The terms gender and sexuality, once rarely discussed in a public forum, are now dominant topics of conversation on social media, in all forms of entertainment, politics, law, and medicine. The pediatric primary care physician, like all people and institutions involved in the delivery of health care, must be diligent about providing compassionate and competent care to patients and families contending with gender issues. The complex variety of obstacles these patients may face require a well-informed, sensitive clinician who can offer sound medical advice and appropriate referral. This article guides pediatricians through some of the challenges related to gender identity so they can assist their patients in navigating through any difficulties. [ Pediatr Ann . 2016;45(5):e158–e161.]
The role of the pediatrician in today's health care environment is one of constant evolution, as specialty care becomes more difficult to access for a growing number of young patients and their families. The primary care doctor will now have to offer more reassurance and follow-up that was once thought to be solely the role of the subspecialist. This article helps to define commonly seen entities in pediatric gynecology and offers the necessary background enabling the practitioner to provide a simple course of treatment, reassurance, or appropriate referral for specialty care.
The first birthday is a time of great joy and relief for most parents as they celebrate the emergence of a toddler from the tiny newborn handed to them after entering the world. Along with this transition comes new conquests and concerns, including the milestone of walking. When parents view the toddler's ability to walk as delayed or abnormal, the pediatrician can be confronted with an anxious or confused parent. A thorough history with a detailed examination and reassurance will go a long way toward allaying parental fears and building trust. However, a sufficient understanding of the concerns most frequently voiced by parents and the ability to reassure them in an educated fashion is essential to the office clinician. [Pediatr Ann. 2015;44(5): 187-190.]
The ever-evolving role of the health care provider can present a variety of challenges, not the least of which is becoming familiar with basic knowledge of other specialties, including gynecologic care. The primary care office provides a comfortable, familiar environment in which the patient can seek medical attention. It is essential that most pediatric offices be equipped to deal with basic adolescent gynecologic care, and that their patients have access to sensitive and confidential care. [ Pediatr Ann . 2016;45(1):e4–e7.]
The examination of the newborn is one of the most common yet crucial tasks performed by the pediatrician. The initial hospital visit (immediately after the birth), with the confirmation that an infant is healthy, often sets the tone for the future relationship between the physician and the family. Many routine visits during the first few years also find the parents looking for the same reassurance from their doctor. However, when there is concern for the health of the newborn, toddler, or young child, the physician must balance appropriate medical intervention with words of comfort and consolation. This article delineates the need for when more immediate attention is warranted from those situations where watchful waiting can be advised, with specific attention to the male genitalia of the prepubertal boy. [Pediatr Ann. 2016;45(9):e311-e313.].
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