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Pediatric Annals

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https://read.qxmd.com/read/30747986/common-annular-lesions-in-the-pediatric-population-part-1
#1
Eric D Schadler, Deepak Kamat
Dermatologic presentations can quickly become overwhelming for clinicians due to the vast number of causes for these conditions. Characteristics of a rash, such as shape, color, size, and distribution, can significantly narrow the differential diagnosis. A solid framework to organize these presentations is critical for correctly identifying and treating skin issues. The shape of a rash, for instance, can serve as a foundation from which to build complex differential diagnoses. Annular rashes in the pediatric population are common complaints requiring clinical evaluation...
February 1, 2019: Pediatric Annals
https://read.qxmd.com/read/30747985/fertility-counseling-for-adolescents
#2
Rashmi Kudesia, Hina J Talib
Fertility awareness, or general knowledge about one's fertility, is low in adolescents and in adult women as well. Misconceptions about reproduction contribute to high rates of unplanned pregnancy in the United States, as well as delayed childbearing and infertility. Alhough primary care providers caring for adolescents have historically focused on contraception and reduction of sexually transmitted infections during their sexual and reproductive health conversations with adolescents and young adult women, fertility awareness counseling would help these women optimize their future fertility and make informed reproductive choices throughout their life...
February 1, 2019: Pediatric Annals
https://read.qxmd.com/read/30747984/contraceptive-needs-of-adolescents-with-chronic-illness
#3
Nadia Scott, Sofya Maslyanskaya
Contraception and sexual health form a key part of comprehensive health care for all adolescents, including those who suffer from chronic illness. Multiple studies have shown that adolescents with chronic illness have rates of sexual activity equal to or greater than their healthy counterparts. Primary care pediatricians have the most comprehensive view of the health of their medically complex patients and the benefit of a longstanding relationship. The Centers for Disease Control and Prevention have created a comprehensive guide that provides advice on safe contraceptive options for patients with complex medical conditions...
February 1, 2019: Pediatric Annals
https://read.qxmd.com/read/30747983/hpv-vaccine-in-adolescents
#4
Paula K Braverman
Human papillomavirus (HPV), the most common sexually transmitted viral infection worldwide, is the causative agent for cervical cancer and attributed to anogenital cancers as well as oropharyngeal cancer. Three effective, safe, prophylactic HPV vaccines have been licensed, and studies have demonstrated decreases in HPV prevalence and HPV-related disease endpoints without evidence of waning protection to date. In the United States, only the 9-valent vaccine, which covers 90% of the cancers attributed to HPV in US registries, is available...
February 1, 2019: Pediatric Annals
https://read.qxmd.com/read/30747982/the-reproductive-health-care-of-transgender-young-people-a-guide-for-primary-care-providers
#5
Nancy A Dodson, Miriam Langer
Primary care providers should have a general understanding of the medical care available to transgender youth throughout childhood and adolescence. Providers and parents should create an affirming environment for young people at every developmental stage, while ensuring thorough and thoughtful evaluations prior to any medical intervention. Transgender teens have unique reproductive health care needs. Transgender boys may seek suppression of menses, and they will need to pay particular attention to pregnancy prevention if they decide to undergo masculinizing hormonal treatment...
February 1, 2019: Pediatric Annals
https://read.qxmd.com/read/30747981/sexual-violence-in-adolescents
#6
Jennifer L Northridge
Sexual violence and intimate partner violence are common among adolescents, especially for those who are developmentally disabled. Pediatricians have a critical role in treating and preventing sexual violence in adolescents. As medical providers, they possess trusted access to identify sexual violence in adolescents and to intervene to help prevent further violence and mitigate associated health effects. Therefore, it is imperative that pediatricians are aware of the scope of sexual violence in adolescents...
February 1, 2019: Pediatric Annals
https://read.qxmd.com/read/30747980/emerging-issues-in-adolescent-sexual-and-reproductive-health
#7
EDITORIAL
Hina J Talib
No abstract text is available yet for this article.
February 1, 2019: Pediatric Annals
https://read.qxmd.com/read/30747979/birth-control-management-for-the-primary-care-provider
#8
Rachel S Dawson
Contraceptive management is occurring more frequently in the primary care setting. Pediatricians should be familiar with the most common methods of contraception due to the fact that families are comfortable seeking care for their adolescents at the primary care office for these types of concerns. Contraceptive methods are often used for noncontraceptive benefits as well, which makes it even more important to feel comfortable prescribing contraceptives at pediatricians' offices. [Pediatr Ann. 2019;48(2):e51-e55...
February 1, 2019: Pediatric Annals
https://read.qxmd.com/read/30747978/medical-librarians-can-help-providers-improve-clinical-decision-making-and-education
#9
EDITORIAL
Joseph R Hageman
No abstract text is available yet for this article.
February 1, 2019: Pediatric Annals
https://read.qxmd.com/read/30653642/intranasal-steroid-therapy-for-allergic-rhinitis
#10
Divya Seth, Deepak Kamat
Allergic rhinitis (AR) is a common medical condition in children. It is associated with significant morbidity because symptoms can adversely affect quality of life. The goals of treatment of AR are to provide effective prevention as well as symptom alleviation. Pharmacotherapy is often necessary for the reduction of symptoms and the associated morbidity. Intranasal steroids (INS) are highly effective drugs for treatment of AR and are more efficacious compared to other medications used to treat AR such as antihistamines and leukotriene modifiers...
