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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February 14, 2005

Right-Sided Pain Is Not Always The Appendix

One of the first dictums that is taught in clinical medicine is that appendicitis is the great imitator.   While there is a classic presentation for an acute appendicitis, far too often it can be subtle and take on the appearance of something entirely different. That is why clinicians must
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January 10, 2005

Coins Belong In The Piggy Bank

It was a busy Sunday afternoon and my weekend on call was coming to an end.   With winter officially here pediatric illnesses had picked up in both the office and the hospital. There were the typical viral upper respiratory tract infections, flare-ups of asthma, ear infections and gastrointestinal infections.
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September 27, 2004

More Than We Bargained For

A child with a diagnosis of ADHD, Attention Deficit Disorder with Hyperactivity, frequently has other diagnoses as well.   Thus, the identity of ADHD often means that treatment of the disorder can be complicated by other factors. The high prevalence of ADHD with other comorbid diagnoses was demonstrated in the
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August 23, 2004

Current Research on the Treatment of ADHD

The recent Journal of the American Academy of Child and Adolescent Psychiatry, July 2004 examined the current status of the treatment of ADHD.   Stimulant medication, such as Ritalin, Adderall, or Dexedrine still remains the most important cornerstone of ADHD management. ADHD medication should be considered for a child whose
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March 22, 2004

Giardia…Watch What You Drink

Nikki’s mother brought her to the office because of a number of issues that had been going on for awhile. Her mom states that Nikki has an endless abundance of energy…that is, until a couple of weeks ago.   The young lady is 12 years old and usually an active
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