Pediatrics
Clinical Inquiries
How should you manage children born to hepatitis C-positive women?
EVIDENCE-BASED ANSWER: FOR STARTERS, don’t be overly concerned with the mode of delivery; it doesn’t influence the rate of transmission of...
Practice Alert
USPSTF recommendations you may have missed amid the breast cancer controversy
The USPSTF recommends aspirin for the prevention of stroke and heart attack for those at risk, and screening for major depression and childhood...
PURLs
Fracture pain relief for kids? Ibuprofen does it better
This OTC analgesic is as effective as acetaminophen with codeine and better tolerated, a new study of children with arm fractures shows.
Clinical Inquiries
Do dietary interventions improve ADHD symptoms in children?
EVIDENCE-BASED ANSWER: PROBABLY NOT, based on available data. Insufficient evidence exists to suggest that dietary interventions improve the...
Applied Evidence
Preventing perinatal transmission of HIV: Your vigilance can pay off
These interventions can keep the risk of mother-to-child transmission at less than 2%.
Practice Alert
ACIP immunization update
Here’s what you need to know to keep your patients’ immunizations up to date.
PURLs
When is it safe to forego a CT in kids with head trauma?
New clinical prediction rules make it easier to identify children at low risk of serious brain injury—and reduce the reliance on CT scanning.
Photo Rounds
Sequential bilateral hip deformities
The patient’s age (10 years) and her size (she was overweight) shed light on her diagnosis.
Clinical Inquiries
Should you use antibiotics to treat acute otitis media in children?
EVIDENCE-BASED ANSWER: IN MOST CASES, NO. Antibiotics are not necessary to treat uncomplicated acute otitis media (AOM) in an otherwise healthy...
Original Research
Buckle fractures in children: Is urgent treatment necessary?
Probably not. This study suggests that subacute treatment doesn’t adversely affect outcomes and it saves money, too.
Photo Rounds
A white spot since birth
The lesion on the patient’s chest was asymptomatic. But what caused it—and could it be a problem?