Archive for 'Pediatrics' Category

Common, Benign Neonatal Complaints

by Michael Gonzalez, MD Flea-bite rash – This is called Erythema Toxicum… It goes away in a few weeks Breast buds – …usually shrink away by 1-2 months Vaginal discharge or bleeding – because of maternal hormones, [girls] will often have a clear to white colored vaginal discharge for several weeks. They can even have [...]

Kawasaki's Disease for the Boards & Wards

Pathophysiology: necrotizing vasculitis of early childhood possible infectious etiology (parvovirus B19) Workup: CBC –> normocytic anemia followed by thrombocytosis ESR –> elevated CRP –> elevated LFTs –> low albumin Diagnosis: clinical (“CRASH & Burn”) 4 of 5 signs: Conjunctivitis – bilateral nonsuppurative Rash – primarily truncal Adenopathy – cervical, at least 1.5cm Strawberry Tongue – [...]

How to Approach Adolescent Athletes – Sports Preparticipation Examination

The adolescent athlete frequently appears in clinic for sports preparticipation examination. 3rd & 4th year medical students should be prepared. Important aspects of this assessment include: cardiovascular health (hypertrophic cardiomyopathy) non-cardiac issues (loss of consciousness or concussion, recovery from musculoskeletal injuries) general health assessment counseling assessing fitness level for specific sports Medliorate readers will benefit [...]

Assessing Jaundice in Newborns – BiliTool

BitiTool assesses the risk of hyperbilirubinemia in newborns and provides American Academy of Pediatrics’ phototherapy recommendation. Available online and for iPhone. BiliTool is designed to help clinicians assess the risks toward the development of hyperbilirubinemia or “jaundice” in newborns. Required values include the age of the child in hours (between 18-168 hours) and the total [...]

2009 Childhood Immunization Schedules

Bookmark this on your mobile device: http://www.immunizationed.org/ShotsOnline.aspx 2009 Childhood Immunization Schedules [Society of Teachers of Family Medicine]

On Teen Pregnancy

Kenneth F. Trofatter, Jr., MD, PhD… We live in times when there has never in the history of humans been a greater disparity between the age of puberty and the social and economic demands that allow us to survive productively in this world. That also means that children are now reaching the age of ‘reproductive [...]

Munchausen Syndrome by Proxy (MSBP)

Mary E. Muscari, PhD, CPNP, APRN-BC at Medscape… …usually describes the deliberate production, or feigning, of physical or psychological symptoms in another person who is under the individual’s care. …usually involves a mother and young child; however, there have been cases of MSBP involving illness produced or feigned in other adults and even in pets [...]

How to Control Unruly Patients

The kid then raised a royal tantrum and started throwing things. I managed to calm him down for a bit so I could go through the physical exam. I gave him my reflex hammer and told him he was supposed to hit a spot on the bed when I told him to, and then stand [...]