There are now 5 FDA-approved indications for GH therapy in children who are not GH-deficient. Because timely and appropriate referral to the pediatric endocrinologist is important for achieving optimal outcomes with GH therapy, it is essential that primary care physicians understand the pertinent issues related to GH treatment for each of the approved non-GH-deficient conditions.
Nov 1, 2006
By:
Joyce M. Lee, MD, MPH, Ram K. Menon, MD
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There are now 5 FDA-approved indications for GH therapy in children who are not GH-deficient. Because timely and appropriate referral to the pediatric endocrinologist is important for achieving optimal outcomes with GH therapy, it is essential that primary care physicians understand the pertinent issues related to GH treatment for each of the approved non-GH-deficient conditions.
Pediatric patients with back pain have a higher percentage of pathologic diagnoses than do adults, necessitating a high index of suspicion and quicker initiation of a thorough diagnostic evaluation. The authors provide an overview of the diagnosis and treatment of back pain in child and adolescent athletes, including conditions to consider in the differential.
Jul 18, 2007
By:
Jason Kronberg, MD, Eric Small, MD
|
Pediatric patients with back pain have a higher percentage of pathologic diagnoses than do adults, necessitating a high index of suspicion and quicker initiation of a thorough diagnostic evaluation. The authors provide an overview of the diagnosis and treatment of back pain in child and adolescent athletes, including conditions to consider in the differential.
The 3 common pediatric skin conditions discussed in this article can be diagnosed and treated in primary care. Here are some practical recommendations for honing your skills.
Apr 1, 2007
By:
Tor Shwayder, MD
|
The 3 common pediatric skin conditions discussed in this article can be diagnosed and treated in primary care. Here are some practical recommendations for honing your skills.
Sep 15, 2004
By:
Maryland Pao, MD
|
Many psychotropic medications are now being prescribed for pain management in children and adolescents. Physicians should be aware of these potentially useful new indications and regularly evaluate potential drug interactions in their young patients.
We can no longer assume that all new-onset diabetes in children and adolescents is type 1. As type 2 diabetes occurs more frequently in younger age-groups, differentiating it from type 1 disease and starting appropriate treatment become vitally important.
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A 10-day course of antibiotics is still the norm for acute otitis media, despite growing interest in shorter courses. New recommendations favor topical antibiotics alone as first-line treatment for acute otitis externa, chronic suppurative otitis media, and tympanostomy-tube otorrhea.
Allowing parents to express concerns and effectively screen children&s development is essential but time- consuming. With a validated questionnaire that can be administered before the encounter itself, physicians can save substantial amounts of time and improve efficiency in the delivery of health care services.
When does your pediatric patient merit an SSRI for depression, OCD, or another mental disorder? This review of the effectiveness of these agents and their sometimes serious side effects will help you decide. Tips on choosing the right SSRI and dosage are also provided.
Patient Care archives are now available on ModernMedicine.com, a new online resource designed to meet the evolving needs of physicians.