The Adolescent Visit   Charles E. Irwin Jr.   Establishing herself or himself as the primary care physician for an adolescent patient is a formidable task for a pediatrician. A…

Constipation and Fecal Incontinence   Manu R. Sood   Constipation is a common problem in children and is often associated with maladaptive behavior triggered by a painful or otherwise unpleasant…

Actinomycosis   Nahed Abdel-Haq and Ashir Kumar   Actinomycosis is a slowly progressive suppurative infection characterized by fistula formation. A number of gram-positive, non-spore-forming bacteria from the genus Actinomyces are…

Musculoskeletal Pain Syndromes   Yukiko Kimura   With a prevalence as high as 15%, chronic pain is increasingly being recognized as a common problem in children and adolescents,1 but one…

Histoplasmosis   Martin B. Kleiman   Histoplasmosis, the most common endemic fungal infection in the United States, is caused by a thermal dimorphic fungus, Histoplasma capsulatum.1,2 The spore-bearing mold form…

Heart Transplant   Beth D. Kaufman   EPIDEMIOLOGY From its inception in the early 1980s, heart transplantation had seen a steady rise in the numbers of operations performed. However, about…

Drug, Toxin, and TPN Liver Disease   DRUG- AND TOXIN-INDUCED LIVER INJURY Christopher D. Jolley and Regino P. González-Peralta   DRUG-INDUCED LIVER INJURY Adverse drug reactions in children are uncommon….

Disorders of Eating   DISORDERED EATING Kim Peter Norman   Disordered eating can be defined operationally as any eating behavior, or food or body image obsession, that negatively affects health,…

Viral Infections of the Central Nervous System   John F. Modlin   Viral infections of the central nervous system (CNS) may be variously categorized by type of onset (ie, acute,…

Lung Growth in Infancy and Childhood   Richard L. Auten   For the pediatrician, it is important to understand lung growth and development in order to properly diagnose and treat…