Acute Postinfectious Glomerulonephritis
Postinfectious glomerulonephritis (PIGN) is a leading cause of acute glomerulonephritis in children. The presentation of PIGN can vary from asymptomatic microscopic hematuria incidentally detected on routine urinalysis to nephritic syndrome and a rapidly progressive glomerulonephritis. Treatment involves supportive care with salt and water restriction, and the use of diuretic and/or antihypertensive medication, depending on the severity of fluid retention and the presence of hypertension. PIGN resolves completely and spontaneously in most children, and the long-term outcomes are typically good with preserved renal function...
Source: Pediatric Clinics of North America - October 29, 2022 Category: Pediatrics Authors: Minh Dien Duong, Kimberly J. Reidy Source Type: research
Current Understanding of Nephrotic Syndrome in Children
Nephrotic syndrome in children is mostly idiopathic in origin. About 90% of patients respond to corticosteroids; 80-90% have at least one relapse and 3-10% become corticosteroid resistant after the initial response. A kidney biopsy is seldom indicated for diagnosis except in patients with atypical presentation or corticosteroid resistance. For those in remission, the risk of relapse is reduced by the administration of daily low dose corticosteroids for 5-7 days at the onset of an upper respiratory infection. Some patients may continue having relapses through adult life. Many country-specific practice guidelines have been...
Source: Pediatric Clinics of North America - October 29, 2022 Category: Pediatrics Authors: Tej K. Mattoo, Sami Sanjad Source Type: research
Update on Pediatric Acute Kidney Injury
Acute kidney injury (AKI) is common in children and is associated with significant morbidity and mortality. In the last decade our understanding of AKI has improved significantly, and it is now considered a systemic disorder that affects other organs including heart, lung, and brain. In spite of its limitations, serum creatinine remains the mainstay in the diagnosis of AKI. However, newer approaches such as urinary biomarkers, furosemide stress test, and clinical decision support are being increasingly used and have the potential to improve the accuracy and timeliness of AKI diagnosis. (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - October 29, 2022 Category: Pediatrics Authors: Priyanka Khandelwal, Nadia McLean, Shina Menon Source Type: research
A Gamut of Kidney Diseases in Children
The invitation to be the editor for this issue of Pediatric Clinics of North America brought back some nostalgic memories of my introduction to the journal during my residency training in pediatrics in Kashmir, India. It was an issue on neonatology, made available by one of our faculty mentors. My three other batchmates and I were mesmerized by its content and would look forward to the next issue of the journal that he generously kept sharing with us. Decades later, I feel honored to work together with many of my highly accomplished friends and former fellows to edit this particular issue on pediatric nephrology. (Source: ...
Source: Pediatric Clinics of North America - October 29, 2022 Category: Pediatrics Authors: Tej K. Mattoo Tags: Preface Source Type: research
CME Accreditation Page
(Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - October 29, 2022 Category: Pediatrics Source Type: research
Pediatric Nephrology
PEDIATRIC CLINICS OF NORTH AMERICA (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - October 29, 2022 Category: Pediatrics Authors: Tej K. Mattoo Source Type: research
Copyright
ELSEVIER (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - October 29, 2022 Category: Pediatrics Source Type: research
Contributors
BONITA F. STANTON, MD † (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - October 29, 2022 Category: Pediatrics Source Type: research
Contents
Tej K. Mattoo (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - October 29, 2022 Category: Pediatrics Source Type: research
Forthcoming Issues
Child Advocacy in Action (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - October 29, 2022 Category: Pediatrics Source Type: research
Role of Psychologist in Adolescent Medicine
Adolescent Medicine addresses the health care of adolescents, young adults, and their families. Adolescent psychology constitutes an important part. The COVID-19 pandemic has given insight into adolescent needs, bringing the focus on prevention rather than mere correction. One needs to factor in the unique aspects of adolescence, their need to impress peers and gain acceptance, and their unique information processing, not calculating trade-offs between risk and reward the way adults might, in a linear, rational, logical, and verbal manner. The article focuses on the need for collaborative training among the various stakeho...
Source: Pediatric Clinics of North America - October 1, 2022 Category: Pediatrics Authors: Swati Y. Bhave, Anuradha V. Sovani, Samir R. Shah Source Type: research
Role of Psychologists in Pediatric Congenital Heart Disease
Congenital heart disease (CHD) is stressful to both pediatric patients and their caregivers. Maternal anxiety during pregnancy is associated with adverse perinatal outcomes. After birth, a prolonged hospital stay can be taxing on the infant and caregiver leading to long-term adverse effects. During adolescence, CHD continues to serve as a stressor for the child not only due to medical care but also due to social limitations and bullying. Many patients also struggle during the transition from adolescence to adult care. Psychologists may aid both the parents and child at all stages from pregnancy to the child ’s transition...
Source: Pediatric Clinics of North America - October 1, 2022 Category: Pediatrics Authors: Kanhai Amin, Keshav Patel Source Type: research
Role of Psychologists in Child Abuse Pediatrics
This article describes the extent of the problem and the medical evaluation of child maltreatment, focusing on the outpatient interdisciplinary assessment of suspected child physical and sexual abuse. Separate from their role as clinicians, the roles of the child psychologist before, during, and after the medical assessment are highlighted. The child psychologist is an important member of the interdisciplinary team who helps the team prepare for the evaluation (before), assists in screening and determining immediate psychological safety during the medical evaluation (during), and communicating the need for further treatmen...
Source: Pediatric Clinics of North America - October 1, 2022 Category: Pediatrics Authors: Olga Jablonka, Vincent J. Palusci Source Type: research
Psychology and Developmental-Behavioral Pediatrics: Interprofessional Collaboration in Clinical Practice
This article highlights the importance of collaboration between psychology and developmental-behavioral pediatrics (DBP) to promote diagnosis, treatment recommendations, and integrated care for patients and their families. Interprofessional collaboration requires health care providers to work together toward solutions, including diagnosis, treatment recommendations, and ongoing care coordination. Case examples are presented to capture collaborative practice between psychology and DBP. Several established programs for providing interprofessional collaboration are highlighted, with noted benefits and barriers to collaborativ...
Source: Pediatric Clinics of North America - October 1, 2022 Category: Pediatrics Authors: Lauren Gardner, Jason Hangauer, Toni Whitaker, Ronald Espinal Source Type: research
Role of Psychologists in Pediatric Endocrinology
This article outlines the diverse role of psychologists in pediatric endocrinology, including screening, in-clinic intervention, outpatient psychological services, and inpatient consultation. Although research exists documenting the effectiveness of behavioral interventions to improve adherence and health-related quality of life, cost analysis research is emerging. (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - October 1, 2022 Category: Pediatrics Authors: Marissa A. Feldman, Heather L. Yardley, Ayse Bulan, Manmohan K. Kamboj Source Type: research
