Boy with fever, cough, and oral lesions
July 1st 2016A previously healthy, 16-year-old Hispanic boy initially presents to the clinic with a 5-day history of tactile fevers, achy malaise, congestion, and a dry cough. He was afebrile with negative rapid strep and monospot tests, but was prescribed fluticasone, benzonatate, and ibuprofen for a presumed upper respiratory infection. He was encouraged to return if symptoms did not improve.
Infection control: “When can my child return to school?”
July 1st 2016Two common questions asked of pediatricians by parents are “When can my child return to school?” and “how long will I be staying home with my child?” Understanding when, how long, and under what conditions a pediatric patient with an infection is contagious to others is an important part of disease prevention and treatment.
Sexting, dignity, and what we can learn from one another
June 29th 2016Pediatricians often find themselves sitting across from teenagers trying to counsel them on wise and safe sexual practices. Unsure how much or what kind of information parents provide about sex, these conversations can be as awkward as they are important.
Zika virus: Arming parents for prevention
June 27th 2016Over the past several months, we have received information from news reports, local and state departments of health, and from the Centers for Disease Control and Prevention (CDC) about the Zika virus, a mosquito-transmitted disease, and the devastating outcomes experienced by some pregnant women who contracted the Zika virus during pregnancy.
Latest recommendations for pediatric skin infection treatments (VIDEO)
June 23rd 2016For Contemporary Pediatrics, Dr Bobby Lazzara explains the latest recommendations published in Current Opinion in Pediatrics for pediatric dermatology conditions like warts, molluscum contagiosum, and soft tissue infections.
Why isn't mental health viewed like every other screening test?
June 22nd 2016I believe we have an opportunity to improve the care of our children by overcoming the stigma of mental health disorders and other barriers, and by applying professional standards in the pediatric medical home for the provision of mental health services to children.
Vaccinations: What parents want (VIDEO)
June 8th 2016For Contemporary Pediatrics, Dr Bobby Lazzara explains key findings from a nationally representative survey published in Clinical Pediatrics. The survey asked parents what they wanted to know about vaccines and how they wanted providers to handle their concerns.
Learning to care for mental health
June 1st 2016I believe many physicians in primary care are troubled practicing in the current healthcare environment. Regardless of what they earn, many feel they are too busy and don’t have time to adequately listen to the concerns of their patients and their families.
Parent mentors get uninsured kids insured
June 1st 2016Compared with traditional Medicaid/Children’s Health Insurance Program (CHIP) outreach, the use of parent mentors (PMs) raises rates of insured minority children and improves healthcare access along with providing other benefits-including cost effectiveness-a new study shows.
Too little sleep is tied to teenagers’ injury-related risk behaviors
June 1st 2016High school students who report sleeping 7 hours or less on an average school night are significantly more likely than their peers who sleep up to 9 hours a night to engage in several injury-related risk behaviors: infrequent bicycle helmet use; infrequent seatbelt use; riding with a driver who has been drinking; drinking and driving; and texting while driving.
Hypothermia and emesis in a newborn
June 1st 2016The patient, a 7-day-old, small-for-gestational-age female (birth weight, 2.21 kg), born by vaginal delivery at 37 weeks to a G1P0 mother, presented to the pediatric emergency department for hypothermia and emesis at the recommendation of her pediatrician.