Conditions We Treat

22q Deletion Syndrome

22q11.2 deletion syndrome, also known as DiGeorge Syndrome, is a condition where there is a small amount of genetic material missing (a microdeletion) on the long arm (the q arm) of chromosome 22. 22q has the potential to impact every system in the body and can lead to a range of health issues.

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22q11.2 Deletion Syndrome in Children

22q11.2 deletion syndrome is a genetic disorder that can cause many health problems. These problems may range from heart defects and developmental delays to seizures.

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A Child Living with a Pacemaker or Implantable Cardioverter Defibrillator (ICD)

Detailed information on living with a pacemaker or implantable cardioverter defibrillator

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A Child's Concept of Death

From babies to teens, a look at how children understand death.

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Abdominal / Duplication Cysts

Abdominal cyst is a general term used to describe a rare, congenital birth defect that causes an irregular mass of tissue to grow in a baby’s abdomen. Growths can appear anywhere along the gastrointestinal tract or reproductive organs like the ovaries. Surgery is the most common treatment for cysts.

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Abdominal Pain

Functional abdominal pain is a common problem that interferes with a child’s daily life. Some red flags to look for include weight loss, vomiting, lack of energy and bloody diarrhea. A physician can perform tests to determine the cause of abdominal pain. Treatment plans vary depending on the cause.

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About Cancer

Detailed information on cancer in children, including causes, diagnosis, treatment, and coping

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About the Heart and Blood Vessels

Detailed anatomical description of the heart's blood vessels, including simple definitions and a labeled, full-color illustration

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Abrasions

An abrasion is a superficial rub or wearing off of the skin, usually caused by a scrape or a brush burn. Abrasions are usually minor injuries that can be treated at home.

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Abusive Head Trauma

Abusive head trauma (AHT), formerly called Shaken Baby Syndrome, is a form of child abuse.

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Acanthosis Nigricans

This Helping Hand™ discusses acanthosis nigricans (AN), which is a dark patch that appears on a child's neck, armpit, under the breast or a skin crease. It is usually a sign that the body is making extra insulin that it cannot use well.

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Achalasia

Achalasia happens when there are problems with the nerve cells in the muscles of the esophagus.

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Achilles Tendonitis

Achilles tendonitis is an injury of the Achilles tendon (back of ankle). This tendon, sometimes called the ‘heel cord’, attaches the calf muscle to the heel. It is important for standing on your toes or for push-off during walking, running or jumping.

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Achondroplasia

Achondroplasia is the most common form of short-limb dwarfism. Individuals who have achondroplasia have short limbs but normal trunk height and head size with a prominent forehead. Children with achondroplasia can lead normal lives provided they receive appropriate care by knowledgeable providers.

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Achondroplasia in Children

Achondroplasia is a group of rare genetic (inherited) bone disorders. Achondroplasia is the most common type of what was once called dwarfism, in which the child's arms and legs are short in proportion to body length.

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Acne

In this Helping Hand™, we discuss the causes and treatment of acne. Acne is a skin condition that occurs when hair follicles become plugged with oil and dead skin cells. It causes whiteheads, blackheads or pimples.

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Acne in Children

Acne is a disorder of the hair follicles and sebaceous glands. Hair follicles are the areas around the base or root of each hair. Sebaceous glands are the tiny glands that release oil (sebum) into the hair follicles. The sebum moistens the skin and hair. The sebum and hair get to the skin surface through tiny holes called pores.

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Acquired Hypothyroidism in Children

Hypothyroidism is when the thyroid gland doesn't make enough thyroid hormone. The condition is more common in adults. But it’s the most common thyroid disorder in children. Not enough thyroid hormone leads to signs, such as slow growth, lack of activity, and poor performance in school.

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Active Tuberculosis Disease

In this Helping Hand™, we discuss Tuberculosis (TB). Active TB disease is contagious. It is most often spread through the air. The standard of care for treatment of active TB is daily administration of medicines from health department nurses.

