Parent education by text reduces ED visits for nonurgent care
November 1st 2018Frequently sending texts to caregivers with messages about infant development, safety, and basic care reduces the number of visits to the emergency department (ED) in the first year of life, according to a new study conducted in a large urban pediatric care practice that serves a low-income population with limited health literacy.
Breastfeeding moms who smoke marijuana expose their infants to cannabinoids
November 1st 2018Women who use marijuana while breastfeeding produce breast milk with a measurable amount of the primary psychoactive ingredient in marijuana, delta-9-tetrahydrocannabinol (delta 9-THC), for up to 6 days since they last smoked. This was the primary finding in a study in 50 breastfeeding women who reported using marijuana and provided breast milk samples to a research repository for analysis.
Chronic cough in a 4-year-old boy
November 1st 2018A previously healthy 4-year-old male, born late preterm by urgent cesarean delivery with an uncomplicated postnatal course, presents to the outpatient clinic for a chief complaint of worsening cough over the past 5 months. He denies current fever, rhinorrhea, shortness of breath, diarrhea, or vomiting. His cough has been worsening in severity and frequency, and mostly occurs during the daytime.
Persistent pruritic rash in an 8-year-old boy
November 1st 2018An 8-year-old boy is brought to the office for evaluation of a persistent itchy rash on his extremities, trunk, and face. Although the rash has been present for longer than 3 months, individual skin lesions change from hour to hour and occasionally the rash clears completely only to recur several hours later. He is otherwise healthy with no known allergies, changes in diet, medication use, or recent illness.
How tobacco and vaping marketing is changing
October 3rd 2018Cigarette marketing has come a long way since the glamour ads of the past, Joe Camel, and the Marlboro Man, but there are new challenges on the horizon-fighting the international reach of social media campaigns and a rise in the use of e-cigarettes by teenagers.
Kawasaki disease: AHA statement and recommendations
October 1st 2018Pediatricians must suspect Kawasaki disease (KD) in children with prolonged unexplained fever. This article reviews the latest scientific statement on KD from the American Heart Association that is of practical importance for all clinicians.
Boy’s progressive extremity rash looks fishy
October 1st 2018A previously healthy 8-year-old boy presents to the dermatology clinic with a progressively worsening elbow rash over the course of the last week. The rash does not itch. He spent the previous weekend sailing on the Chesapeake Bay. His pediatrician prescribed a course of cephalexin as well as a trial of topical antiviral ointment, neither of which improved the rash. The patient denies any other new exposures.