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Pediatrics Aug 2019Congenital muscular torticollis (CMT) is a common postural deformity evident shortly after birth, typically characterized by ipsilateral cervical lateral flexion and... (Review)
Review
Congenital muscular torticollis (CMT) is a common postural deformity evident shortly after birth, typically characterized by ipsilateral cervical lateral flexion and contralateral cervical rotation due to unilateral shortening of the sternocleidomastoid muscle. New evidence is emerging on the pathogenesis of CMT, the negative long-term consequences of delaying intervention, and the importance of early identification and early intervention to maximize outcomes. Our purpose in this article is to inform pediatricians and health care providers about new research evidence and share selected recommendations and implementation strategies specifically relevant to pediatric practice to optimize outcomes and health services for infants with CMT.
Topics: Biomedical Research; Humans; Infant; Infant, Newborn; Parents; Pediatricians; Posture; Torticollis
PubMed: 31350358
DOI: 10.1542/peds.2019-0582 -
Anales de Pediatria Oct 2021Infantile cerebral palsy is one of the most prevalent diseases and the most frequent cause of disability in paediatrics. Children with cerebral palsy have complex health...
Infantile cerebral palsy is one of the most prevalent diseases and the most frequent cause of disability in paediatrics. Children with cerebral palsy have complex health care needs and often require the care of a multidisciplinary team. However, in many cases there is no paediatrician with overall responsibility for coordinating follow-up. We have produced a support document intended for paediatricians coordinating the care of children with cerebral palsy. Our aim is to provide an ordered compilation of the main issues these patients may develop, to know how to identify and address them if necessary, and to establish criteria for referring these patients to other specialists.
Topics: Cerebral Palsy; Child; Disabled Persons; Humans; Pediatricians; Specialization
PubMed: 34526244
DOI: 10.1016/j.anpede.2021.07.002 -
Pediatrics in Review Jul 2023Every child should have a baseline hematology evaluation with hemoglobin and hematocrit levels starting at age 12 months, or younger if clinically indicated. Although... (Review)
Review
Every child should have a baseline hematology evaluation with hemoglobin and hematocrit levels starting at age 12 months, or younger if clinically indicated. Although history and physical examination provide key information needed to diagnose blood disorders, the addition of a complete blood count (CBC) with differential count and reticulocyte count allows the clinician to narrow the differential diagnosis and tailor the subsequent evaluation. The interpretation of CBC results is a skill that requires practice. Every clinician can learn to identify possible diagnoses before consulting a specialist. This review provides a step-by-step approach for CBC interpretation with tools to help the clinician diagnose and interpret the most common blood disorders seen in the general pediatric clinic or inpatient setting.
Topics: Child; Humans; Infant; Pediatricians; Diagnosis, Differential; Physical Examination; Referral and Consultation
PubMed: 37391639
DOI: 10.1542/pir.2021-005273 -
Pediatric Annals Oct 2019
Topics: Grandparents; Humans; Pediatricians; Role
PubMed: 31609993
DOI: 10.3928/19382359-20190924-01 -
Andes Pediatrica : Revista Chilena de... Jun 2021
Topics: COVID-19; Humans; Interprofessional Relations; Pediatricians; Physician's Role; Professionalism; Social Media
PubMed: 34479238
DOI: 10.32641/andespediatr.v92i3.3632 -
NeoReviews Feb 2022Advocacy is at the heart of pediatrics and neonatal care. Historically and currently, numerous pediatricians have used their expertise to raise the voices of children... (Review)
Review
Advocacy is at the heart of pediatrics and neonatal care. Historically and currently, numerous pediatricians have used their expertise to raise the voices of children and families to promote child health and welfare. Despite a lack of formal training in advocacy and health policy, many of the skills required for daily clinical care can, and ought to, be applied to affect systemic change within neonatology. Advocacy can no longer be considered an optional activity, but rather a core competency and professional responsibility. In this review, the authors describe the necessity and foundational principles for advocacy success as well as provide guidance, resources, and opportunities for neonatologists and clinicians providing newborn care.