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Acute Bronchitis in Children

Acute bronchitis is most often caused by a viral infection. Learn about symptoms, treatment, prevention, and more.

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Acute Fatty Liver of Pregnancy

AFLP is a rare, but serious, liver problem in pregnancy. With AFLP the liver cells have too much fat, which can damage the liver.

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Acute Flaccid Myelitis

Acute flaccid myelitis (AFM) is a rare but serious nerve-related condition that occurs mostly in children. AFM comes from a virus that is the common cold. AFM attacks the spinal cord and the nerves that go to the muscles. Patients begin with a respiratory illness and then end up with muscle weakness.

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Acute Flaccid Myelitis in Children

AFM is a rare condition that affects the nervous system.

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Acute Lymphoblastic Leukemia (ALL)

Leukemia is cancer of the blood. It’s the most common form of cancer in childhood.

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Acute Myelogenous Leukemia (AML)

Leukemia is cancer of the blood. It’s the most common form of cancer in childhood.

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Acute Pancreatitis

This Helping Hand™ explains the signs, causes, and treatments for acute pancreatitis—a sudden inflammation of the pancreas—with expert guidance from the care team at Nationwide Children’s Hospital.

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Acute Renal Failure

Acute kidney disease starts suddenly. In some cases, it may be reversed and the kidneys can work normally again.

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Acute Respiratory Disorders

Detailed information on acute respiratory disorders in children

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Acute Spinal Cord Injury (SCI) in Children

Acute spinal cord injury (SCI) is when the spinal cord is damaged from an accident or other situation. An SCI may be a bruise (contusion), a partial tear, or a complete tear (transection) in the spinal cord.

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Adding to Mother's Milk

Your milk is best, but it's not always complete with the nutritional needs of very small premature babies or some very sick newborns.

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Addison Disease in Children

Addison disease is when the adrenal glands don't make enough of two steroid hormones. The hormones are cortisol and aldosterone. Cortisol controls the body's metabolism, blocks inflammatory reactions, and affects the immune system. Aldosterone manages sodium and potassium levels. Addison disease is fairly rare and may first appear at any age.

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Adenovirus Infection in Children

Adenoviruses are a group of viruses that cause a variety of infections. These include the common cold, conjunctivitis, and croup.

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Adjustment Disorders in Children

An adjustment disorder is an unhealthy emotional or behavioral reaction to a stressful event or change in a person's life. The response happens within 3 months of the stressful event.

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Adnexal Cysts

Adnexal cysts are fluid-filled structures that can develop in the fallopian tubes and ovaries. They are usually caused by hormonal stimulation or bleeding at the time of ovulation.

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Adnexal Torsion

Adnexa is a term to describe the fallopian tubes and ovaries. Torsion is when the adnexa twist inside the pelvis. Adnexal torsion requires emergency surgery to untwist the adnexa.

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Adolescent (13 to 18 Years)

Detailed information on adolescence, ages 13 to 18 years

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Adolescent Growth and Development

Detailed information on adolescent growth and development

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Adolescent Health Problems and Injuries

Detailed information on adolescent health problems and injuries, including acne, asthma, breast conditions, breast self-examination, diabetes, eye care, eye safety, gynecological conditions, menstrual conditions, gynecologic problems, pap test, vaginitis, vulvitis, menstrual disorders, amenorrhea, dysmenorrhea, premenstrual syndrome (PMS), high blood pressure, infectious mononucleosis, obesity, oral health, orthodontics, braces, wisdom teeth extraction, periodontal disease, orthopedic problems, osgood schlatter disease, scoliosis, slipped capital femoral epiphysis, sexually transmitted diseases, safer sex guidelines, sports safety, sports injuries, sprains, strains, tennis elbow, mouthguards, heat related illness, heat cramps, heat exhaustion, and heat stroke

