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Where have all the vaccines gone? No more child soldiers?with exceptions, Who's minding the store? Eye on Washington

This condition may be easily overlooked because of its insidious nature. Combining history, physical exam, and hematologic tests allows you to distinguish it from other forms of red cell aplasia.

There is a great deal of work being done to minimize the duration of vaccine shortages; in the meantime, however, children may be left vulnerable to diseases we considered virtually wiped out.

Medical care of a dying child is usually managed by a team of specialists. The primary care pediatrician&s role is supportive, with emphasis on helping the entire family cope.

Skin eruption on a 9-year-old

Summaries from the literature with comments by Dr. Burke

Attention deficit hyperactivity disorder doesn&t disappear in teens. But it does look different, and failure to recognize and treat it can have a devastating impact.

Emergencies in pediatric offices are not uncommon, but practices are seldom prepared to respond. Implementing an emergency office protocol and a mock code program?like those detailed here?might save a life.

Chronic fatigue in children and adolescents shares many features with the adult variant of the syndrome. The most important differences for younger patients? A shorter course and better outcome.

A number of alternatives to antibiotics and surgery?some helpful, some not?are being used to prevent and treat one of the most common childhood infections: otitis media.

A smoking problem that can't be ignored, a toddler engaged in a mystery fast, is child's mimicry cause for concern? What is it about those URLs?

AAP gives support to adoption rights of gay partners, Practice guideline authors keep ties to industry quiet, Survey affirms: Drugs, alcohol, sex are linked. Eye on Washington

Status epilepticus--what does it mean?

The search for preventive measures has yielded more questions than answers. The author explores current approaches to the problem and where those avenues of inquiry may lead.

Concern about the effect of inhaled steroids on growth has inhibited the prescribing of this class of medications for childhood asthma. The weight of findings suggests the effect on height may be less significant than that of untreated or inappropriately treated asthma.

When you are presented with a child who has a murmur, chest pain, or syncope, what findings on history and physical exam point to cardiac pathology? When should you refer?

When you are presented with a child who has a murmur, chest pain, or syncope, what findings on history and physical exam point to cardiac pathology? When should you refer?

Enabling adolescents with chronic pulmonary disease to exercise or play sports regularly can improve their health. The keys are to arrive at the proper diagnosis, prescribe the right treatment, and recommend the most appropriate activity.

Until we learn to recognize susceptible infants and avert the immunologic response that results in asthma, we must improve the means by which we treat it.

New products of interest to pediatricians

The Web is the place to go when you need to examine literature that addresses a specific clinical question. The authors illustrate what this tool reveals about novel protocols for treating acute attacks of asthma.

Research is shedding light on the mysteries of this distressing disorder, which isn&t as rare as you might think. Once the diagnosis is made, antiemetic and antimigraine drugs provide reasonably effective relief.

Extreme, persistent fear of storms, chewing her hair, habitually.

Bad breath is no laughing matter for the child or adolescent who has it. Most cases can be alleviated by relatively simple measures, but not before the cause is pinpointed by a targeted history and physical exam.

EMRs are here.

EMRs are the wave of the future.