Inguinal Hernia…Why the Cough

As summer is rapidly coming to an end, countless sports physicals have been performed to get the student-athletes eligible for...
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Whats up, doc?

August 2025   There are several articles that will keep you an informed parent in the AAP NEWS. from July...
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Eyes Crossed and Pseudo Strabismus

Amy, a little 3-month-old was on my schedule with the chief complaint was that her eyes crossed   Entering the...
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Whats up, doc?

June 2025   PARENTS it is time to wake up! Being good parents is more than just being informed. It...
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Fifths Disease…It Must Be Spring

It was late morning, just before lunch. Grabbing the chart of my next patient I noticed that he was not...
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Whats up, doc?

April 2025   RISKS OF WATER BEAD INGESTION in Pediatrics, vol 155, issue 2, Feb 2025 pg.58. Here is a...
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Juvenile Spring Eruption…Just when you think you’ve seen it all

I grabbed the chart of my next patient and was intrigued by what the nurse had written as the chief...
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Whats up, doc?

February 2025   An article by Juan E.De la Cruz-Mena, MD, MSc, et al entitled SHORT-TERM DUAL THERAPY OR MONOTHERAPY...
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Tonsil Stones

John is a 10 year-old patient of mine who was brought to the office for “possible strep throat”.   His...
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Whats up, doc?

December 2024   There was a very disturbing article in PEDIATRICS, by Bridget Duffy, BS, et al. “Characteristics of Fatalities...
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May 4, 2009

Not All right Sided Pain is Appendicitis

Let’s look at three patients who presented with very similar histories and physical examinations. Each child could make a compelling case for acute appendicitis. Yet, only one of the three actually had appendicitis.   Jeff   Jeff was a six-year-old boy who woke up not feeling well. He was nauseated
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January 12, 2009

Acute Gastroenteritis

As most of our families know our practice is right in the middle of the “sick” season.   There are many illnesses we are seeing in the office right now. But one of the more frustrating and exhausting for parents can be acute gastroenteritis, AGE for short, or more commonly
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July 21, 2008

Daytrana—The New Patch for ADHD

Children and teens with ADHD have varying needs for control of symptoms throughout their day.   The development of the methylphenidate transdermal patch, Daytrana, Shire Pharmaceuticals, has been a great advance in improved coverage and control of ADHD symptoms. The dose of this methylphenidate patch was studied in a recent
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July 7, 2008

Clear the Fog On Attention-Deficit/Hyperactivity Disorder

There has been a flurry of recommendations from the American Heart Association and the Food and Drug Administration which have clouded the air with a fog of uncertainty.   Does a patient need an electrocardiogram or an ECHO cardiogram before starting on medication for ADHD syndromes? Does a child that
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May 5, 2008

Patching Up ADD

Attention deficit disorder (ADD) affects approximately 3-5 percent of all school age children in the United States.   This is also the incidence that is reported in Western Europe and Japan. ADD is not a single entity; rather, it is a constellation of symptoms that include inattention, impulsivity and hyperactivity.
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