Pediatrics

The bus is a warzone

April 05, 2012

What do you do when you find out your child is being bullied? Sometimes, a simple strategy can solve the problem.
 

Evaluating a neck mass: Narrowing the differential diagnosis

, Ryan Marovich, MPAS, PA-C; Jonas T. Johnson, MD, FACS March 01, 2012

The differential diagnosis of a neck mass can be overwhelming, even for an experienced clinician. A thorough knowledge of head and neck anatomy is most helpful.
 

A Day in the Life: Jacqueline McSparron, PA-C

February 27, 2012

A woman who became a PA so she could provide health care in Africa is living her dream.
 

An acute elbow injury after 
a fall at the playground

February 16, 2012

A common childhood accident can lead to a limb-threatening injury that requires prompt assessment and treatment followed by regular monitoring.
 

Seizures induced by hot water in an 
otherwise healthy 18-month-old boy

February 13, 2012

Over several days, ordinary bathing causes a child to go limp and develop periorbital 
and lip cyanosis that resolves when he is removed from the water.
 

The SNAP treatment approach for children with acute otitis media

, February 01, 2012

AOM usually resolves spontaneously, and the SNAP approach takes advantage of that, 
helping children to avoid antibiotic side effects and combating antibiotic resistance.
 

Chromosomal microarray testing

, January 30, 2012

CMA testing of children with autism, intellectual impairment, or multiple congenital anomalies detects clinically significant chromosomal deletions and duplications that are not visible by routine chromosome studies.
 

Does my child need fluoride supplements?

January 26, 2012

Fluoride has proven benefits in the prevention of cavities, but children may be exposed to too much fluoride. Parents should know how to monitor exposure to prevent dental fluorosis.
 

A parent's death: Helping a 
child after devastating trauma

, Lloyd "Chip" Taylor, PhD December 06, 2011

PAs are ideally situated to intervene in situations of parental loss. We can do much to help these children, such as providing practical strategies that help create environments that support healing and normal development.
 

Childhood obesity: Complications, prevention strategies, treatment

, Megan Geier; Denise Rizzolo, PA-C, PhD; Mona Sedrak, PA-C, PhD December 02, 2011

Obese children are at risk of acquiring a multitude of complications, and comorbidities of obesity may also leave them at risk for cardiovascular disease and stroke in adulthood.
 

Childhood obesity: Understanding the causes, beginning the discussion

, Rachel Russ, PA-C; Denise Rizzolo, PA-C, PhD; Mona Sedrak, PA-C, PhD December 01, 2011

Obesity in childhood is influenced by social and familial factors as well as the child's genetics and activity level. Understanding the problem is only the first step in combating it.
 

Immune (idiopathic) thrombocytopenic purpura in a 21-year-old student

, September 12, 2011

Diagnosis of the adult form and the pediatric form of ITP may be based less on the calendar than on individual patient presentation.
 

No questions

September 05, 2011

Today is cardiology day. I woke early this morning, having spent most of the night awake. Even though I am a medical provider, I do not like taking my son to see a cardiologist. I worry about poor test results, more surgeries, and complex medication regimens. I worry about my son: is his heart okay?
 

Recurrent pneumonia and fevers in a child with congenital heart disease

August 15, 2011

Sound clinical judgment coupled with diagnostic testing reveal a much more serious cause of a 6-year-old girl's seemingly nondiagnostic symptoms of recurrent fever and cough.
 

Trimming the fat of the land

July 25, 2011

A recent JAMA commentary advocates the referral of morbidly obese children to state protective service agencies in cases where their families fail to achieve effective weight reduction. I suspect that such an approach would prove to be marginally effective at best and more than likely result in further treatment failures.
 

Robotics for the surgical treatment of pediatric patients: An overview

June 13, 2011

New robotic surgery systems have broadened the scope of treatment options for pediatrics, allowing surgeons access to a three-dimensional view and the ability to operate remotely.
 

Attention-deficit/hyperactivity disorder: Helping families to achieve success

March 02, 2011

Early diagnosis and optimal intervention can help ensure the best outcome for children with this potentially devastating disorder.
 

Cyanosis and difficulty with 
breathing in a newborn

, Urvi R. Shah, MD; Gary Seth Barrett; Sandeep K. Puri February 22, 2011

A newborn cries after delivery but then develops deep cyanosis, increased respiratory effort, and a falling heart rate.
 

Pain in a 2-year-old girl who 
refuses to bear weight

January 25, 2011

After a toddler catches her leg behind her while going down a slide, she presents with her mother to the clinic with pain and refusal to bear weight.
 

The way we practice now

January 17, 2011

Prior to the modern codification of ADHD (attention-deficit/hyperactivity disorder), clinicians had coined the term MBD (minimal brain dysfunction) in reference to children who exhibited traits of impulsivity, hyperactivity, and inability to stay focused on task.
 

Mystery solved: The evolution of 
diagnostic abilities in genetic testing

, Jacqueline R. Batanian, PhD, FACMG January 12, 2011

New technology advances in cytogenetic and molecular technology have expanded clinicians' abilities to identity difficult-to-diagnose genetic conditions.
 

Juvenile idiopathic arthritis: Can you 
recognize this complex diagnosis?

, John M. Grosel, MD January 03, 2011

The variable manifestations of JIA make diagnosing it a challenge, but early treatment can decrease the long-term sequelae.
 

A adolescent experiences difficulty focusing, mood swings, and insomnia

December 24, 2010

A 15-year-old male's ADHD medications seem to worsen his anxiety and other existing symptoms.
 

A boy's ankle injury reveals a more serious condition

, November 23, 2010

Imaging studies obtained from a 2-year-old who presents with a sprained right ankle and head injury reveal something unexpected.
 

Neuroblastoma: Management of a 
common childhood malignancy

November 01, 2010

An understanding of presentation, staging, and the genetic influence of this extracranial tumor can improve outcomes of affected children.
 

Are you ready for some football?

October 07, 2010

This football season has been different. A few weeks ago, my 7-year-old son said that he wanted to play football this year, "the kind with helmets and real jerseys". He played flag football last year and enjoyed it, but this year he wants to play "real" football.
 

Wheezing that is not asthma in a 4-year-old child

August 27, 2010

The mass seen on the chest film provided the first key to this relatively rare diagnosis.
 

Rapidly growing abdominal tumor in a toddler

Holly L. Green, PA-C; Michael E. Rytting, MD; Charles S. Cox Jr, MD August 09, 2010

Worsening abdominal distention, intermittent vomiting, a palpable mass, and decreased activity signaled a life-threatening malignancy.
 

Acute pancreatitis and croup

, July 22, 2010

The general features, diagnostic criteria, and treatment modalities for acute pancreatitis and croup are reviewed.
 

A Day in the Life of Gina Brown, MPAS, PA-C

June 25, 2010

A PA working at a family practice clinic in Kabul, Afghanistan, describes her day as a Mother-Child Health Coordinator.
 

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