Pediatrics Features Archive
An 8-week-old infant, presents to primary care with bilateral "shaky, jerky eyes."
Developmental trauma disorder, not yet officially recognized, results from child maltreatment and has many neurobiologic consequences.
A 4-year-old girl presents to the emergency department after 3 days of worsening sore throat with a fever.
The decreased rate of respiratory complications with betamethasone suggests antenatal steroids may improve the respiratory status in late preterm infants.
Effective use of research-based interventions and recommendations for overweight and obese children begin with initiating a conversation with the family.
An aging national infrastructure and paint in old homes increase the risk for lead poisoning and significant health-related problems in children and adults.
The incidence of concussion is increasing in children and adults, as is the demand for clinicians who can diagnose and treat both patient groups.
Pediatric clinicians can avoid causing pain by using an alternative technique to assess for rebound tenderness.
A clinician offers a tip for applying a small amount of nonsterile ointment.
An awareness of the risks and red flags among adolescent patients who are being trafficked for sex is key to intervention in this vulnerable population.
A congenital condition is found in an infant with respiratory and gastrointestinal symptoms.
Turn a challenge into a game for your patient.
Although usually benign, some infantile hemangiomas have complications that are potentially fatal or physically debilitating if untreated.
Acute sinusitis is common, affecting 6% to 7% of children presenting with respiratory symptoms.
Vaccinations cannot be equated to antibiotics.
The child and her twin tested positive for influenza B infection one week earlier. The child's pulse, respirations, and blood pressure were within normal limits.
Find a foreskin-friendly urologist before agreeing to a child's circumcision.
Pediatrics patients with asthma who have to undergo surgery are at risk for complications.
Circumcision should be recommended for male, uncircumcised children with recurring UTIs.
Obese adolescents have an increased risk of slipped capital femoral epiphysis (SCFE).
A young girl with recurrent UTIs was diagnosed with a grade-3 VUR and mild hydronephrosis.
Diverting children's attention can help make exams go more smoothly.
Fun at the beach exposes children and adults to a number of hazards—some avoidable, such as sunburn, and some less so.
Using a simple mind trick can help clinicians handle ticklish patients during abdominal exams.
A 12-year-old child complains of having a slight sore throat and fatigue, but his mother becomes concerned when the child's symptoms worsen three days later.
A clinician fails to urgently obtain a neurologic referral for a baby with developmental delays.
Each year clusters of meningitis cases break out in the U.S. in the fall and winter months, particularly among adolescents and young adults.
A patient, aged 33 years, with a history of type 1 diabetes for 10 years presented to the hospital.
Xylitol is a primary sugar alcohol that can be used to help various dental problems as well as upper respiratory and ear infections.
Hand hygiene and glove use are simple measures that have been shown to reduce infections in cohort studies of preterm neonates and other pediatric populations.
Misdiagnosing abuse can have tragic consequences, as children returned to abusive situations may experience additional abuse or even death.
A child presents to the emergency department with a seven-inch live worm in his stool.
Referring to infants as "addicted" to opiates is clinically incorrect and creates stigma surrounding treatment.
Clinicians might need to consider an uncommon array of causes when faced with a pediatric patient suffering from abdominal ailments.
Congenital cytomegalovirus is a very common cause of birth defects, yet many primary-care providers are not well-informed about this infection.
A visual check of a student was deemed an "unreasonable search" under the Fourth Amendment.
Young people might not understand the health consequences of participating in stunts that help them feel like part of the crowd.
Regular use of inhaled corticosteroids may cause a small reduction in height or a dose-dependent reduction in growth velocity.
Over the last two decades, the prescribing of tricyclic antidepressants (TCAs) has decreased due to their unfavorable side-effect profile.
Taking the time to notice an outward gaze in the left eye, this nurse practitioner helped save a child.
Sometimes patients just need to hear their own stories out loud to help make better choices.
A new program that focused on education both male and female patients about contraception decreased pregnancy rates in an inner-city school.
Optimal nutrition in early childhood supports growth and development and can encourage lifelong healthy eating habits.
Begin to impart asthma information to young patients and/or their caregivers as early as possible.
More than 80,000 children undergo appendectomies each year.
A patient was diagnosed with a serum sickness-like reaction in response to antibiotics.
Clinicians who recognize various types of pediatric coughs will be better able to identify serious underlying conditions in the young patient.
