Pediatrics Consultations Archive

Reliable sources of safety information on vitamins and supplements

Reliable sources of safety information on vitamins and supplements

Where is the best place to look up information on vitamins and supplements for children?

Diagnosing neutropenia

Diagnosing neutropenia

What constitutes a reasonable workup for neutropenia in an otherwise healthy young person?

When mixing formula, prepare only as directed

When mixing formula, prepare only as directed

How precisely must one follow the manufacturer's directions with regard to the amount of powder and water used in preparing infant formula?

Underlying problems of scoliosis

Underlying problems of scoliosis

A girl with scoliosis returns to the clinic complaining of ankle pain.

Reversing childhood obesity

Reversing childhood obesity

How should a primary care clinician follow-up after performing a lipid profile on an obese pediatric patient?

Drug-testing a teenager without permission

Advice for dealing with parent requests to drug test their teen without the child's knowledge or consent.

Puzzling GI upset in a teenager

Esophagogastroduodenoscopy, colonoscopy, complement fixation, celiac, sonogram, gynecologic workup and routine labs have all been negative in a teen with a three-year history of recurrent chronic abdominal pain and diarrhea. What steps should be taken next?

Elevated ALP and normocytic anemia

What is the significance of an isolated alkaline phosphatase (ALP) of 161 IU/L in the absence of gallbladder, pancreas or liver disease?

Is simultaneous vaccination always necessary?

In adolescents aged 11 to 14 years, must the human papillomavirus; meningococcal (MCV4); tetanus, diphtheria, and pertussis (Tdap); and, if needed, varicella vaccines be given simultaneously?

Can acetylcholinesterase inhibitors help students cram?

The acetylcholinesterase inhibitors have produced excellent results in patients with Alzheimer's disease or dementia, but are they also beneficial for students preparing for exams?

Will puberty occur after anorexia?

A woman with primary amenorrhea attributable to prepubertal anorexia nervosa has restored her weight at age 23 years. What is the likelihood of her developing pubertal changes?

ADHD drugs used as an appetite suppressant

Should a clinician advise a patient's parent that ADHD medicine will help with obesity?

Does herpes indicate child abuse?

How can I determine if HSV-1 in a 2-year-old girl is the result of abuse or exposure from a vaginal birth of an HSV-positive mother?

When to swab for pertussis

When should an adult with a spasmodic upper-respiratory infection be swabbed for pertussis?

Multiple STDs in a teenager

What is the most effective way to deal with teenagers with repeated sexually transmitted diseases?

Bringing up weight loss with children

What is the best way to tactfully discuss a child's excess weight with his or her parent?

Addressing contraception with a teenager's mother

How would you handle contraception conflicts between a teen and her mother?

A young girl's painful rash

A six-year-old girl has been suffering from rashes on the face, chest, and trunk that occur for a week or two, then clear only to recur the next month.

The chemistry of dehydration

Why does the level of carbon dioxide decrease when a child becomes dehydrated?

Immunity to day-care infections

PA questions whether a child would have better immunity to diseases if introduced to day care earlier.

Autism vs. pervasive developmental disorder

Is there a way to eliminate the confusion between autism and pervasive developmental disorder not otherwise specified (PDD-NOS)?

Overattentive to Attention Deficit?

Every time I turn around, it seems someone else is being diagnosed with attention-deficit hyperactivity disorder (ADHD). Are too many...

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