Topics: Child; Humans; Infant, Newborn; Neonatologists; Neonatology; Pediatricians
PubMed: 35102381
DOI: 10.1542/neo.23-2-e74 -
JAMA Feb 2020
Topics: Female; Humans; Medical Oncology; Palliative Care; Pediatricians; Pediatrics; Physician-Patient Relations; Professional-Family Relations; Religion; Religion and Medicine; Spirituality
PubMed: 32068822
DOI: 10.1001/jama.2020.0580 -
Pediatric Annals Mar 2021Fetal echocardiography is now commonly used to assess fetuses for congenital heart disease. To care for their patients, it is important for the pediatrician to... (Review)
Review
Fetal echocardiography is now commonly used to assess fetuses for congenital heart disease. To care for their patients, it is important for the pediatrician to understand the utility of the test, the benefits, and the limitations of the results. This review outlines the indications, components, and limitations of fetal echocardiography with a focus on the care that the pediatrician provides to newborns and their families. An understanding of the fetal cardiac examination can assist the pediatrician in caring for patients with either normal or abnormal test results. The need for and timing of postnatal cardiology follow-up, and guidance on referral for fetal echocardiogram for future pregnancies are all critical roles that the pediatrician can play. Most importantly, an understanding of the limitations, including difficult-to-diagnose lesions, allows the pediatrician to maintain a high level of suspicion for cardiac defects regardless of fetal echocardiography findings. .
Topics: Cardiology; Echocardiography; Female; Heart Defects, Congenital; Humans; Infant, Newborn; Pediatricians; Pediatrics; Pregnancy; Ultrasonography, Prenatal
PubMed: 34038649
DOI: 10.3928/19382359-20210217-03 -
Canadian Journal of Ophthalmology.... Dec 2019
Topics: Adolescent; Child; Child, Preschool; Eye Diseases; Humans; Infant; Ophthalmologists; Ophthalmology; Pediatricians; Pediatrics
PubMed: 31836090
DOI: 10.1016/j.jcjo.2019.10.003 -
The Turkish Journal of Pediatrics 2022Pediatricians are regularly involved in the initial examination of children presenting with strabismus, a common ocular condition occurring in 3% of children. The... (Review)
Review
BACKGROUND
Pediatricians are regularly involved in the initial examination of children presenting with strabismus, a common ocular condition occurring in 3% of children. The objective of this review was to gain insight into pediatric residents, fellows and attendings` understanding of strabismus, and to propose an etiology-based strabismus classification scheme to aid this understanding.
METHODS
A survey was conducted in a single Department of Pediatrics in a university academic institution in order to assess the degree of understanding of the classification, etiology and nomenclature of strabismus. A targeted literature review, pertinent to our classification scheme for strabismus in the pediatric age group, is provided to clarify the various underlying etiological conditions for pediatricians.
RESULTS
The surveyed cohort (n=26) consisted of 10 (38.5%) attendings and 16 (61.5%) pediatricians-in-training. Although 69% of survey participants felt comfortable performing an ocular motility evaluation, only 19% had a clear understanding of the underlying etiology of strabismus, 8% had a clear understanding of strabismus nomenclature and none of the participants had clear knowledge of a classification scheme of strabismus. We propose an etiologic-based strabismus classification scheme with streamlined nomenclature geared towards Pediatricians to facilitate the management of pediatric patients with various ocular misalignments. Eight major categories of this classification scheme include (1) physiologic, (2) comitant, (3) paralytic, (4) sensory, (5) syndromic, (6) orbital, (7) supranuclear and (8) pseudostrabismus.
CONCLUSIONS
Pediatricians at all levels of professional experience have a limited command of strabismus. An etiology-based classification scheme of strabismus may assist in understanding the underlying causes and facilitate the management of strabismus in the pediatrician`s office.
Topics: Child; Cohort Studies; Humans; Pediatricians; Strabismus; Surveys and Questionnaires
PubMed: 35611422
DOI: 10.24953/turkjped.2020.2372