Pediatrics in Review

COMMENTARIES

CONTENTS

3

How to Use PIR For Renewal of Certification

3

We Listen to Readers' Suggestions

Robert J. Haggerty

4

Pediatrics in Review to Hold 1996 Cover Art Contest:

Works by Children!

ARTICLES

5

Hirschsprung

Disease

Co/in Rudolph and Lee Benaroch

12

Juvenile Delinquency:

Considerations

for

Pediatricians

W. Sam Yancy

17

Tonsils and Adenoids: An Update

Ellen S. Deutsch and Glenn C. Isaacson

22

Vesicoureteral

Refiux

Curtis A. Sheldon and Jeffrey Wacksman

29

Conversion

and Somatization

in Pediatrics

Christopher

H. Hodgman

35

Consultation

with the Specialist:

Ingestion of Coins and Batteries

Ian R. Neilson

37

Index of Suspicion

Gregory P. C'onners, Paul W. Sheeran, Harry S. Miller

IN BRIEF

28

Neck Injury

COVER

Working in the medium of batik, Paul Nzalamba creates images that are

drawn from his native country, Uganda, and that reflect the strength,

struggle, and beauty of all people, especially children and ado'escents.

We

chose to use his "At Play" (1988) to show a modern, indigenous artist's

work that illustrates the color and joy of such artists. Mr. Nzalamba's

works are on display at his studio in Los Angeles, California.

Reproduced

with permisison.

ANSWER KEY

1. B; 2. B; 3. E; 4. D; 5. C; 6. C; 7. D; 8. D; 9. E; 10. C; 11. C; 12. D; 13. E; 14. C; 15. B; 16. A; 17. E; 18. D; 19. E; 20. D; 21. A; 22. A; 23. A; 24. A

Pediatrics in Review

Vol

16 No I

January

1995

EDITOR Robert J. Haggerty University of Rochester School of Medicine and Rochester, NY

Dentistry

Editorial Office: Department of Pediatrics University of Rochester School of Medicine and Dentistry 601 Elmwood Aye, Box 777 Rochester, NY 14642

ASSOCIATE EDITOR Lawrence F. Nazarian Panorama Pediatric Group Rochester, NY

CONSULTING EDITOR Evan Charney, Worcester, MA

ABSTRACTS EDITOR Steven P. Shelov, Bronx, NY

MANAGING EDITOR Jo Largent, Elk Grove Village, IL

EDITORIAL CONSULTANT

Victor C. Vaughan, III, Stanford, CA

EDITORIAL BOARD Moris A. Angulo, Mineola, NY Russell W. Chesney, Memphis, TN Peggy Copple, Tucson, AZ Richard B. Goldbloom, Halifax, NS John L. Green, Rochester, NY Robert L. Johnson, Newark, NJ Kathi Kemper, Seattle, WA Alan M. Lake, Glen Arm, MD Frederick H. Lovejoy, Jr, Boston, MA John T. McBride, Rochester, NY Vincent J. Menna, Doylestown, PA Lawrence C. Pakula, Timonium, MD John M. Pascoe, Madison, WI Ronald L. Poland, Hershey, PA James E. Rasmussen, Ann Arbor, MI Kenneth B. Roberts, Worcester, MA James S. Seidel, Tonance, CA Richard H. Sills, Newark, NJ Laurie J. Smith, Washington, DC William B. Strong, Augusta, GA Jon Tingelstad, Greenville, NC Vernon T. Tolo, Los Angeles, CA Robert J. Touloukian, New Haven, CT Terry Yamauchi, Little Rock, AR Moritz M. Ziegler, Cincinnati, OH

EDITORIAL ASSISTANT Sydney Sutherland

PUBLISHER American Academy of Pediatrics 0. J. Sahler, MD, Director

Department of Education Jean Dow, Director

Division of Medical Journals Deborah Kuhlman, Copy Editor

PEDIATRICS IN REVIEW (ISSN 01 91 -9601) is owned

and controlled by the American Academy of Pedi-

atrics. It is published monthly by the American

Academy of Pediatrics, 141 Northwest Point BIvd,

P0 Box 927, Elk Grove, IL 60009-0927.