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Adolescent Mental Health

Detailed information on adolescent mental health disorders, including schizophrenia, mood disorders, major depression, dysthymia, manic depression (bipolar disorder), teen suicide, anxiety disorders, generalized anxiety disorder, obsessive-compulsive disorder, phobia, post-traumatic stress disorder, behavior disorders, attention-deficit/hyperactivity disorder, conduct disorder, oppositional defiant disorder, eating disorders, anorexia nervosa, bulimia nervosa, substance abuse/chemical dependence, and adjustment disorders

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Adolescent Problems of the Teeth and Mouth

Detailed information on adolescent problems of the teeth and mouth

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After a Burn: When to Call Your Child's Health Care Provider

Details about when to call your child's health care provider after a burn.

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Age-Appropriate Speech and Hearing Milestones

A helpful look at age-appropriate hearing milestones for babies and toddlers.

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Agenesis of the Corpus Callosum

Agenesis of the corpus callosum (ACC) is a rare, congenital brain defect where a structure called the corpus callosum does not develop normally. The corpus callosum is a band of tissue connecting the left and right sides of the brain. The severity of the symptoms due to ACC is highly variable.

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AIDS-Related Lymphoma in Children

AIDS-related lymphoma is a type of cancer called non-Hodgkin lymphoma. It grows in some people with AIDS. AIDS is a disease that weakens the immune system. AIDS raises the risk for long-term (chronic) disease, such as cancer.

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Airway Obstruction Index

Infants and children under age 4 are particularly at risk for choking on food or small objects because their upper airways are smaller, and they tend to explore things with their mouths.

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Airway Obstruction: Prevention

Because most accidental child strangulations, chokings, and suffocations happen in the home, it's important to carefully childproof your residence.

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Airway Obstruction—Identifying High-Risk Situations

Choking hazards in the home: round, firm foods, such as grapes and popcorn, and small nonfood items, such as coins, balloons, and marbles.

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Alagille Syndrome

Doctors in the Pancreas and Liver Care Center can help treat Alagille syndrome, a genetic disorder that primarily involves a mutation in the gene called JAG1. It affects one in every 30,000 to 70,000 live births and can involve multiple organ systems including the liver, the heart, bones, eyes, kidneys, pancreas and brain.

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Allergic Rhinitis

In this Helping Hand™ document, we discuss allergic rhinitis. There are two main types of allergic rhinitis: seasonal (occurs certain times of the year) and perennial (happens all year). When symptoms occur in late summer or early fall, some people call it hayfever. Small changes at home can help.

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Allergic Rhinitis

Allergic rhinitis is a common condition caused by an abnormal reaction of the body’s immune system to various allergens. In this condition, the nasal lining can become very inflamed and swollen from the over-response of the body. Common allergens include dust, grass, pollen, mold, trees and dander.

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Allergic Rhinitis in Children

Allergic rhinitis can happen on a seasonal basis or year-round. There is often a family history of allergic rhinitis, eczema, asthma, or food allergy. Read on to learn details about treating and managing this condition.

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Allergies in Children

Allergies are problems of the immune system. Most allergic reactions happen when the immune system reacts to a “false alarm.” Normally, the human body defends itself against harmful things, such as viruses or bacteria. But sometimes the defenses violently attack mostly mild things, such as dust, mold, or pollen.

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Allergies to Foods

A food allergy occurs when the body’s immune system overreacts to certain foods. The body then makes antibodies to that food and an allergic reaction occurs. Anaphylaxis is a severe and possibly life-threatening reaction. If a severe reaction occurs, use the EpiPen and call 9-1-1 immediately.

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Allergy

Detailed information on allergy, including symptoms, diagnosis, and treatment

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Allergy to Dust Mites

This Helping Hand™ covers allergy to dust mites. When a person who is sensitive to the dust mite breathes in these particles, they can cause sneezing, coughing, runny nose, congestion and itchy, watery eyes.

