A 14-year-old female presented with a 1-week history of right-sided facial numbness. Ear pain on the affected side was the first symptom and was followed by progressive paresthesia. She was otherwise asymptomatic.
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.
Search for studies:. Study Record Detail. 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
A 6-month-old boy has a 1-week history of dry cough that worsens at night. He has been wheezing intermittently for the past month. A 2-year-old girl has had severe nighttime cough, congestion, and fever for 2 days. She recently recovered from a respiratory illness of 1 month's duration. Chest radiographs of both patients are shown… Read More
Last year, the Advisory Committee on Immunization Practices updated its vaccination recommendations to include new guidelines for children ages 6 months through 8 years, and for persons with egg allergy. Read More
Patients with asthma may be reluctant to exercise for fear of triggering an attack. You can reassure them that adequate control can allow them to participate in almost any physical activity they wish. Recommendations from the NIH offer guidance on prevention of exercise-induced bronchospasm… Read More
A 14-month-old girl presented with persistent fever, cough, and worsening rash of 5 days' duration. On the first day of the illness, the infant was brought to an acute care clinic for evaluation. Read More
While spending a month in Cuba, my travel companion experienced seabather's eruption (Figure), which was described by Drs Mary Sy and Gary Williams in their Photo Essay "The Dermatologic Perils of Swimming" (CONSULTANT FOR PEDIATRICIANS, July/August 2004, page 333). Fortunately, some Cuban onlookers knew how to treat this condition (referred to locally as "El Caribe"). After vinegar was applied to the eruption, the pruritus and burning diminished almost immediately.
I have been a pediatrician for nearly 30 years. I have practiced in affluent suburbs and in poor inner cities and have cared for patients from many religious, ethnic, and cultural backgrounds. Experience has taught me that there are certain ways to approach a child's parents that are nearly universally appreciated.
A 4-day-old boy was transferred to our institution for evaluation of multiple anomalies. He was born to a gravida 2 para 1 mother at 38 weeks of gestation. He weighed 3288 g at birth. Antenatal ultrasonograms at 5, 6, and 7 months had revealed short bones in the legs. The mother was subsequently lost to follow-up--until now.
Some studies suggest that orally administered dapsone is effective for infections caused by spider bites (eg, brown recluse spiders) in dosages of 4 mg/kg/d for 3 days. Can dapsone be used in children and, if so, at what dosage?
A 16-year-old girl presented with a painful rash on her hands and feet, and a sore throat. The rash, which "itched and burned," had appeared on her palms and soles a day earlier and had worsened overnight.
During a neurologic evaluation for seizures, a 17-year-old boy with epilepsy was noted to have a deformity of both lower eyelids. According to the boy's mother, the deformity had been present since birth; it was not related to the patient's neurologic condition.
The mother of this 5-month-old infant was concerned about the lesions that appeared on her son's inner ankles after he had spent the day with his babysitter. The lesions had not been present when the child was dropped off earlier that morning. His grandmother feared they might be cigarette burns.
Pneumonia is one of the most common conditions encountered by primary care providers. Certain organisms cause pneumonia in particular age groups. For example, group B streptococci, Gram-negative bacilli Escherichia coli in particular) and, rarely, Listeria monocytogenes cause pneumonia in neonates. In infants younger than 3 months, group B streptococci and organisms encountered by older children occasionally cause pneumonia, as does Chlamydia trachomatis. Older infants and preschoolers are at risk for infection with Streptococcus pneumoniae and Haemophilus influenzae. In children older than 5 years, S pneumoniae and Mycoplasma pneumoniae are the key pathogens. Let the patient's age, history, clinical presentation, and radiographic findings guide your choice of therapy. Even though most patients with uncomplicated pneumonia can be treated as outpatients, close follow-up is important. Hospitalize patients younger than 6 months and those with complications.
ADHD Drug Shortage AACAP and AMA collaborate on Amicus Brief State Advocacy Update Oregon introduces legislation to mandate equal pay for nurse practitioners and physicians New York legislature considers ... return to top] ADHD Drug Shortage
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.
Five Steps to Improving Patient Access Judy Capko, May 21, 2013 Patient access is getting increased attention through reform initiatives. Here are five steps you can take to make sure patients get appropriate access to care in your office.