Statements and opinions expressed in Pediatrics

in Review are those of the authors and not neces-

sarily those of the American Academy of Pediatrics

or its Committees. Recommendations

included in

this publication do not indicate an exclusive course

of treatment or serve as a standard of medical care.

Subscription pnce for 1995: AAP Fellow $105; AAP

Candidate Fellow $80; MFP $130; Allied Health or

Resident $80; Nonmember or Institution $135. Cur-

rent single price is $10. Subscription claims will be

honored up to 12 months from the publication date.

Second-class

postage paid at ARLINGTON

HEIGHTS, ILLINOIS 60009-0927 and at additional

mailing offices.

? AMERICAN ACADEMY OF PEDIATRICS, 1995.

All rights reserved. Printed in USA. No part may be

duplicated or reproduced without permission of the

American Academy of Pediatrics. POSTMASTER:

Send address changes to PEDIATRICS IN REVIEW,

American Academy of Pediatrics, P0 Box 927, Elk

Grove Village, IL 60009-0927.

_____________

The printing and production of Pediatrics in Review is made possible, in part, by an educational grant from Ross Products Division,

Abbott Laboratories.

R088

SUPPORTING E Di AT R IC

EDUCATiON

Printed in USA

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JANUARY 1995

FEBRUARY 1995

COMMENTARIES

ARTICLES

How to Use PIR For Renewal of Certification

3

Cytomegalovirus

Infections

43

We Listen to Readers' Suggestions

3

James B. Hanshaw

Robert J. Haggerty

Retinopathy of Prematurity

50

Pediatrics in Review to Hold 1996 Cover Art Contest:

Dale L. Phelps

Works by Children!

4

Separation Anxiety

57

ARTICLES

Michael S. Jellinek and M. Elyce Kearns

Hirschsprung

Disease

Cohn Rudolph and Lee Benaroch

5

Proper Use of the Clinical Microbiology Laboratory

62

John C. Christenson and James C. Overall, Jr.

Juvenile Delinquency: Considerations

for

Consultation with the Specialist:

Pediatricians

12

Hoarseness

69

w. Sam Yancy

Margaret A. Kenna

Tonsils and Adenoids: An Update Ellen S. Deutsch and Glenn C. lsaacson

17

Medical Record Review:

Staying Focused: Documenting the Management

of a Child Who Has an Attentional Disorder

75

Vesicoureteral

Reflux

Curtis A. Sheldon and Jeffrey Wacksman

22

Lawrence F. Nazarian

Chronology of the Management of a Child Who

Conversion and Somatization in Pediatrics

29

Has ADHD

76

Christopherson H. Hodgman

IN BRIEF

Consultation with the Specialist:

Ingestion of Coins and Batteries

35

ClinicalManifestations of Schleroderma

49

Ian R. Neilson

Chronic Cough

72

Index of Suspicion

37

Gregory P. Conners, Paul W. Sheeran, Harry S. MIller

Thumbsucking

73

IN BRIEF

Blindness and Visual Impairment

77

Neck Injury

28

Pleural Effusions: Diagnostic Considerations

79

POINT OF CLARIFICATION

Teething: Is It Painful?

56

SUPPLEMENT:.. Guides for Record

Attention Deficit Hyperactivity

Disorder

American Board of Pediatrics

Review

DEPARTMENT

OF CORRECTIONS

Erratum

61

ThiB

One

il.

