Fistula spied near infant’s eye
September 1st 2018The mother of a healthy 4-week-old boy brings him to the office for evaluation of a small pit on the medial canthus of the left eye, noted since birth. There is constant drainage of tears onto the left side of his face and exudate on the bottom of the left medial canthus.
Staggering consequences of front-end healthcare cost cutting
August 29th 2018For children living below the federal poverty level, public insurance programs are a lifeline to crucial healthcare services. If eligibility requirements change, however, thousands of children could be left without healthcare-a move that could result in billions of dollars’ worth of uncompensated care for hospitals each year.
Vitamin D supplementation during pregnancy benefits offspring
August 1st 2018Infants born to mothers who receive vitamin D supplementation while pregnant are at reduced risk of being small for gestational age and experience improved growth during infancy, with no increased risk of fetal or neonatal mortality and congenital malformation. These were major findings of a systematic review and meta-analysis of 24 randomized controlled trials involving 5405 participants.
Macroglossia and omphalocele in neonate
August 1st 2018A 33-year-old female, G3P1011, was transferred from an outside facility at 33 weeks and 6 days gestation for anticipated preterm delivery secondary to preeclampsia. On prenatal ultrasound, her fetus was diagnosed with an omphalocele and delivery was preferred at an institution with a neonatal intensive care unit to manage the infant.
Is this child overweight? Parents don’t see what you do!
August 1st 2018Most parents of young children who are overweight or obese think their child’s weight is “just right,” according to a study conducted in Sweden. However, as their child grows older, more parents recognize when their child is too heavy-especially if he or she has reached the level of obesity.
Children’s well-being decreases as media use increases
August 1st 2018Compared with their peers who spend no more than 2 hours each weekday exposed to digital media, school-aged children who are in front of screens for longer are less likely to be doing well overall, according to their parents. Furthermore, how much digital media exposure (DME) a child gets is inversely related, in a dose-dependent manner, to markers of childhood “flourishing.”
Infant’s pustular eruption is not scabies
August 1st 2018An anxious mother brings her healthy 4-month-old daughter for evaluation of itchy pustules on both hands and feet. The eruption has persisted despite 2 courses of permethrin for scabies. The infant also was diagnosed with hand-foot-and-mouth syndrome and dyshidrotic eczema, but neither of these diseases fit clinically.
Does preterm birth contribute to ADHD? (VIDEO)
August 1st 2018For Contemporary Pediatrics, Dr Bobby Lazzara discusses a prospective population-based cohort study published in JAMA Pediatrics that examines whether a link exists between early preterm birth and the development of attention-deficit/hyperactivity disorder (ADHD).