A pediatric epidemic: Deformational plagiocephaly/brachycephaly and congenital muscular torticollis
February 1st 2019Pediatric healthcare providers are on the front lines to provide early identification and treatment of plagiocephaly/brachycephaly and torticollis for those infants spending more time supine/reclined and less time prone. Here’s why early intervention is so important.
Not sleeping through the night by age 12 months? Not to worry!
February 1st 2019Many 6- and 12-month-old infants do not yet sleep through the night, but Canadian researchers found no significant associations between this situation and infants’ mental and psychomotor development or their mothers’ mood.
Reticulated rash on boy’s lower extremities
February 1st 2019A healthy 11-year-old boy is brought to the office for evaluation of asymptomatic reticulated rash that started on his ankles 3 weeks ago and since has spread to his shins and the tops of both feet. He is on no medications and has had no history of trauma or recent illness. What's the diagnosis?
Poverty raises risk of bacterial infection in febrile infants
February 1st 2019Febrile infants from disadvantaged neighborhoods with high rates of childhood poverty are much more likely than their peers from more affluent neighborhoods to have a bacterial source for their fever, according to a retrospective study of infants aged 90 days or younger with a temperature of 100°F or greater who visited an emergency department (ED) of an urban children’s hospital.
Child with a history of multiple fractures
The patient, an 8-year-old male who recently immigrated to the United States from El Salvador, initially presented to the emergency department (ED) for a cough. The next day, he went to the general pediatrics clinic for follow-up and was noted to have a significant history of recurrent fractures.
Probiotics vs placebo against gastroenteritis
February 1st 2019Of 973 preschool-aged children with acute gastroenteritis who visited 1 of 10 geographically diverse pediatric emergency departments (EDs), those who received a 5-day course of Lactobacillus rhamnosus GG, a commonly recommended and used probiotic, did not have better outcomes than those who received placebo, a prospective, randomized trial found.
How a web-based model helps predict epilepsy risk
January 2nd 2019Not all children who have seizures are diagnosed with epilepsy, and a definitive diagnosis can be difficult to make. Now, researchers from the Netherlands have developed a Web-based tool to help clinicians predict the probability of future seizures based on early clinical data.
Baby-led weaning: Introducing complementary foods in infancy
January 1st 2019Baby-led introduction of complementary foods is a practice gaining in popularity among families with infants ready for the change from breast milk or formula to table foods, but it must be done in a developmentally appropriate way.
Left lower quadrant abdominal pain, vomiting
January 1st 2019A 4-year-old girl presents to the emergency department (ED) with a 12-hour history of progressively worsening episodic left lower quadrant (LLQ) abdominal pain and nonbilious emesis. There was no history of fever, diarrhea, hematochezia, constipation, or dysuria. The child was previously healthy, did not take any medications, and had no history of prior surgery.
Strategies for improving developmental screening
Pediatric practices could make significant improvements to their developmental surveillance and screening processes in a short time. This project team’s initiative shows just how quickly your practice can, too.