A 17-year-old girl being treated for mild acne, anxiety, and depression, presented with an ankle “bruise” related to an injury sustained 2 years earlier. Symptoms resolved with treatment, but the hyperpigmentation persisted.
The mother of a 4-year old girl complained that the child had been "pulling at her bottom" for several weeks, presumably imitating her younger brother. Visual inspection of the area revealed the real problem.
Phase 3 Randomized Double-Blind Placebo-Controlled Study of NRP104 in Children Aged 6-12 With ADHD. ... Faraone SV, Spencer TJ, Kollins SH and Glatt SJ. Moderators of Dose-Response Effects of Lisdexamfetamine Dimesylate Treatment in Children With ADHD.
Galactorrhea of the newborn (neonatal milk or witch’s milk) occurs in about 5% of neonates and in both sexes. The term “witch’s milk” comes from ancient folklore.Read More
Sports-related concussions among young athletes are on the rise. Here: a short review of the primary sources of pediatric concussion and keys to timely assessment.Read More
Swelling and redness have progressed over the past 16 hours in this 5-month old boy. Does this look like abuse to you, or a condition that mimics abuse? Read More
The week before onset of this rash, the child had not been feeling well, and had complained of chills, nausea, and a sore throat. What does this look like to you?
This neonate was seen in consultation when brought to the emergency department because of staff concern about bacterial omphalitis. The baby had been feeding well and sleeping through the night.
A 14-year-old boy presented with diffuse abdominal pain of several day’s duration; he was admitted for vomiting and anorexia. The pain was worse on the right side, exacerbated with eating, and associated with constipation. Initially symptoms were presumed to be a side effect of treatment with an antibiotic.
Studies have shown that almost 60% of kids complain of a headache at some point during childhood and that 8% of children and teens have migraines.1 Here, 5 tips to help facilitate the differential diagnosis in daily practice, plus a bonus point.
A 2-week old neonate was brought to the emergency department for evaluation of a “lump” on the back. The lesion was first noted shortly after birth, but had been expanding since then.
New research finds that type 2 diabetes, once considered a disease of “adult onset,” is highly resistant to treatment in overweight American youth—a group succumbing to the disorder at an alarming rate. Here, a comment on the cultural norms that make choosing health a daily battle.
There has long been a question about whether use of handheld cellular phones increases the risk of brain tumors. Are children and adolescents at higher risk because of their developing brain and smaller head size?
Sports-related concussions, which can occur in any sport, are on the rise. Here: a short review of the primary sources of pediatric concussion and keys to timely assessment. The author also discusses emerging research that reminds us to approach “mild TBI" as more than just a minor injury.
A patient presented for help with an “itchy rash” on the arms of 2 days duration. The eruption appeared after she had helped her parents clear thick overgrowths of “weeds” from the yard.
APRIL JOGC AVRIL 2011 l 367 Substance Use in Pregnancy This clinical practice guideline has been prepared by the Working Group on Problematic Substance Use in Pregnancy, reviewed by the Maternal Fetal Medicine Committee, the Family Physicians
Brian Smith, MD, continues his discussion of the practice of nonsuicidal self-injury in adolescents. Cutting, burning, self-hitting or banging, scratching, interfering with wound healing—these practices of self-injury may be on the rise.
In Part 2 of this podcast series, he discusses the how’s, the why’s—and treatment options. Dr Smith is assistant professor in the department of psychiatry at the Michigan State University in East Lansing.
Questions from parents touch on almost every aspect of child-rearing and can pose some of the greatest challenges in daily practice. Here, help with some of the thornier questions parents ask.
Physician Performance Goals Are Great, But Balance Is More Realistic Jennifer Frank, MD, May 15, 2012 Performance measurements for physicians are well-intentioned and get me to rethink how I practice. But in the end I won't make the goals, so I'll have to go with balance over perfection.
Designing the Perfect Business Card for Your Medical Practice C. Noel Henley, MD, May 11, 2012 Does your business card say anything substantive about the valuable work you do in your practice? Here’s how to re-design your next business card for maximum impact and engagement.
Registered Nurses an Ideal Fit for Primary Care Practices Audrey "Christie" McLaughlin, RN, May 10, 2012 Here are four good reasons to hire a registered nurse for your primary care practice …maybe even instead of a medical assistant.
The Five Biggest Medical Practice Marketing Mistakes James Doulgeris, May 10, 2012 There are best practices to marketing your practice, but often, success is more about knowing what not to do. Here are the five most common pitfalls …and how to avoid them.
Can You Practice Medicine and Manage Your Practice? Rosemarie Nelson, May 9, 2012 Whether you practice alone, or in a group, if you're trying to see patients in this pay-for-volume environment and also run the business of your practice, you may be missing out on important opportunities.