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PHOTOCLINIC

Dyskeratosis Congenita: An Inherited Bone Marrow Failure Syndrome
May 1, 2012

If patient presents with abnormal pigmentation, nail dystrophy, and leukoplakia, keep this entity in mind.

Minocycline Hyperpigmentation
February 3, 2012

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.

Perianal Pinworms (Enterobiasis)
January 12, 2012

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.



 
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Obesity

 
 
LATEST FEATURES
March 9, 2012
Infant with Hypotonia, Hypogonadism, and Developmental Delay
You have been following a 9-month-old with low muscle tone, delayed motor milestones, and failure to gain weight.... More »
July 22, 2011
Home page poll - PCL
More »
February 18, 2011
Cardiovascular Disease Screening Misses At-Risk Youth
Hypercholesterolemia, atherosclerosis, and coronary artery disease are ever-growing problems in our society. While these “adult” medical issues rarely concerned pediatricians in the past, it is now well recognized that these troublesome processes begin in childhood. More »
February 15, 2011
Healthy Heart From the Start
It is midwinter. I’m tired of the cold weather and the white stuff falling from the sky. Lately, I’ve been thinking about another type of white stuff that... More »
February 8, 2011
Is This Brown, Scaly Rash Related to Obesity?
This obese 18-year-old has had a brown, scaly rash for 4 years. Over that time, the rash has spread from his neck, where it initially developed, to his chest and back. More »
December 20, 2010
A Collage of Genital Lesions, Part 5
Premature Adrenarche: A 7-year-old girl had growth of pubic hair for the past 6 months. The hair was initially... More »
June 7, 2010
Teenager With Small Red Papules on Her Arms and Thighs
17-Year-old girl with a 7-month history of small, red papules on her arms and thighs. Rash is not painful or itchy. Otherwise in good health.More »
April 5, 2010
Obstructive Sleep Apnea in Children: Accurate Diagnosis, Effective Treatment
Obstructive sleep apnea (OSA) has a high prevalence in the pediatric population and is associated with significant morbidity, both physical and in the realms of development, cognition, behavior, and school performance. More »
February 12, 2010
Type 1 Diabetes Mellitus in Children and Adolescents: Part 1, Overview and Diagnosis
Type 1 diabetes mellitus (T1DM) is the most common type of diabetes encountered in children. The incidence of T1DM in children is increasing in some populations. Early recognition of symptoms of T1DM is critical to avoid life-threatening metabolic decompensation. Such symptoms can include polyuria,... More »
February 4, 2010
Acanthosis Nigricans
A 5-ft 1-in, 183-lb 14-year-old girl was concerned about the areas of thickened hyperpigmentation on her posterior neck and in her cleavage.More »
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BLOG: CHILDREN'S HEALTH MATTERS

What distinguishes influenza from other respiratory viruses?
April 11, 2012

High fevers; more fatigue; rapid onset of illness... more diagnostic pearls here.

Home Remedies for Bronchitis: Maybe Your Mother Was Right?
March 14, 2012

Here are some home treatments I have recommended for children with bronchitis.

Making a Better Place to Live For Children With Autism
April 12, 2011

West Virginia (the state in which I practice) was not one of the 10 best places to live if you have autism, according to this year’s survey from Autism Speaks. Although thanks to a piece of legislation enacted this month, it is now a better place to live if you have autism. Your state can become better too.

Antibullying Efforts: What You Can Do
March 16, 2011

In a conference last week, President Obama announced a new Web site http://stopbullying.gov to help raise awareness about the issue. This is part of an effort to encourage cooperation between government agencies and educators to protect children from bullying based on race, ethnicity, disability, or sexuality. Are you an advocate for prevention? Share your antibullying efforts with colleagues.

Cartoons and Cigarettes: A Careless Combination
March 15, 2011

Cigarettes don’t belong in children’s cartoons, nor does violence or sexual innuendos. Other story features such as revenge and traumatic deaths are not so child-friendly; however, they often make an appearance in kid flicks. How effective would an “R” rating be at preventing references to smoking in movies meant for young audiences?



 
FROM PHYSICIANS PRACTICE
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.
 
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