilluminate.

The mumps outbreak in Iowa and other midwestern states appears to be slowing. However, it is not yet contained. Are you prepared?

A 9-day-old boy was brought in for routine care. His mother had noticed these teeth at the child's birth. There were no other remarkable physical findings. Natal teeth occur in 1:700 to 1:6000 births, write Howard Fischer, MD, and Ahdi Amer, MD, of Children's Hospital of Michigan in Detroit. Such teeth are most often seen in the mandibular incisor area, often in pairs.

Pediatric ECGs are regularly performed for a variety of conditions, including chest pain, syncope, and suspected arrhythmia. Correct interpretation of ECGs can be challenging when technique is faulty or when the variability of normal values in children is not taken into account.

A 6-year-old girl with a nonproductive cough for 4 days and chest pain for 2 days was brought to the emergency department. According to the mother, the child had no fever or wheezing. She had no history of surgery, was not taking any medications, and had no contact with ill persons.

A 71-year-old man presents with stiffness, clumsiness, and a sense of weakness in his left arm. He is concerned that he has had a stroke. What is the most appropriate management strategy?

Ten-year-old girl assessed because of limitation of neck motion. Born at term to non-consanguineous parents. No history of necktrauma. Family history andpast health unremarkable.

Adding cognitive behavior therapy (CBT) to a single selective serotonin reuptake inhibitor (SSRI) mildly improves symptoms of depression compared to the effect of the SSRI alone, a new study shows. But the full potential and effect of CBT may have been weakened by a reduction in subjects' use of SSRIs, according to Gregory Clarke, PhD, of the Kaiser Permanente Center for Health Research, where the study was performed.

The "Media-Smart Youth: Eat, Think, and Be Active"! program is now available to help young people 11 to 13 years old, first, become aware of how the media can influence their dietary choices and, second, make smart decisions about what they eat and how they spend their time. Developed by the National Institute of Child Health and Human Development (NICHD), one of the National Institutes of Health (NIH), the after-school program offers fun, hands-on activities that teach critical thinking skills.

An evidence-based clinical practice guideline aimed at identifying, reducing, and preventing childhood overweight was recently released by the National Association of Pediatric Nurse Practitioners. The goal of the NAPNAP initiative, "Identifying and Preventing Overweight in Children" is to slow, and even reverse, the rapid increase in overweight among children.

New research reported at the annual meeting of the American Psychiatric Association in Toronto in May shows that Shire Pharmaceutical Group's methylphenidate transdermal system (Daytrana) appears a safe and well-tolerated alternative to OROS methylphenidate, and is equally efficacious.