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To Circumcise or Not to Circumcise
Click for pdf: Circumcision Guidelines set by central agencies Routine circumcision is not recommended by most governing agencies. The Canadian Pediatric Society (CPS) states that “Circumcision of newborns should not be routinely performed” (1). The College of Physicians and Surgeons of British Columbia shares this view and requires physicians to obtain the consent of both [...]
Infants of Diabetic Mothers
published on January 1, 2012 Click for pdf: Infants of diabetic mothers Introduction Hypoglycemia develops in about 25–50% of infants of diabetic mothers and 15–25% of infants of mothers with gestational diabetes. Only a small percentage of these infants however become symptomatic. Unrecognised hypoglycaemia in the newborn can be fatal and is therefore important to suspect in all infants of [...]
The Pediatric Neurological History
published on December 16, 2011 Click for pdf: neurological history Establishing rapport Parents and guardians are often very worried about the seriousness of their child’s illness. It is important to put the child and caregiver at ease and present an empathetic demeanor. Establish expectations, understanding and fears regarding the child’s presentation. General pointers History is crucial for evaluation of a [...]
published on November 14, 2011 |
Febrile Neutropenia
Click for pdf: febrile neutropenia Introduction The basis of treatment of any malignancy includes aggressive therapies such as radiation or chemotherapy that targets rapidly dividing tumour cells. Because of the lack of specificity, unwanted secondary effects arrest cell division in other cell lines, including those with a rapid turnover such as in the bone marrow. [...]
Tumor Lysis Syndrome
published on November 14, 2011 Click for pdf: Tumor lysis syndrome Background Tumor lysis syndrome (TLS) in pediatric patients is an oncologic emergency that involves complications of hematologic or solid malignancies. Tumor destruction may be due to spontaneous or treatment-related causes, resulting in electrolyte and metabolic imbalances. Classically, tumor lysis is associated with cytotoxic chemotherapy, including treatment with corticosteroids. Electrolyte [...]
Approach to Pediatric Hypertension
published on November 14, 2011 Click for pdf: Pediatric hypertension General presentation Hypertension in children and adolescents is defined as having an average systolic and/or diastolic blood pressure that is at the 95th percentile or higher matched with the patient’s gender, age and height. The high values must be obtained on three or more occasions. Hypertensive urgency is defined as [...]
published on November 14, 2011 |
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