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Allergy to Latex

Latex is the milky sap from the rubber tree. It is used to make many rubber products that are used in the hospital and home. Signs of a latex allergy include skin rash or scaliness, itching, hives, swelling, watery or puffy eyes, sneezing, coughing, wheezing or difficulty breathing.

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Allergy to Mold

This Helping Hand™ covers mold, which is a fungus that can be found almost anywhere, both indoors and outside. Only a few types of mold cause an allergic reaction. Mold seeds (or spores) get into the air and are then breathed in.

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Allergy to Stinging Insects

In this Helping Hand™ document, we discuss local and systemic reactions to stinging insects. The most common stinging insects found in the Ohio area are honeybees, wasps, yellow jackets and hornets. Doctors often prescribe an automatic injector device such as an EpiPen® to treat severe reactions.

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Alopecia Areata

This Helping Hand is about hair loss related to alopecia areata. It also discusses diagnosis and treatment.

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Alpha Thalassemia in Children

Alpha thalassemia is an inherited blood disorder. This means it is passed down through the parent’s genes. It causes anemia in affected children. Learn more about symptoms, diagnosis, and treatment.

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Alpha-fetoprotein (AFP) Screening Test

Alpha-fetoprotein screening is a blood test that measures the level of AFP in the mother's blood. Abnormal levels may indicate certain problems with the fetus.

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Alveolar Cleft

An alveolar cleft is a cleft of the upper gum line. It most often accompanies and cleft lip and/or cleft palate. Bone graft repair allows permanent teeth to descent into the cleft while providing stability to the upper jaw and support to the nose.

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Amenorrhea

Amenorrhea is when a girl or woman does not have her period. Primary amenorrhea is when periods have not started by age 16. Hormone levels and anatomical problems can cause amenorrhea.

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Amenorrhea in Teens

Amenorrhea is when a girl's menstrual bleeding (period) doesn't occur.

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Amniotic Band Syndrome (ABS)

Amniotic band syndrome (ABS) is a rare congenital disorder that occurs when the lining of the amniotic sac is damaged during pregnancy, creating strands of tissue that wrap around different parts of the developing fetus or umbilical cord. The compression causes a wide range of birth defects.

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Anaphylaxis in Children

Anaphylaxis is a severe and sometimes life-threatening reaction to an allergen. An allergen is something that your child is allergic to. Anaphylaxis is a medical emergency. Your child can have a reaction within seconds or as long as an hour after contact.

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Anatomy and Development of the Mouth and Teeth

Children's teeth begin developing in the fetus. Good nutrition from the mother during pregnancy is important in the development of the teeth.

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Anatomy and Function of the Electrical System

Detailed anatomical description of the heart's electrical system, including simple definitions and a labeled, full-color illustration.

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Anatomy and Function of the Heart Valves

Detailed anatomical description of the heart valves, including simple definitions and a labeled, full-color illustration.

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Anatomy and Physiology of the Ear

The main parts of the ear are the outer ear, the eardrum (tympanic membrane), the middle ear, and the inner ear.

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Anatomy and Physiology of the Nose and Throat

A helpful guide to the nose, the sinuses, and the throat.

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Anatomy of a Child's Brain

The brain can be divided into 3 main parts: the cerebrum, the brainstem, and the cerebellum.

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Anatomy of a Newborn Baby’s Skull

Detailed anatomical information on the newborn skull.

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Anatomy of the Endocrine System in Children

Detailed information on the endocrine system, its anatomy and function, including a full-color, labeled illustration.

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Anatomy of the Respiratory System in Children

A detailed anatomical description of the respiratory system, including simple definitions and labeled, full-color illustrations.

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Anemia

Detailed information on anemia, including symptoms, diagnosis, causes, types, and treatment

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Anemia B12 Deficiency

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Anemia: Iron Deficiency

This Helping Hand™ covers iron deficiency, which is a condition where the body lacks sufficient iron to produce hemoglobin, which can lead to anemia. Symptoms include fatigue, weakness, pale skin, and shortness of breath.

