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Pediatrics

One question that improves your family history-takingDo NPs specifically ask parents about their childhood parenting experiences? Dr. Howard King’s article “How to help adult children of alcoholic parents” prompts us to ask about important information that most likely is not a part of our routine family history questions, and thus not a part of our child’s treatment plan.
FDA approves etanercept for pediatric psoriasisThe US Food and Drug Administration (FDA) approval of etanercept for treatment of children with moderate to severe plaque psoriasis will revolutionize the management of psoriasis in children.
How do we help children with election rhetoric?As Election Day nears, the intensity of the campaign and level of emotion continues to rise beyond anything remembered. Children are remarkably resilient to all this input, at least on the surface, but one has to wonder what they are thinking and likely worrying about just below the surface.

Researchers make strides in amblyopiaAccumulating evidence suggests that multiple treatments can help people with amblyopia, according to a review of the literature.
Adolescent with enlarging asymptomatic birthmarkAn 11-year-old girl asks her pediatrician about an asymptomatic birthmark on her right thigh that drains clear to slightly bloody-tinged fluid occasionally when scratched. It has increased in size proportionally as she has grown.
Infant with facial lesions and respiratory distressA 2-month-old Hispanic girl is transferred by her pediatrician to the emergency department (ED) for evaluation of decreased oral intake, failure to thrive, and large bleeding facial hemangiomas.

How to help adult children of alcoholic parentsWhat would make pediatricians wonder if a parent in their office might be “an adult child of an alcoholic parent?” The following case could be viewed as representative.
Do LABAs given with glucocorticoids increase severe asthma events?Results of a randomized trial in children with asthma comparing concomitant use of the inhaled glucocorticoid fluticasone propionate plus the long-acting beta-agonist (LABA) salmeterol with use of fluticasone alone indicate that the answer to this question is “no.”
Some infantile hemangiomas can be managed with topical therapySuperficial, relatively thin infantile hemangiomas (IHs) responded to several months of treatment with topical timolol maleate in a recent trial, suggesting that this treatment is an alternative to oral propranolol for selected IHs.
Early bedtimes may lower risk for obesityPreschool-aged children who go to bed early are half as likely as those whose bedtime is late to be obese as adolescents, according to a new study.