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ORLANDO -- Laparoscopic Nissen fundoplication was able to maintain or improve pulmonary function in 14 children with severe gastroesophageal reflux disease and cystic fibrosis, Dr. Sean J. Barnett and his [...]

Reno, Nev. -- A novel screening program developed by researchers in North Carolina was able to identify children at risk for type 2 diabetes or prediabetes, and to facilitate lifestyle [...]

Kemal, 4 years old, and his 2-year-old brother J.J. are seen for well child visits. History Mother states there have been no illnesses since their last visit. She reports that [...]

Etiology * The appearance of secondary sexual characteristics before age 7 in girls (before 6 in black girls) or before age 9 in boys * GnRH-dependent (central) etiologies include CNS [...]

Though Type 2 diabetes mainly affects adults, its prevalence among adolescents is increasing, and a recent nurse-led study found that screening 12-year-olds for risk factors associated with the disease is [...]

In a 4-year longitudinal study of 125 school-aged children, 53 were classified as carriers of group A streptococci (GAS) at least once, said Judith M. Martin, M.D., and her colleagues [...]

Tani LY, Veasy LG, Minich LL, Shaddy RE, University of Utah and Primary Children's Medical Center, Salt Lake City. Rheumatic fever in children younger than 5 years: is the presentation [...]

Although the pertussis vaccine effectively prevents pertussis in many children, breakthrough infections do occur. The diagnosis might be missed because the clinical presentation is less severe in patients who have [...]

Enright PL, Goodwin JL, Sherrill DL, et al, University of Arizona, Tucson. Blood pressure elevation associated with sleep-related breathing disorder in a community sample of white and Hispanic children. The [...]

Lu LR, Peat JK, Sullivan CE, University of Sydney and The Children's Hospital at Westmead, Australia. Snoring in preschool children: prevalence and association with nocturnal cough and asthma. Chest. Aug [...]

Among more than 400 children given comprehensive eye exams, 31% required follow-up care. This result comes from Vision Service Plan's Get Focused program, where volunteer optometrists offered exams at minor [...]

WASHINGTON -- Although functional MRI is primarily used in children to map brain tumors prior to surgery, the number of other pediatric applications is growing, according to experts speaking at [...]

The Mid-Iowa Health Foundation and the Des Moines Health Center have combined forces to create the Smile Squad, Iowa's first mobile dental clinic. Every year, the clinic visits 24 grade [...]

KIAWAH ISLAND, S.C. -- General pediatricians can easily get comfortable with examining the ankle. The relatively simple anatomy makes it one of the least intimidating aspects of sports medicine, Dr. [...]

A child who is tense when he sits on the exam table often holds his legs stiffly and positions them in a way that prevents checking reflexes. To distract such [...]

Before performing an abdominal exam on a ticklish child, I prepare him by telling him that one of my hands is the "tickle hand" and the other hand is not. [...]

HILTON HEAD, S.C. -- Careful observation by a pediatrician works at least as well as fancy screening tests in assessing development in young children, Dr. Barry S. Zuckerman said at [...]

If you have trouble performing joint and musculoskeletal exams on toddlers and preschoolers with rheumatologic disease, try a game of Simon Says. Kids as young as 2 years of age [...]

When evaluating a patient for possible nursemaid's elbow--typically, a toddler who is restless and difficult to examine--I always have the child's parent palpate the affected arm before I do. Before [...]

Evaluating a child with a stiff neck is one of the most crucial skills in pediatrics. Although this is usually a straightforward procedure, it is sometimes difficult to distinguish meningismus [...]

The 2-Year Analysis of the German BABYDIAB Study The temporal development of autoantibodies was studied in 1,353 offspring of parents with type 1 diabetes. Islet cell antibodies (ICAs) and autoantibodies [...]

Objectives: To describe the pediatric interview as it is conducted in different practice settings and with children ranging in age from infancy to adolescence, and to identify pediatric history-taking strategies that varied across age groups. Participants and Methods: A self-administered survey was designed and mailed to a group of pediatricians in the Chicago metropolitan area to assess commonly used strategies in the pediatric interview across varied patient ages and settings. The pediatricians sampled varied by geographic location as well as by practice setting. Results: Results of the survey indicated that pediatricians use common strategies for establishing rapport, calming the disruptive child, and obtaining information from the child within particular age groups, but vary these strategies as the child matures. Conclusions: The findings substantiate the influence of the developmental stage of the child on interview strategies used by pediatricians. Implications pertaining to development of a standardized teaching curriculum for the pediatric interview are also discussed. Arch Pediatr Adolesc Med. 1999;153:154-157, Pediatricians use a variety of techniques to calm their patients, establish rapport, and elicit information about the child's health during a medical visit. Researchers surveyed 250 pediatricians, and found that most use calm talking, questioning, drawing, toys, and other techniques when treating children. Seventy-nine percent of doctors conducted an interview with school-aged children with parents present, while only 8% interviewed adolescents with their parents present. Urban and female pediatricians inquired about sexual and substance use issues when patients were younger. The use of verbal techniques to calm and question the patient became more common as children grew older.

Dear Jose: Your doctor will check your blood pressure, your height, and weight. He or she will listen to your heart and lungs; check your ears, eyes, nose, and throat; [...]

Dear Dr. Cory: For more than a year I've had two small lumps under my left armpit. They don't hurt, but I've read about diseases that cause lumps. Are these […]

Dear Dr. Cory: My daughter had her vision screened at school. Is it still necessary for her to have an eye exam by an optometrist or ophthalmologist? She is not [...]

Dear Dr. Cory: Why do some people who go to camp have to have a physical exam by their doctor? Michelle Thibadeau Las Vegas, Nevada Dear Michelle, Many camps require [...]