Four controversies in pediatric asthma care
October 1st 2000Asthma management has come a long way in recent years, but many dilemmas remain: When is the right time to make the diagnosis and start anti-inflammatory therapy? What about growth suppression from steroids? Is an inhaler or nebulizer best for acute attacks?
Amenorrhea and acne in the adolescent girl: Is it polycystic ovary syndrome?
October 1st 2000Hyperandrogenism, most notably polycystic ovary syndrome, is a common cause of acne and menstrual difficulties in teenage girls, yet many pediatricians fail to recognize the condition. Prompt diagnosis and treatment can relieve a significant source of distress for patients, while helping to prevent serious complications later in life.
How substandard housing affects children's health
October 1st 2000Recognizing that a child?s substandard home may be the cause of his or her asthma attacks, lead poisoning, or injury is the first step toward bettering that child?s health. The second step is to help the family access available resources for improving the home environment.
Is it an endocrine disorder or a "non-disease"?
October 1st 2000Children referred for evaluation of an endocrine disorder often turn out to have findings that merely mimic the suspected disease. Early identification of these nondiseases can save patients and parents a lot of unnecessary testing and worry. First of two parts.
Autistic spectrum disorders: When traditional medicine is not enough
October 1st 2000Vitamins and supplements, special diets, and other nontraditional treatments for ASD are becoming increasingly popular. To advise families, pediatricians need to be knowledgeable about the efficacy and side effects of these therapies.
"At least it's natural...." Herbs and dietary supplements in ADHD
September 1st 2000Parents increasingly are turning to alternative therapies to manage their child's ADHD. This review of the pharmacology an toxicology of the most popular herbs and dietary supplements for treating ADHD and what the literature shows about their efficacy should help you advise parents.
Infection control in the office: Keeping germs at bay
September 1st 2000Minimizing the risk that your patients and employees will acquire a contagious disease in your office demands diligent infection control. This review summarizes guidelines and offers recommendations that can reduce the spread of infection?from what soap and lotion to use for handwashing to what immunizations your office staff need.
Hemolytic uremic syndrome: Reducing the risks
September 1st 2000Though not as deadly as it once was, HUS remains a serious threat to young children, with a real risk of dangerous complications. Continuing outbreaks caused by E coli O157:H7 highlight the need for accurate diagnosis, intensive supportive care, and effective prevention.
Diagnosing and treating adolescent endometriosis
September 1st 2000Not at all rare in teens, endometriosis is sometimes severe even in early adolescence. Accurate and early diagnosis is important so you can start treatment before this disease affects reproductive potential. Family history is one red flag.