What's New | Decker

Explores the more common diseases that may cause fevers in pediatric patients.
Provides algorithms to guide practitioners in managing a pediatric fever in various age groups.
Reinforces that antibiotics be reserved for clinically diagnosed bacterial infections.

Clifford C. Ellingson, MD, Dale P. Woolridge, MD, PhD

Explores the more common diseases that may cause fevers in pediatric patients.
Provides algorithms to guide practitioners in managing a pediatric fever in various age groups.
Reinforces that antibiotics be reserved for clinically diagnosed bacterial infections.

Salim Afshar, DMD, MD, Jason W. Yu, DMD, MD

Increasingly detailed imaging afforded by modern MRI can be used as the only imaging modality to avoid radiation to the pediatric head neck.
EXIT procedure should be considered to optimize safety at the time of delivery due to potential for severe airway obstruction.
Detailed history including age of onset and subsequent clinical course remains key components in making an accurate diagnosis.

Donald W. Black, MD

Patient assessment precedes the development of the comprehensive treatment plan
The interview must be adjusted to suit the patient and circumstance
The mental status examination is the psychiatrist’s equivalent of the internist’s physical examination

Bronchiolitis is a clinical diagnosis; supportive therapy including supplemental oxygen, hydration, and nutrition are key.
Prematurity, young age, and underlying medical comorbidities predispose patients to severe bronchiolitis.
Knowledge of the different pathogens affecting children of various ages paramount to best antibiotic choice
Thorough history on patients presenting to the emergency department with asthma symptoms should be obtained; children with significant respiratory distress, hypoxia, suboptimal response to therapy, or poor social situation should be admitted.
Current guidelines recommend increasing medical management in a stepwise fashion based on level of control.

The concept of “dynamic kinking,” or the urethral compression that occurs with physical exertion, is critical to understanding the mechanism by which a tension-free midurethral sling works for stress urinary incontinence.
No significant difference in subjective or objective outcomes has been noted for transobturator versus retropubic slings, with success rates ranging from 80 to 90%.
Sling complications are either functional or mesh specific. The most common mesh-specific complication is mesh exposure, which occurs in 0 to 4.4% of cases.

We provide a review of the physiologic changes during pregnancy and how they might affect non-obstetric surgery in parturients.
We discuss pharmacology as is pertinent in parturients undergoing non-obstetric surgery.
Specific considerations for parturients undergoing laparoscopy, trauma or non-obstetric gynecologic surgery are made.

We provide a review of the physiologic changes during pregnancy and how they might affect non-obstetric surgery in parturients.
We discuss pharmacology as is pertinent in parturients undergoing non-obstetric surgery.
Specific considerations for parturients undergoing laparoscopy, trauma or non-obstetric gynecologic surgery are made.

Pediatrics