December 2017 Default Cover Image
Puppy brigade reports for dutyA therapy dog program at a children’s hospital provides comfort for pediatric patients and families facing the unfamiliar and a sense of normalcy that makes a frightening hospital experience less so.
Elevated CPK: No short cut to muscular dystrophy diagnosisA pediatrician with special training in neuromuscular disorders cautions that nothing replaces the traditional workup—a complete history and physical—for diagnosing neuromuscular complaints.
ACIP issues recommendations on flu vaccine, third dose of MMRThe Advisory Committee on Immunization Practices (ACIP) is reporting that despite the lack of an intranasal option, there has been no substantial decline in flu vaccination among children.
8 truths about pediatricians in 2017—and a few fallaciesWe’ve been asking the same basic questions in our Annual Issues and Attitudes Survey for the past 4 years and listening to your answers so that we can discern any trends in your thinking and professional behaviors. The jury is in on 2017, so here are some of the key findings. No P values here, but lots of anecdotal comments. And still some interesting feedback on what you’re confronting and juggling from patients, parents, and payments.
8 gut reactions to common problemsHere is helpful advice gleaned from my experiences with C diff, diarrhea, colic, reflux, and other things gastroenterological.
Best tech for Pediatrics: 2017It’s time for Dr. Schuman’s annual year-end review of the new tech that’s changing how pediatricians care for children. Check out his recommendations!
Rapidly growing nodule on infant’s posterior thighThe parents of a healthy 5-month-old boy bring him to the office for evaluation of an enlarging yellowish nodule on the back of his right thigh. It started as a pink macule several months ago and became yellow and lumpy over the last month. The infant was born at term and has grown and developed normally. His parents deny any trauma, but report occasional bleeding from the surface of the nodule. They deny any new medications or outdoor exposures. There is no history of new topical skin products.
Child’s ear pain progresses to leg pain, arm pain, and feverAn 8-year-old girl is admitted to the hospital with complaints of right ear pain, right leg pain, left arm pain, and fever after a week of worsening symptoms.
Coronary artery lesions in Kawasaki disease are related to gene polymorphismsThe risk of coronary artery lesions (CALs) in Kawasaki disease (KD) is related to CYP2E1 gene polymorphisms, a study from Taiwan confirmed.
Study validates new test for bacterial vs viral infectionsA novel assay for distinguishing bacterial from viral infections significantly outperformed routine laboratory parameters and biomarkers in a study using serum remnants from children suspected to have acute infection.
Immediate amoxicillin is the most cost-effective choice for AOMUsing a cost-utility model of a hypothetical group of symptomatic children aged younger than 2 years who were diagnosed with acute otitis media (AOM), investigators evaluated whether antimicrobial therapy reduces time to symptom resolution, overall symptom burden, and persistence of infection.