Pediatrics
Clinical Inquiries
What is the appropriate use of sunscreen for infants and children?
EVIDENCE-BASED ANSWER: The risk and benefits of sunscreen use for children under the age of 6 months are unknown. To avoid sunburn, infants should...
Clinical Inquiries
What are the risks to the fetus associated with diagnostic radiation exposure during pregnancy?
EVIDENCE-BASED ANSWER: There is no evidence of significant risk to the developing fetus from any single diagnostic x-ray exposure (strength of...
Clinical Inquiries
What is the appropriate evaluation and treatment of children who are “toe walkers”?
EVIDENCE-BASED ANSWER: The evaluation of toe-walking focuses on differentiating normal children from those with mild cerebral palsy. Gait analysis...
Clinical Inquiries
When should a child with an undescended testis be referred to a urologist?
EVIDENCE-BASED ANSWER: Infants with an undescended testis should be referred between ages 6 and 15 months, since almost all who experience...
Clinical Inquiries
What is appropriate fetal surveillance for women with diet-controlled gestational diabetes?
EVIDENCE-BASED ANSWER: No evidence clearly supports the practice of increased fetal surveillance in the pregnancies of women with well-controlled...
Clinical Inquiries
How safe is vaginal birth after cesarean section for the mother and fetus?
EVIDENCE-BASED ANSWER: Compared with planned repeat low-transverse cesarean section, vaginal birth after cesarean section (VBAC) is not associated...
Photo Rounds
Annular rash on a newborn
Clinical Inquiries
What are hospital admission criteria for infants with bronchiolitis?
EVIDENCE-BASED ANSWER: Clinical judgment remains the gold standard for hospital admission of infants with bronchiolitis, and it cannot be replaced...
News
'Just Growing Pains' Denounced as Unresponsive Diagnosis
Clinical Inquiries
What vitamins and minerals should be given to breastfed and bottle-fed infants?
EVIDENCE-BASED ANSWER: Breastfed and formula-fed infants should receive intramuscular vitamin K soon after birth to prevent classic hemorrhagic...
Applied Evidence
How should we evaluate and treat ADHD in children and adolescents?
Guidelines recommend using comprehensive screening forms rather than diagnostic studies