Routine acyclovir therapy: Isn't it time?
April 1st 1999For almost 20 years, pediatricians have hesitated to use acyclovir for "minor" ailments like fever blisters and chickenpox. These authors make the case that even minor illnesses deserve this proven therapy--especially now that it is off-patent and reasonably priced. See if their argument persuades you.
Gynecologic examination of the prepubertal girl
March 1st 1999A gentle, patient approach is important when examining a prepubertal girl. Pay special attention to anatomic and pathophysiologic differences in the child. Emphasize setting the stage to make the examination a positive experience for your young patient.
Three technologies for taming otitis media
March 1st 1999Every day pediatricians must diagnose middle ear disease and decide whether to prescribe antibiotics. To help meet this challenge, consider using the technologies described here--tympanometry, spectral gradient acoustic reflectometry, and distortion product otoacoustic emissions audiometry.
Providing emergency contraception in the office
March 1st 1999Physicians have known for three decades that taking high doses of oral contraceptive pills afterunprotected intercourse can prevent ovulation and implantation. Isn't it time you considered offering adolescent patients this effective means of avoiding unintended pregnancy?
Viral croup: Current diagnosis and treatment
February 1st 1999Croup sometimes resembles more serious disease, and management options range from home treatment with mist to PICU admission. The authors explain how to recognize viral croup, review the latest studies on when to use nebulized or systemic steroids, and suggest common-sense criteria for hospitalization.