Infection control: “When can my child return to school?”Two common questions asked of pediatricians by parents are “When can my child return to school?” and “how long will I be staying home with my child?” Understanding when, how long, and under what conditions a pediatric patient with an infection is contagious to others is an important part of disease prevention and treatment.
In this issue
Deciphering bacterial meningitisThe introduction of conjugated vaccines has decreased the incidence of bacterial meningitis in children, amounting to one of the biggest public health successes in the practicing pediatrician’s career. SOARS model: Risk assessment of nonsuicidal self-injuryMedical providers, particularly pediatricians, are often the first to learn that their patients have been intentionally harming themselves.
Cleft lip and palate: Team approach to treatment July 01, 2016By Lisette HiltonA look at how one hospital is tackling cleft lip, cleft palate, and other craniofacial conditions.
Disruptive technology and pediatric practiceEvery few years I like to speculate about the future of medical technology as well as the future of pediatric practice. Both, you see, are very much intertwined, and in my view the future of pediatric practice looks very good indeed.
Boy with fever, cough, and oral lesionsA previously healthy, 16-year-old Hispanic boy initially presents to the clinic with a 5-day history of tactile fevers, achy malaise, congestion, and a dry cough. He was afebrile with negative rapid strep and monospot tests, but was prescribed fluticasone, benzonatate, and ibuprofen for a presumed upper respiratory infection. He was encouraged to return if symptoms did not improve.
Eye on Washington
FDA revamps nutrition facts label box July 01, 2016By Kathryn FoxhallIn May 2016, the US Food and Drug Administration (FDA) announced the revamping of the rules for the “nutrition facts” label box on packaged foods, the first major such overall in 20 years.
Hyperpigmentation around a teen’s eyeAn adolescent girl is referred by her pediatrician to dermatology for evaluation of a birthmark on her face.
This smoking cessation intervention works!A new clinical decision support tool prompts clinicians to ask parents about secondhand smoke exposure, provides an electronic nicotine replacement therapy (NRT) prescription, and makes referrals for follow-up and further guidance. Tdap booster in teens less effective after initial acellular vaccine seriesAn analysis of data on the incidence of pertussis shows that although acellular pertussis (Tdap) vaccine had a positive impact among adolescents in the 4 years after it was introduced in 2005, in 2010 pertussis incidence in this age group began to increase more rapidly than it did in all other age groups. Mild gastroenteritis? Try dilute apple juice!Among children with mild gastroenteritis and minimal dehydration, initial oral hydration with dilute apple juice followed by preferred fluids is more beneficial than providing electrolyte maintenance solution, a large study in a pediatric emergency department (ED) in Canada found. Cyclic vomiting syndrome and marijuana use July 01, 2016By Marian FreedmanMarijuana use can trigger recurrent cyclic vomiting in teenagers. Authors of a new report point out that 1 known cause of cyclic vomiting syndrome (CVS) is chronic use of cannabis.