Variability in physicians' reported ordering and perceived reassurance value of diagnostic tests in children with 'growing pains.'

Article Abstract:

Physicians appear likely to order diagnostic tests for children with "growing pains," although family practitioners may be more likely to order tests than pediatricians or pediatric specialists. The chance of children with typical "growth pains" having underlying disease is remote. Overall, 181 family physicians, pediatricians, orthopedic surgeons, and rheumatologists responded to a Toronto survey. While the percentage varied by test type and physician group, ordering imaging studies or blood work-ups was common. However, family physicians were more likely to order blood tests. All groups felt that negative results reassured families.

Health aspects, Children, Growth, Child development

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Is bone marrow aspiration needed in acute childhood idiopathic thrombocytopenic purpura to rule out leukemia?

Article Abstract:

Bone marrow aspiration to test for leukemia is probably not necessary in children with acute idiopathic thrombocytopenic purpura (ITP). This blood disorder causes a decrease in the level of blood platelets, a symptom in rare cases of leukemia. Researchers evaluated the outcomes of bone marrow aspirations in 332 children with typical symptoms of acute ITP, and found than none had leukemia. The risk of missing a diagnosis of leukemia in such patients is likely less than 1%. Doctors may avoid the expense and patient discomfort of bone marrow aspiration in many typical cases of ITP.

Diagnosis, Thrombocytopenic purpura, Childhood leukemia, Leukemia in children, Bone marrow biopsy, Bone marrow examination

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A randomized controlled trial of penicillin vs clindamycin for the treatment of aspiration pneumonia in children

Article Abstract:

Intravenous penicillin and clindamycin may be equally effective in treating aspiration pneumonia in children. Aspiration pneumonia is inflammation and infection of the lungs caused by foreign matter, such as food, and is common in neurologically-impaired children and those with eating difficulties. Researchers randomly assigned 42 children with aspiration pneumonia to receive penicillin or clindamycin during hospitalization. In either case, the children were ready to leave the hospital in about 3-7 days.

Evaluation, Drug therapy, Pneumonia in children, Childhood pneumonia, Penicillin G, Aspiration pneumonia, Clindamycin

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