Stories about: Clinical Consult

Clinical Consult: Celiac and other gluten-related disorders

Celiac-Weir

Interest in gluten—and in particular, avoiding it — continues to be on the rise. The gluten-free market has become a billion dollar business as more and more adults and children trial this restrictive diet. Many go gluten-free as a lifestyle choice.

However, many turn to a gluten-free diet for medical reasons and for relief of specific symptoms. It is estimated that roughly 10 percent of the population have gluten-related disorders. Figuring out whether an individual needs to be gluten-free and where she lies on the spectrum of gluten-related disorders can be hard, but is an important endeavor. …Read More

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Clinical Consult: Dizziness, vertigo and balance disorders

dizziness vertigo vestibular disorders

Imagine that you wake up one morning and the world around you is spinning rapidly as if you were on a merry-go-round. You try to walk but the floor seems to be moving and you fall to the ground. You begin to feel nauseous. You lie down hoping the feeling will disappear, but it does not.

It can be a terrifying experience for a child to experience dizziness. Moreover, it can often be very difficult for them to articulate to their parents and doctors exactly what they are experiencing.

Most pediatric health care providers do not learn about the evaluation and management of dizziness in children during the course of their training. A child complaining of dizziness may appear normal and may not have any obvious abnormalities on physical exam, but the differential diagnosis of dizziness in children is expansive, ranging anywhere from simple dehydration to a vestibular or balance disorder to a brain tumor. For these reasons, the evaluation of a child with dizziness can often be an intimidating and time-consuming task. …Read More

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A PCP’s guide to benign pathology in the scrotum

Scrotum-testicular-abnormalities

As a urologist at Boston Children’s Hospital, I’m often found treating common abnormalities of the scrotum and testicles. These benign conditions can typically be fixed when kids are very young, so most patients go on to live their lives never having to see us again.

The right diagnosis is important to a child’s swift recovery. Learn about the diagnosis and treatment of the four most common testicular abnormalities seen in practice today.

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Managing anxiety in primary care pediatrics

managing anxiety in children

Anxiety is common in children and adolescents, but at what point does it cross the line and become a mental health concern? Notes posed this question to clinical psychologist Keneisha Sinclair-McBride, PhD, and child psychiatrist Olivia Carrick, MD, both in the Department of Psychiatry at Boston Children’s, and asked their management advice. …Read More