- Addiction Medicine
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By Dr. Joseph Lam on January 10, 2017
Pyogenic granulomas or lobular capillary hemangiomas are common acquired vascular tumors accounting for 0.5% of all skin nodules in children. They occur predominantly on the head and neck. Although they are benign vascular proliferations, treatment is often sought because of recurrent episodes of bleeding due to a propensity to superficial ulceration and bleeding.
By Dr. Alisa Lipson on September 28, 2016
As a general pediatrician, I see many children whose behaviour and/or development is not emerging as expected. A diagnosis such as autism or learning disability may be the obvious explanation; but frequently it is not so straightforward. Parents come armed with questions about ‘processing disorders’ and and they expect their MD to be knowledgeable.
By Dr. Soren Gantt on June 8, 2016
Approximately 1 out of every 150 live-born infants has congenital CMV infection (cCMV). Of these, most are asymptomatic. However, more than 20% will suffer permanent neurologic sequelae, including hearing loss, intellectual disability, and visual deficits. In fact, cCMV is responsible for 25% of all childhood hearing loss, and is the second most common cause of intellectual disability after Down syndrome.
By Kishore Mulpuri on January 20, 2016
Developmental Dysplasia of the Hip (DDH) is a spectrum of hip joint abnormalities ranging from mild dysplasia to severe, frank dislocations. Left untreated, DDH can lead to serious complications later in life including osteoarthritis of the hip and total hip replacement.
By Dr. Paul Thiessen on November 18, 2015
What changed my practice was this simple new technique reported in an article from Spain which described a new method to obtain a midstream urine collection in which the infant is held upright and someone rubs over the suprapubic region while gently tapping over the lumbar region of the spine.
By Dr. Antoinette van den Brekel on October 28, 2015
Health care providers caring for pregnant women and newborns are often faced with a finding of fetal hydronephrosis on routine screening antenatal ultrasound; in fact it is seen in 1 to 2% of fetuses screened. Babies at risk of rapidly progressive renal injury due to urinary tract obstruction need to be evaluated and referred for specialized care urgently, prior to discharge from hospital.
This app changed my practice – Treatable Intellectual Disability Endeavor in B.C. (TIDE) – Treatable ID App www.treatable-id.org
By Dr. Clara van Karnebeek and Dr. Sylvia Stockler on July 29, 2015
Affecting 2-3% of Canadians, intellectual disability (ID) is a lifelong, devastating condition defined by deficits in cognitive functioning (IQ<70) and adaptive skills. It is called global developmental disability (GDD) in children less than 5 years of age; it is defined as deficits in 2 or more developmental domains. In Canada, approximately 7,600-11,500 children are born annually with GDD. Identification of GDD or ID in children is the essential first step and often a task for the primary care practitioner.
By Dr. Kourosh Afshar on June 10, 2015
UDT is one of the common causes for referral to Pediatric Urologists. 1-2% of boys have UDT at age of 12 months. UDT is associated with increased risk of malignancy (relative risk 2.75-8).
By Andrea Warnick on April 29, 2015
Serious illness, dying, or death of a family member is one of the most significant life events a child will ever experience. I no longer wait for them to share their concerns and questions with me. I invite questions and address the grief.
Routine neonatal oximetry screening for critical congenital heart defects in British Columbia: It’s time!
By Dr. Keyvan Hadad on September 2, 2014
Congenital heart defects account for more newborn deaths than any other type of congenital defect, representing up to 40% of all deaths from congenital defects and 3–7·5% of all infant deaths.
By Dr. Keyvan Hadad on November 18, 2013
Hip dysplasia can lead to degenerative hip disease and is a leading cause of early arthritis of the hip. Risk factors for this condition include female gender, breech delivery and positive family history. Some recent data has shown a significant increase in the prevalence of this condition.
By Dr. Ran Goldman on January 21, 2013
Acute limping is a very common chief complaint among children visiting a clinic. When children with a limp present to you, always consider the possibility of septic arthritis. How can one differentiate between transient synovitis and septic arthritis?
By Dr. Laura Sauvé on November 5, 2012
Rotavirus vaccines can prevent important morbidity for young infants, and the associated physician visits, emergency department visits, hospitalizations and related parental stress and missed work days due to rotavirus infection.
By Dr. James Bergman on March 5, 2012
At present, for hemangiomas patients who I feel need systemic therapy I personally use oral Propanolol instead of systemic steroids, as I believe that the benefit risk analysis presently favours Propanolol.
By Dr. Paul Thiessen on November 22, 2011
Upper respiratory infections are the most common illnesses seen in childhood, and the symptoms are often disruptive for both the child and the whole family.
By Dr. Ken Seethram on November 15, 2010
The European experience shows that multiple ultrasound markers, serum, and anatomical survey of the fetus could be conducted in the period around 12 weeks, and that this information is much stronger in detecting genetic syndromes than 2nd trimester markers.