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New Challenges for the Pediatrician

Robin G. Chernoff, MD

Arch Pediatr Adolesc Med. 1996;150(10):1012-1013.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

AN ATTENDING physician in the general pediatrics clinic was approached by a resident who presented the following case:

I've just seen Christy (aged 4 years) and Monte (aged 8 years) who came with their grandmother, Ms G., to get vaccinations for Christy. Christy had toxicology screen results positive for illicit drugs at her birth at 32 weeks of gestational age. Her language development is delayed, and although she was referred for therapy, she's never been evaluated and hasn't received any services. Ms G. says that Christy is becoming more aggressive.

Monte has had several emergency department and clinic visits for asthma this year, has received poorer grades than usual, and doesn't have any friends. He is described as withdrawn and moody since the death of his uncle, to whom he was very close.

In reviewing which polio vaccines to give to Christy, I asked if anyone at home was immunocompromised . . . [Full Text PDF of this Article]

Author Affiliations
Henry T. Ireys, PhD The Johns Hopkins University School of Medicine Baltimore, Md

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