January 1, 2019: Pediatric Annals
https://read.qxmd.com/read/30653641/neonatal-skin-emergencies
#11
REVIEW
Mark Siegel, Lara Wine Lee
Although the majority of neonatal skin rashes can be safely monitored without intervention, there are a significant few that are dermatologic emergencies. When called to assess a neonate, it is important to distinguish what requires immediate diagnosis and treatment from those that represent benign etiologies. The skin may be the first clue to certain infections such as herpes simplex virus, syphilis, varicella, cytomegalovirus, fungal infections, and staphylococcal scalded skin syndrome, all of which require immediate testing and some of which may lead to severe sequelae...
January 1, 2019: Pediatric Annals
https://read.qxmd.com/read/30653640/uncommon-neonatal-skin-lesions
#12
REVIEW
Jamie Rosen Manning, Diana H Lee
Certain rashes and cutaneous lesions in a newborn can be clues to more concerning diseases and conditions if recognized and evaluated promptly. Langerhans cell histiocytosis, cutaneous forms of cancer (such as leukemia cutis, neuroblastoma, and rhabdomyosarcoma), developmental abnormalities such as neural tube or spinal dysraphism, and aplasia cutis congenita, nutritional deficiency, and immunodeficiency all have a range of cutaneous findings that will be reviewed herein to guide diagnosis and management. [Pediatr Ann...
January 1, 2019: Pediatric Annals
https://read.qxmd.com/read/30653639/common-neonatal-skin-lesions-melanocytic-nevi-pigment-alterations-and-nonmelanocytic-nevi
#13
REVIEW
Kaiane A Habeshian, A Yasmine Kirkorian
Birthmarks are common in the healthy population and are generally harmless. Certain presentations, however, raise concern for associated syndromes or potential complications. It is important for pediatricians to be familiar with both harmless and potentially concerning birthmarks. This article discusses congenital melanocytic nevi, café-au-lait macules, hypomelanotic macules, nevus depigmentosus, nevus anemicus, epidermal nevi, and nevus sebaceous, including potential syndromes and complications. [Pediatr Ann...
January 1, 2019: Pediatric Annals
https://read.qxmd.com/read/30653638/common-neonatal-rashes
#14
REVIEW
Angad Chadha, Marla Jahnke
Skin eruptions are commonly encountered in the neonatal and infant period and can be a source of concern for providers and parents alike. We present a brief, clinically focused discussion on topics commonly encountered by the pediatrician with a focus on pearls of knowledge to help distinguish diseases from one another and from more serious conditions. We review miliaria, transient neonatal pustular melanosis, neonatal cephalic pustulosis, erythema toxicum neonatorum, diaper dermatitis, seborrheic dermatitis, and atopic dermatitis...
January 1, 2019: Pediatric Annals
https://read.qxmd.com/read/30653637/newborn-skin-care
#15
REVIEW
Yasser Albahrani, Raegan Hunt
The skin serves as a unique barrier from the outside world and undergoes critical changes during its development and maturation. This article reviews evidence-based recommendations for the routine care of newborn skin that should be integrated into the pediatrician's practice. [Pediatr Ann. 2019;48(1):e11-e15.].
January 1, 2019: Pediatric Annals
https://read.qxmd.com/read/30653636/neonatal-dermatology
#16
EDITORIAL
Marla Jahnke, Deepak Kamat
No abstract text is available yet for this article.
January 1, 2019: Pediatric Annals
https://read.qxmd.com/read/30653635/dental-care-and-trauma-management-in-children-and-adolescents
#17
Leah Khan
Dental health in early childhood is a predictor for oral health as we age, and oral health is an important factor affecting overall health. For this reason, providing good guidance and early intervention is imperative to help set our patients up for success. To do this, providers must be familiar with dental anatomy and development, as well as recommendations for caries prevention, pacifier use, juice consumption, fluoride, and the establishment of a dental home. Aside from general oral health care, providers must also be able to provide guidance regarding dental trauma prevention and management...
January 1, 2019: Pediatric Annals
https://read.qxmd.com/read/30653634/thoughts-about-family-centered-care-and-pediatric-dermatology
#18
EDITORIAL
Joseph R Hageman
No abstract text is available yet for this article.
January 1, 2019: Pediatric Annals
https://read.qxmd.com/read/30543380/restless-legs-syndrome-in-children
#19
REVIEW
Hilary Howard, Deepak Kamat Md
Restless legs syndrome (RLS) is a common pediatric condition that often goes undiagnosed. The genetics and pathophysiology of this sensorimotor condition are still not well understood. RLS can affect any part of the body, but the thighs and calves are the most commonly affected. Because of unpleasant sensations caused by RLS, these patients experience sleep disturbance and its consequences. The diagnosis of RLS is a clinical one. RLS occurs at a higher frequency and the symptoms are more severe in patients with iron deficiency; therefore, correcting iron deficiency improves the symptoms...
December 1, 2018: Pediatric Annals
https://read.qxmd.com/read/30543379/pediatric-hypertension
#20
REVIEW
Debora Matossian
The prevalence of elevated blood pressure and hypertension in children and adolescents has increased over the past decade. This trend is most likely related to increases in primary hypertension associated with increasing obesity rates in children. Lifestyle as well as genetics play a significant role in the development of primary hypertension. Hypertension in children and adolescents is under-recognized and undertreated. The 2017 Revised Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents aimed to create new normative blood pressure tables using data from healthy weight children, meaning between the 5th and 85th percentile per the Centers for Disease Control and Prevention...
December 1, 2018: Pediatric Annals
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