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There is a trend in internal medicine to get away from doing complete physical examinations on each visit, with a minimalistic approach to a healthy patient. I am not prepared to go that far just yet, but I have modified my examination in many ways over the years. Here are some gems I have unearthed.

It seems that our healthcare system is overdue for an integrity/honesty overhaul. Let’s review how we can begin the process of restoration at the practice and healthcare system levels.

The father of a healthy 15-year-old girl brings her to the emergency department (ED) for evaluation of blue hands.

A new online tool may help clinicians predict if a child of a parent with bipolar disorder (BD) will follow in their footsteps

For Contemporary Pediatrics, Dr Bobby Lazzara discusses a large cohort study published in JAMA Psychiatry that examined whether children with a positive strep test are more likely than their counterparts to develop mental disorders, particularly tic disorders and OCD.

While reading Dr. Hall’s article “Persistent agitation in children with neurologic impairments,” the differences between the medical and nurse practitioner (NP) models of care emerge.

Research has long tied alcohol use to early mortality, but a new study reveals how age at first drunkenness alone can impact mortality.

Parental knowledge and provider support are key factors in increasing acceptance and uptake of the human papillomavirus (HPV) vaccine among parents of boys, according to a new report.

Although opioid use disorders among teenagers and young adults are increasing, the number of teenagers and young adults who receive medication to treat opioid use is decreasing, with significant inequalities among population types.

A new study reveals that premature infants perform nearly as well as their full-term peers by their school years, and that those who don’t aren’t as far behind their peers as previously thought.

Most physicians are not adhering to recommendations on otitis media management, according to a new report from the American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF).

Tympanostomy tubes are widely used in pediatric care, taking first place as the most popular ambulatory surgery. However, new research reveals that tube placement provides just short-term hearing improvement and has little impact on quality of life.

Improving care coordination across the healthcare continuum has the potential to dramatically improve patient care, reduce duplicative tests and procedures, and positively impact care quality. This whitepaper explores data coordination that more easily locates records, reduces test and procedure duplication - and boosts your quality of care.

A look at what you can find in the July 2017 issue of Contemporary Pediatrics.

Diagnosis of attention-deficit/hyperactivity disorder (ADHD) at age 9 years is associated with adverse childhood experiences (ACEs), according to an analysis of data for 1572 children who are part of the Fragile Families and Child Wellbeing Study (FFCWS) birth cohort.

An analysis of 2015 claims data for about 69,000 children with an asthma diagnosis suggests that the answer to this question is “yes.” Of these children, who were insured through a large Texas health plan for children with Medicaid and CHIP and who ranged in age from 1 to 18 years, 42.1% were given an oral corticosteroid (OCS) 1 or more times during the year; 9.9%, 2 or more times; and 3.3%, 3 or more times.

In children aged older than 2 months, the pediatrician is often faced with the scenario of fever with no apparent source. Because symptoms in young patients are nonspecific and reliable urine samples require invasive testing, there can be a delay in both diagnosis and treatment of urinary tract infections (UTIs). This delay may be associated with increased risk of renal scarring and a longer duration symptomology for the young child.

A father brings his 8-year-old son to the office for evaluation of new, asymptomatic blue bumps that have appeared on the boy’s chest over the last several months (Figure). The dad notes that he has had similar lesions as well.

A 14-year-old female presents for a wellness visit. On history, she is noted to not have started her menstrual cycle but on physical exam has significant breast and pubic hair development since the age of 10 years.

This article will present an overview of the technology involved in scanning documents, reviewing documents, and signing documents, and provide some tips on how to expedite your document workflow.

Preventing readmissions has always been a high priority for the clinicians in hospital newborn nurseries. Here's how one program works on cutting down readmission rates.

Crying and agitation for no apparent reason in children with severe neurologic impairment is a common and frustrating problem for parents and providers alike. A methodical approach is helpful in dealing with this problem, yet sometimes the cause is not apparent, even after a thorough search. It is helpful to explain to parents and caretakers that the cause of the distress may take some time to figure out, and that diagnosis is often difficult. However, in most cases, a satisfactory treatment can be found.

Goals for NPs caring for children and adolescents with weight problems are early identification and referral to treatment in order to prevent the well-known adverse effects the diagnosis of eating disorders places on the child, adolescent, and family members-and, in time, the overall health of the adult population.

Children who struggle with obesity not only have to deal with a host of physical problems, but social problems also take a huge toll, according to a new study.

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Car accidents are the top cause of death in children under age 15, and restraints were either not used or improperly used in nearly half of those fatal crashes, according to a new report.

While improvements have been made to childhood cancer mortality rates, a recent research study aims to identify how many children die before being able to start treatment, and what interventions can be put in place to improve their chances.

For Contemporary Pediatrics, Dr Bobby Lazzara discusses a controversial UK-based study published in JAMA Pediatrics that examined how well pharmacologic interventions for attention-deficit/hyperactivity disorder (ADHD) help education and health outcomes for impacted kids.

Physicians should be cautious when administering vaccines, particularly pneumococcal vaccines, to patients with autoinflammatory disorders, according to a new study.