Pediatrics

Applied Evidence

ADOLESCENT DEPRESSION: Help your patient emerge from the darkness

Author:

Amy Cheung, MD

Bernard Ewigman, MD, MSPH

Rachel A. Zuckerbrot, MD

Peter S. Jensen, MD

When should you pursue active support and monitoring vs cognitive behavioral therapy or interpersonal therapy? Is medication needed? This second...

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News

History Key to Diagnosis Of Pediatric Neck Masses

Author:

Doug Brunk

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Applied Evidence

ADOLESCENT DEPRESSION: Is your young patient suffering in silence?

Author:

Bernard Ewigman, MD, MSPH

Amy Cheung, MD

This review of the GLAD-PC guidelines—specifically developed for primary care clinicians—can help you spot depressed teens. Next month we describe...

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Clinical Inquiries

Are there any known health risks to early introduction of solids to an infant’s diet?

Author:

Kenneth S. Yew, MD

Bryant Webber, BA

James Hodges, BS

Nakia Joye Carter, MSIS, AHIP

EVIDENCE-BASED ANSWER: No. Few studies support an association between early introduction of solid food and atopic conditions, obesity, or any...

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Medical Verdicts

Disabling stroke follows failure to treat stenosis...Child’s hearing loss blamed on missed meningitis Dx...more...

Author:

Jeffrey L. Susman, MD

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Clinical Inquiries

Does reducing smoking in the home protect children from the effects of second-hand smoke?

Author:

Nathan R. Thompson, MD

Jon O. Neher, MD

Sarah Safranek, MLIS

EVIDENCE-BASED ANSWER: Yes, taking this step helps asthmatic children, and may even help nonasthmatic children. In families of asthmatic children...

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PURLs

This antiemetic may help kids skip that trip to the hospital

Author:

Thomas Gavagan, MD, MPH

Bernard Ewigman, MD, MSPH

For children with gastroenteritis, a single dose of ondansetron can reduce the vomiting—without IV fluids or serious side effects.

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PURLs

Treat depressed teens with medication and psychotherapy

Author:

Benjamin W. Van Voorhees, MD, MPH

Sandy Smith, PhD

Bernard Ewigman, MD, MSP

Combining SSRIs and cognitive behavioral therapy boosts recovery rates

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Clinical Inquiries

Is there much risk in using fluoroquinolones in children?

Author:

Rick Hernandez, MD

Lisa Edgerton, PharmD, BCPS, CPP

Donna Flake, MSLS, MSAS

EVIDENCE-BASED ANSWER: No, the risks seem to be minimal. Arthralgias and myalgias have been observed clinically in children and adolescents...

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Clinical Inquiries

What is the best treatment for oral thrush in healthy infants?

Author:

Cindy W. Su, MD

Sean Gaskie, MD

Barbara Jamieson, MLS

EVIDENCE-BASED ANSWER: Nystatin oral suspension is a safe first-line therapy; fluconazole is more effective (strength of recommendation [SOR]: B,...

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