Pediatrics and Adolescent Medicine: Archives

CLINICAL PRACTICE GUIDELINE WATCH

Radiographic Imaging of Child Abuse

• May 27, 2009
• Howard Bauchner, MD

Imaging now includes far more than the traditional skeletal survey.

• Reviewing:
• Pediatrics 2009 May; 123:1430

SUMMARY AND COMMENT

Early Detection of Autism

• May 27, 2009
• Howard Bauchner, MD, and Martin T. Stein, MD

Screening in young children (especially those <2 years) remains challenging.

• Reviewing:
• Zwaigenbaum L et al., Pediatrics 2009 May; 123:1383

SUMMARY AND COMMENT

Short vs. Long Course of Antibiotics for Pediatric Septic Arthritis

• May 27, 2009
• Peggy Sue Weintrub, MD

A short 10-day course was sufficient in uncomplicated cases.

• Reviewing:
• Peltola H et al., Clin Infect Dis 2009 May 1; 48:1201

FEATURE

The Excess Morbidity and Cost of Elective Planned Delivery

• May 27, 2009
• William P. Kanto, Jr., MD

Elective planned delivery before 39 weeks’ gestation is associated with significantly increased neonatal morbidity and excess cost.

PRACTICE WATCH

Etiology, Evaluation, and Treatment for Enuresis

• May 20, 2009
• Robin Drucker, MD

Management requires a focus on the behavioral aspect of enuresis to break problematic habits, rather than relying on medications.

• Reviewing:
• Robson WLM., N Engl J Med 2009 Apr 2; 360:1429

SUMMARY AND COMMENT

A Simple Bed-Wetting Intervention Can Work

• May 20, 2009
• Cornelius W. Van Niel, MD

Waking children to take them to the bathroom improved short-term continence rates.

• Reviewing:
• van Dommelen P et al., J Pediatr 2009 May; 154:662 Jackson EC., J Pediatr 2009 May; 154:636

SUMMARY AND COMMENT

Rett Syndrome Gene Duplication Associated with Unexplained X-Linked Mental Retardation

• May 20, 2009
• Judith G. Hall, OC, MD

The frequency of MECP2 gene duplications in males with mental retardation and neurological symptoms is surprisingly high.

• Reviewing:
• Lugtenberg D et al., Eur J Hum Genet 2009 Apr; 17:444 Clayton-Smith J et al., Eur J Hum Genet 2009 Apr; 17:434

SUMMARY AND COMMENT

Pregnant Despite Plan BFree

• May 20, 2009
• Alain Joffe, MD, MPH, FAAP

A prospective cohort study found no adverse pregnancy outcomes associated with Plan B emergency contraception.

• Reviewing:
• Zhang L et al., Hum Reprod 2009 Mar 31

SUMMARY AND COMMENT

Accidental Exposure to Milk in Allergic Children

• May 13, 2009
• Howard Bauchner, MD

Most reactions were mild and resolved quickly.

• Reviewing:
• Boyano-Martínez T et al., J Allergy Clin Immunol 2009 Apr; 123:883

SUMMARY AND COMMENT

Antivenom for Scorpion StingsFree

• May 13, 2009
• Howard Bauchner, MD

Children with severe reactions to stings recovered quickly after receiving antivenom.

• Reviewing:
• Boyer LV et al., N Engl J Med 2009 May 14; 360:2090