New babies can rejoice with the transcutaneous bilirubinometry usage. / Children experiencing trauma when divorce or separation occurs in the family need help. TRANSCUTANEOUS BILIRUBINOMETRY IN JAUNDICED NEONATES: A RANDOMIZED CONTROLLED TRIAL By Bernice van den Esker-Jonker, MANP, etc. . Pediatrics, Vol 138, Nu 6, Dec. 2016, article 80.:e20161813 The TcB skin evaluation for […]
Read More →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 and didn’t want to eat […]
Read More →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 described as the “stomach flu.” […]
Read More →Many times during a routine visit I am asked a “by the way” question. Recently I was asked what I thought about probiotics as the parents were thinking of using a probiotic as a supplement for their child. My initial answer was I didn’t have enough information to make a definitive decision. After looking […]
Read More →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 have a very high index […]
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