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Q Parents of a 4 1/2-year-old boy in my practice are concerned because he takes too many risks. They report that he always seems to be doing something dangerous, which often results in injury.

Recurrent epistaxis (Wilson disease)

At pediatricians' disposal today are numerous formulations of approved medications for ADHD--traditional psychostimulants and newer agents. We also have developed an appreciation of the value of a multipronged approach to this chronic disorder.

Step-by-step evaluation of an adolescent girl who may have ADHD highlights the strengths and limitations of the AAP diagnostic guidelines and offers insight into how to augment them.

Diagnosing and treating a child?s ADHD is often not enough. Most patients have coexisting developmental or psychiatric disorders that must be addressed.

How can you distinguish intentionally inflicted injuries from findings not caused by abuse?

Accident-prone child: Stress, temperament, or ADHD?

A call to root out "pejorativism" in the medical lexicon

Appropriate evaluation and treatment of fractures of the distal radius, elbow, clavicle, and tibia hinge on the clinician?s recognition of mechanisms and patterns of injury and physical and radiographic findings.

From the point of view of a pediatric practitioner, little changed in the work of the federal government since being reviewed in these pages last month.

How should pediatricians be prepared for the prospect of community-acquired methicillin-resistant Staphylococcus aureus?

Prophylactic antibiotics have long provided asplenic children with a measure of protection against bacteremia and sepsis. Recent progress in vaccines promises to strengthen the defense.

Can 6-year-old head banger be stopped?

Do you know what parents are reading? A look at who else is molding America's children

Appropriate evaluation and treatment of fractures of the distal radius, elbow, clavicle, and tibia hinge on the clinician?s recognition of mechanisms and patterns of injury and physical and radiographic findings.

Increased use of fluoroquinolones has been associated with some decreased susceptibility to these agents among Streptococcus pneumoniae. Consider the potential for a further increase in the prevalence of antimicrobial resistance, as well as safety concerns in children, when prescribing fluoroquinolones.

Pediatric Puzzler: Respiratory distress (respiratory depression secondary to opiate ingestion)

The pioneering use of a health educator has helped this small, rural pediatric practice realize its medical mission and its business goals. The clinic's experience, the authors assert, can be applied anywhere.

Pediatricians increasingly are recognizing a mandate to treat pain aggressively. Psychotropic drugs have new pediatric uses, broadening clinicians' options.

We now understand the importance of controlling pain in children, and we understand better how to control it safely.