Dyslexia: What you need to knowMultiple issues may underlie a child's difficulty with reading proficiency, including poor early language development, inadequate instruction, insufficient reading practice, lack of background knowledge, and intellectual disability. In some children, however, the problem is the specific learning disability called dyslexia.
In this issue
5 steps for assessing dyslexia from a reading specialistHere are 5 steps to assist pediatric care providers with the assessment of dyslexia in children and referral of these patients to the appropriate specialists. Down syndrome: Primary physicians and parents partner in careHistorically, the care of children with Down syndrome was often managed through specialty services, with the pediatrician/family physician serving a secondary role. Shifts in the healthcare environment have altered this model, with today’s primary care physicians taking on a greater role in care coordination. Pediatrician’s primer on sextingSexting is the act of sending or receiving sexually explicit or sexually suggestive photos, messages, or videos digitally by text, e-mail, or instant messaging from a smartphone or computer device. It is more common among teenagers than one might think.
Watercooler wisdom: Patient satisfactionMy clinic is restructuring its physician compensation model, which has led to much consternation among my colleagues.
Pearl-like mass on a girl’s tympanic membraneDuring a routine office visit for mild acute nasal congestion and possible diminished hearing, an isolated, small, pearl-like mass was noted just posterior to the umbo of the left tympanic membrane of a 5-year-old girl.
Boy’s fever and rash after insect biteThe parents of a 4-year-old boy who lives in eastern Maryland near the Pennsylvania line are worried about an expanding rash on his back, which started as a small red bump a week ago following a summer picnic. The boy has had a low-grade fever and has not been acting like himself for a few days.
Anatomy of an “accident”I was reading the causes of mortality and morbidity in children and noticed that beyond age 2 years, many of the most likely serious harms to children, especially death, are considered “accidents.” I began wondering about all those situations that we so readily call “accidents.”
Simple screen for alcohol use disorderAsking teenagers how often they have consumed alcohol in the past year provides a simple screen for those at risk for alcohol use disorder (AUD), a study in 1193 adolescents in rural Pennsylvania showed. “No strings” prenatal income support improves birth outcomesA study among low-income women receiving prenatal income support in the Canadian province of Manitoba found that this unique benefit—provided with no conditions—results in positive birth outcomes. Phototherapy could be associated with neonatal cancerAlthough phototherapy is an established and valuable treatment for infants with neonatal hyperbilirubinemia, some investigations have raised concerns that the treatment is associated with cancer. New antibody eases hemophilia treatment August 01, 2016By Marian FreedmanA new antibody eases treatment of severe hemophilia A.
Eye on Washington
Help for kids with complex conditions August 01, 2016By Kathryn FoxhallKey members of a House of Representatives health subcommittee say they are determined to push out legislation intended to pay for better care coordination under Medicaid for children with complex medical conditions. However, key questions are who will do that coordination and how the money will flow.