Providing patients with a copy of their lab reports emphasizes the seriousness of STDs.
Involving a child in suturing can subdue perceived pain.
How do you ask a parent to leave in a diplomatic way when examining a pediatric patient?
Recommend this simple home treatment for kids with a dry, flaky scalp.
Buccal dextrose gel minimizes the need for unnecessary interventions that separate newborns with low blood glucose levels from their mothers.
Enlisting a parent's help can provide comfort without a scary needle or painful injection.
How old is too old for ultrasound when other modalities don't work?
Children with this condition develop an insatiable appetite that leads to obesity, diabetes, hypertension, and behavioral problems when not treated.
Tips for when you perform the respiratory portion of a pediatric examination.
Specific questions will elicit more useful information about a teenager's sexual history.
Where is the best place to look up information on vitamins and supplements for children?
Cow's milk protein allergy is relatively common during the first year of life. Unfortunately, the condition is easily missed or mislabeled.
A tip for getting children to open up during medical exams.
A nurse's antics prompt an unexpected recovery in a pediatric patient, who sustained injuries after riding his bike over a downed power line.
A nurse anesthetist acts quickly when a child begins coughing up copious amounts of blood after a routine procedure.
'You don't have to remember it all, just enough to know you need to find out the rest.'
Counseling parents on the avoidance of feeding-associated infections.
Up-to-date CDC recommendations for patients aged 4 months through 18 years who start late or are more than one month behind on immunizations.
Current CDC immunization schedule and footnotes for vaccinating children aged 0 through 18 years.
Accurate identification, assessment and evaluation of concussions will enable clinicians to determine when it is safe for young athletes to return to competition.
Abdominal exams can be ticklish for kids, but a simple trick can make it easier.
Lansoprazole was associated with higher rates of upper respiratory infection, sore throat and bronchitis and no effect on asthma control.
A healthy and thriving boy aged 8 years, has never been able to achieve complete nighttime dryness since being potty trained at age 3 years.
When treating a young patient for monosymptomatic enuresis, be sure to assess the physical, emotional, and developmental maturity of the child.
A homemade solution helps keep swimmer's ear at bay.
It is often difficult to get young patients to take deep breaths. This simple penlight trick can help.
A chart of medications available to treat Attention Deficit Hyperactivity Disorder (ADHD).
A trick to help pediatric patients sit still during routine exams.
What constitutes a reasonable workup for neutropenia in an otherwise healthy young person?
A clinician prescribes an antidepressant to a young woman without immediate follow-up.
Proponents regard neuroenhancements as "study aids," with potentially positive academic benefits. Opponents cite lack of safety and efficacy evidence and serious risks.
Often at increased risk for disease transmission, many teens and preteens do not receive the recommended immunizations in a timely manner.
Soda water or seltzer can help mask the flavor of bad-tasting medicine.
How precisely must one follow the manufacturer's directions with regard to the amount of powder and water used in preparing infant formula?
Minimally invasive surfactant treatment reduces need for ventilation in spontaneously breathing preterm infants requiring increased oxygen.
Budesonide given only during acute respiratory illness may prevent asthma as effectively as daily budesonide in young children with a history of wheezing.
Primarily used in food and drink packaging, ingestion of bisphenol A has recently been linked to obesity, diabetes, and reproductive disorders.
A girl with scoliosis returns to the clinic complaining of ankle pain.
Tips for improving the taste of oral electrolyte solution.
Long-acting ADHD medications improve adherence and demonstrate efficacy similar to that of immediate-release dose formulations.
Improved pulse-oximetry standards translate into more sensitive critical congenital heart disease screening.
The symptoms of this common lung infection usually dissipate after a week, but some cases can become severe and require hospitalization.
Taking the pulse of neonatal screening for critical congenital heart disease.
Dizziness, photophobia, nausea and an unsteady gait develop following a routine annual check up.
Many parents are anxious about cutting their infant's fingernails.
A 12-hour nasal decongestant spray can help provide relief for kids with eustachian tube dysfunction.
A medication for gastrointestinal disorders can help resolve pediatric skin lesions caused by a benign viral infection.
Early diagnosis is essential to providing treatment in infants with critical congenital heart disease.
Around 20% of pediatric patients with ADHD will develop antisocial personality disorder in adulthood.
How should a primary care clinician follow-up after performing a lipid profile on an obese pediatric patient?