News

A 4-year-old Hispanic girl presented with abdominal pain of 2 months' duration that had been increasing in intensity for the past 2 days. The pain was localized to the epigastric area and was associated with episodic nonbilious vomiting and a 4-lb weight loss within the past month. The child had normal bowel movements and no recent travel or change in diet.

Two days after "heading" a soccer ball, a 17-year-old boy presented to the emergency department with progressive pain and a foreign-body sensation in his left eye. Visual acuity was 20/20 in the right eye and 20/25 in the left eye. The pupils were equally round and reactive; full extraocular movements of both eyes were noted. The left eye had conjunctival injection and a 1-mm foreign body on the medial cornea with a surrounding halo of discoloration--typical of a metallic corneal foreign body. A Seidel test (which demonstrates streaming of fluorescein dye from the aqueous humor when illuminated with UV light) revealed no evidence of corneal perforation; there were noareas of fluorescein dye uptake.

Merck received FDA approval for a new indication for montelukast 10 mg (Singulair). The medication can now be prescribed for exercise-induced bronchoconstriction (EIB) in patients 15 years and older [more].

The FDA issued a formal written request to Shelhigh, Inc. to recall all of its medical devices still in the marketplace, including hospital inventories, due to questions about sterility [more].

The Food and Drug Administration proposed that all manufacturers of antidepressant meds update their existing black box warnings. The product labels should include warnings about increased risks of suicidal thinking and behavior, in 18- to 24-year olds, usually in the first two months of treatment [more].

Manufacturing problems have cut production of a four-disease combination vaccine (Pro Quad) made by Merck (MMWR Wkly Rept:56(18);45), according to the Centers for Disease Control and Prevention (CDC). The vaccine protects against measles, mumps, rubella, and varicella. [more].

The Consumer Product Safety Commission (CPSC) and the National Highway Traffic Safety Administration (NHTSA) have announced a recall of approximately 450,000 Evenflo Embrace Infant Car Seat/Carriers. [more]

Intractable crying in infants and young children can be a language all of its own-capable of communicating underlying disease. Here's what pediatricians need to know to avoid getting lost in translation.

Intractable crying in infants and young children can be a language all of its own-capable of communicating underlying disease. Here's what pediatricians need to know to avoid getting lost in translation.

Intractable crying in infants and young children can be a language all of its own-capable of communicating underlying disease. Here's what pediatricians need to know to avoid getting lost in translation.

Intractable crying in infants and young children can be a language all of its own-capable of communicating underlying disease. Here's what pediatricians need to know to avoid getting lost in translation.

New Products

Breast pumps * Infant cushion * Glucose meter

Journal Club

Teen bariatric procedures * Rocky Mountain spotted fever* Health promotion kiosks

A 14 year old presents with an unusual state of health, episode of hypertension and altered mental status. A very unusual case as the patient presented with a hypertensive emergency from a small bowel obstruction that resulted from a volvulus of the midgut.

The recent explosion of energy drinks into the consumer market begs the question: how do these highly marketed and easily accessible beverages affect the health of young consumers?

Updates

Children & obesity * Oral health * Medicaid access * Adolescent bariatric surger * Art contest