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Pediatrics

Top 10 apps for pediatricsIt’s been a while since Dr Schuman reviewed medical applications for mobile devices, and many readers have requested an update. So, he looked at his iPhone and iPad and put together his recommendations for the best applications for pediatric providers.
Tight, shiny membrane encases newborn’s skinAfter a cesarean delivery at 30 weeks, a 1430-gram premature female neonate was noted to have generalized thick, dark brown scale forming a tight membrane over her entire skin surface. Her mother was a healthy 19-year-old gravida 1 with normal prenatal screening ultrasound and laboratory studies. Family history did not reveal any congenital malformations or genetic disorders.
National snapshot of childhood obesityThe last year or so has given the nation mixed pictures on childhood obesity, with plenty of challenges ahead.
Itchy blisters bother a 12-year-old girlThe mother of a 12-year-old girl brings her daughter to the office for evaluation of recurrent, itchy red bumps and blisters on her legs. The mother gets the same rash recurrently as well.
Limiting duration of antibiotics in OM limits their effectivenessTreating children with acute otitis media with amoxicillin-clavulanate for 5 days is less effective than following standard 10-day treatment, according to a study in 520 such children who were aged 6 to 23 months.
Get smart about metabolic syndrome!As pediatricians we are all too aware of our nation’s struggle with childhood overweight and obesity. Approximately 1 of every 5 children that we see in the office every day is obese. Despite tremendous efforts to reverse this trend, it is clear we are in this battle for the long haul.
How to evaluate young febrile infantsA large retrospective study of how infants with fever without a cause are evaluated found that physicians are selective in deciding which of these babies will have blood, urine, or cerebral spinal fluid cultures.
Are parents receptive to counseling about firearm safety?Results of a survey of more than 1360 parents conducted in pediatricians’ waiting rooms found that 75% of parents agree that pediatricians should advise about safe storage of firearms; those who disagreed were likely to be firearm owners.
How best to reduce injection pain—lidocaine creamA comparison of 4 levels of pain management of routine vaccine injections found that of the remedies tried, only liposomal lidocaine applied at the injection site provided consistent relief.
Role of parental obesity in childhood development (VIDEO)For Contemporary Pediatrics, Dr Bobby Lazzara discusses a recent study published in Pediatrics that looked at the connections between maternal and paternal obesity and childhood development issues.