IIIIIU

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MARCH 1995

APRIL 1995

ARTICLES

ARTICLES

Penicillin Update

83

Antifungal Drugs

123

Stuart L. Goldstein, Sheldon L. Kaplan, Ralph D. Feigin

J. Thomas Cross, Jr, Steven L. Hickerson,

Terry Yamauchi

Normal Speach and Language An Overview

Development:

91

Autism and the Pervasive Developmental

James Coplan

Disorders: Part I

130

Stephen Bauer

Acute Renal Failure: Diagnosis

101

Azra Sehic, Russell W. Chesney

Acute Renal Failure: Therapy

137

Azra Sehic, Russell W. Chesney

Formulas for the Healthy Term Infant

107

Frank R. Greer

Diaper Dermatitis

142

Srisupalak Singalavanija,

Illona J. Frieden

Consultation with the Specialist:Ataxia

114

Catherine DeAngelis

Infective Endocarditis

148

Azra Sehic, Russell W. Chesney

Index of Suspicion

117

John L. Green, Randy Cron, Laurette Ho, Bradley Bradford

Index of Suspicion

155

Elliott M. Friedman, Ten Turner, Danuta Deeb

IN BRIEF

Craniosynostosis

Consultation with the Specialist:

115

Adolescent Social Development

158

James Seidel

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MAY 1995

ARTICLES

Orbital and Periorbital Keith R. Powell

Cellulitis

Autism and the Pervasive Part2 Stephen Bauer

Developmental

Diagnosis of Allergic Disorders Philip Fireman

Disorders

Sports-related

Injuries Among Adolescents:

When

Do They Occur, and How Can We Prevent

Them?

Ellen S. Rome

Management

of Urinary

Children are Different

James K Todd

Tract Infections:

Consultation

with the Specialist:

Robert L. Johnson

Drug Abuse

IN BRIEF Adverse Food Reactions

JUNE 1995

ARTICLES

163

Acute Conjunctivitis

203

Francis Gigliotti

Common Respiratory Disorders of the Newborn

209

168

Arthur E. Kopelman and Oommen P. Mathew

Management of Chronic Pain in Children

218

178

Zeev N. Kain, Stephen Rimar

Index of Suspicion

223

Dennis J. McCarthy, Robert J. Tuite, Gregory P. Conners

184

Consultation

with the Specialist:

Indications for Bone Marrow Examination

226

Richard H. Sills

190

Peripheral Brain: Emergency Drugs

229

Jill M. Baren, James S. Seidel

197

188

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JULY 1995

AUGUST 1995

ARTICLES

ARTICLES

Pubertal and Psychosocial Development:

Control of Infections in Schools

28

Implications for Pediatricians

243

Julia A. McMillan

Iris F. Lift

Hemophilia: An Updated Review

29

Neonatal Seizures

248

Beverly Bell, David Canty, Michelle Audet

Carl E. Stafstrom

Developmental

Dislocation of the Hip:

Peptic Ulcer Disease in Children

257

A Clinical Overview

29

Adam G. Mezoff, William F. Balistreri

James F. Mooney, Illand John B. Emans

Special Considerations

in the Use of

Divorce: Consequences

for Children

30

Glucocorticoids

in Children

266

Robert E. Emery and Mary Jo Coiro

Joseph D. Spahn, Alan K. Kamada

Quality Improvement:

An ACQIP Exercise on the

Quality Improvement:

An ACQIP Exercise on the

Management of Acute Asthma-Part

2

31

Management

of Acute Asthma - Part I

Shannon Smith-Ross, Lisa Honigfeld,

273

Shannon Smith-Ross, Lisa Honigfeld,

and the Staff of the Division of Quality Care

and the Staff of the Division of Quality Care

Consultation with the Specialist:

Consultation

with the Specialist:

Stabilization of the Very-Low-Birthweight

Infant

31

Cerebral Abscess and Congenital Heart Disease

277

Ronald L. Poland

William B. Strong

Medical Record Review:

IN BRIEF

Documentation

of Migraine: The Pattern

isthe History

31

Pinworms

247

Lawrence F. Nazarian

Poststreptococcal

Acute Glomerulonephritis

278

POINT-COUNTERPOINT

Fluid Management of Childen Who Have

Diabetic Ketoacidosis

30

SUPPLEMENT:.. Migraine American Board

Guides for of Pediatrics

Record

Review

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