A 22-month-old African American boy born at 38 weeks by normal vaginal delivery presents to a local hospital from a private pediatric office for failure to thrive. He was seen by his pediatrician until aged 1 month but was lost to follow-up. His delay in walking prompted his mother to reestablish care at age 22 months.
Urolithiasis occurrence is increasing in both adults and children in the United States, with nearly 1 in 11 adults having a stone at some time in their life. Unfortunately, stone occurrence in children also appears to have increased from 1% to 2% in the 1950s to 1970s to almost 10%.
A longitudinal study examined the relationship between prenatal or postnatal high-fat, high-sugar diet and symptoms of attention-deficit/hyperactivity disorder (ADHD) in children who demonstrated either early-onset persistent conduct disorder or minimal conduct problems.
A major dilemma for patients is simply how to access good care that is both convenient and affordable. To thrive in these challenging times, practices should consider all options to facilitate patient access. If you have an open mind, you may even consider changing your “traditional” practice to one that provides “direct primary care.”
A follow-up trial conducted 6 years after the conclusion of a randomized controlled trial of early intervention in autism spectrum disorder demonstrated that the intervention had a long-term effect on autism symptoms and continued effects on parent and child social interaction.
A trial comparing amitriptyline, topiramate, and placebo for prevention of migraine in children and adolescents with a history of migraine found that all 3 had about the same effect on reducing headache frequency or headache-related disability.