The Child's Doctor articles
The Child's Doctor, Journal of Children's Memorial Hospital, Chicago
The Child's Doctor is published by Children's Memorial Hospital twice a year for community-based physicians. The journal offers continuing medical education (CME) through articles authored by Children's Memorial's physicians. It also includes news articles on research at Children's Memorial. Read the latest issue of The Child's Doctor here.
Articles on topics in pediatric urology:
Evaluation of the First Urinary Tract Infection in Children by Elizabeth Yerkes, MD Published Spring 2006
Urinary tract infections (UTI) are a common problem during childhood, affecting 1% to 3% of prepubertal children. During infancy the incidence is higher in males, but thereafter the incidence of UTI is higher in females. While there is little risk of long-term morbidity from isolated lower tract infections, ascent of bacteria into the upper urinary tract may cause acute pyelonephritis. Recurrent focal renal damage from pyelonephritis, in turn, may lead to renal insufficiency or hypertension (reflux nephropathy). This article will address the history behind comprehensive evaluation of UTI, and consider the traditional radiographic evaluation and its potential shortcomings. The promising role of nuclear renal scans in the evaluation of UTI will also be discussed. An evidence-based algorithm to identify the at-risk population and eliminate unnecessary procedures with confidence is not yet available, but support is growing.
Critical Follow-up of Prenatally Diagnosed Anomalies Not Physically Evident at Birth by Christopher Talbot, MD; Marleta Reynolds, MD; Max Maizels, MD; Antonio Chaviano, MD; and Tord Alden, MD Published Spring 2006
Near universal ultrasound screening in the second trimester and ever better ultrasound resolution have increased the number of anomalies diagnosed prenatally. Among these are anomalies without physical evidence at birth, which nonetheless can have serious implications for the infant's health. We shall review 3 anomalies of the chest, brain, and urinary systems that are commonly diagnosed prenatally and may have no outward newborn findings. These conditions require timely surveillance in the first months of life to identify problems of potentially major importance, so prompt treatment can be initiated.
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