Stories about: Clinical Consult

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

Clinical Consult: Diarrhea in children

Diarrhea in children

Diarrhea is a very common problem. Almost every child has at least one episode of infectious viral gastroenteritis in his or her life (like rotavirus or norovirus) marked by fever, vomiting and watery diarrhea. While most diarrhea is self-limiting, it is important to recognize when testing is needed, when medical evaluation and fluid support may be helpful, and when to suspect a chronic problem that requires specialist testing and endoscopy to find the cause and direct specific treatments, be they drugs or special diets and supplements. …Read More

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Tethered cord syndrome: Improving early detection

Tethered Cord TitleA significant number of children with a tethered spinal cord have a cutaneous manifestation overlying the lower spine, yet the ability to diagnose it often depends on the knowledge and familiarity of this condition by the primary care provider. Since early identification and treatment may prevent further neurologic deterioration and improve outcome if neuro-urologic injury has already occurred, it is imperative to expedite the timing of diagnosis.

The aims of this study were two-fold: (1) to determine the frequency and (2) to increase awareness of spinal cord abnormalities in a cohort of patients with a variety of subtle cutaneous lower spinal lesions.

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