8-year-old girl with pain in her neck
October 17th 2019A mildly overweight 8-year-old Hispanic female in rural Colorado is brought to her primary care provider’s office with right neck pain and right-sided neck swelling of a day’s duration. The patient’s mother also stated that her daughter had a maximum temperature (T-max) of 102°F that started that morning. The patient denied any sore throat, rash, headache, rhinorrhea, cough, nasal congestion, abdominal pain, vomiting, or diarrhea. What's the diagnosis?
Erythematous plaque on an infant’s cheek
October 10th 2019A healthy, afebrile, 12-month-old girl presents for evaluation with an asymptomatic nodule on her left cheek that has been present for 3 weeks. She was initially seen by her pediatrician, diagnosed with cellulitis, and prescribed an oral antibiotic, which was not administered by her parents.
How helpful are sleep studies for treating sleep apnea?
September 27th 2019Polysomnography has long been considered key to diagnosing obstructive sleep apnea (OSA) in children, but a new study in Pediatrics questions how helpful the technique is for determining whether a child will benefit from an adenotonsillectomy.
How treating food allergies and AD has changed
September 27th 2019Food allergies are a hot topic on the playground, at schools, and in pediatric offices. Parents of children with eczema or atopic dermatitis (AD) often have a lot of questions regarding the connection between eczema, exposure to common food allergens, and the development of or exacerbation of AD. There are many of the complex questions that clinicians must answer when evaluating pediatric patients with AD.
Are kids with ADHD getting followup care in Medicaid? (VIDEO)
September 26th 2019For Contemporary Pediatrics, Dr Bobby Lazzara discusses a study published by Department of Health and Human Services that examined whether children enrolled with Medicaid who had an ADHD diagnosis received the recommended followup care.
Using fast MRI to assess brain injuries
September 25th 2019Computed tomography scans are often used when treating children for traumatic brain injury, but the exposure to ionizing radiation may give a clinician pause in cases that are extremely subtle. A new study published in Pediatrics looked at whether fast magnetic resonance imaging (MRI) scans, meaning motion-tolerant MRI sequences done without sedation) was accurate and feasible in young children.
Cannabidiol use: We do not know the potential to harm
September 24th 2019I totally agree with Dr. Schuman’s perspective in his article that “it is inappropriate and irresponsible for pediatricians [and I include, PNPs] to encourage the use of cannabidiol (CBD) until more studies are available” to assure the safety and efficacy of CBD are clearly established in rigorous randomized controlled clinical trials (RCTs).