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Anencephaly

Anencephaly is a condition present at birth that affects the formation of the brain and the skull bones that surround the head. Anencephaly results in minimal development of the brain. Often, the brain lacks part or all of the cerebrum. There is no cure or standard medical treatment for anencephaly.

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Anencephaly in Children

Anencephaly is a birth defect that affects the brain and skull bones. With this condition, the brain isn't fully formed. It often lacks part or all of the cerebrum.

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Aneurysmal Bone Cyst

Aneurysmal bone cysts (ABCs) occur more commonly in teens. The cysts are hollow and filled with blood. The tumors are not cancerous, but they damage bone and can affect surrounding tissue.

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Anger Management: Strategies for Parents and Grandparents

Anger management helps you deal with your child or grandchild in a kind and constructive way. It also sets a good example of how to handle challenging situations and work out conflicts.

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Animal Bites

Detailed information on animal bites and rabies, including symptoms, diagnosis, treatment, and prevention

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Ankle Sprain

An ankle sprain is a torn or stretched ligament in the ankle. Signs of an ankle injury include pain, swelling and tenderness in the ankle that may spread to the whole ankle and foot, and trouble walking.

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Ankle Sprain

An ankle sprain is a stretching or tearing of the ligaments. Signs of an ankle injury include pain, swelling or trouble walking. This often happens after an injury that involves twisting or rolling of the ankle. Sprains can often be treated at home, but a doctor may need to be seen if symptoms remain.

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Anomalous Coronary Artery in Children

An anomalous coronary artery (ACA) is a heart defect. This is something your baby is born with (congenital). In ACA, the blood vessels that supply blood to your child’s heart muscle aren’t normal.

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Anorectal Malformation (ARM) or Imperforate Anus: Female

In this Helping Hand™ document, we discuss the symptoms and treatment of anorectal malformations (imperforate anus) in females. Different types of ARMs include perineal fistula, vestibular fistula, cloaca and no fistula. Young girls may be at risk for urology problems and gynecology problems.

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Anorectal Malformation (ARM) or Imperforate Anus: Male

In this Helping Hand™ document, we discuss the symptoms and treatment of anorectal malformations (imperforate anus) in males. Different types of ARMs include perineal fistula, rectourethral fistula, cloaca and no fistula. Young boys may be at risk for urology, spine and sacrum problems.

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Anorectal Malformations or Imperforate Anus

Babies born with imperforate anus or anorectal malformation have a condition where the anal opening (where solid waste leaves the body) and rectum do not develop properly.

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Anorexia Nervosa

Anorexia nervosa is a type of eating disorder in which a person severely limits the amount of food he or she eats to prevent weight gain or lose weight.

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Anorexia Nervosa in Children

Anorexia nervosa is an eating disorder. It is a form of self-starvation. Children and teens with this health problem have a distorted body image. They think they weigh too much.

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Anterior Cruciate Ligament (ACL) Tear

An anterior cruciate ligament (ACL) tear is a sprain of one of the four major ligaments of the knee. The ACL is a rope-like structure that helps maintain the normal position of the femur (thigh bone) and the tibia (leg bone).

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Anterior Cruciate Ligament Tear (ACL Tear)

In this Helping Hand™ document, we discuss injuries to the anterior cruciate ligament (ACL). The ACL is one of four main ligaments in the knee. Surgery to rebuild the ACL is called arthroscopic ACL reconstruction. It usually takes 6 to 9 months of recovery before returning to normal activities.

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Anterior Pituitary Disorders

Detailed information on anterior pituitary disorders, including hypopituitarism

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Anticipatory Grief

Anticipatory grief is similar to the normal process of mourning, but it happens before the actual death.

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Antiphospholipid Syndrome in Pregnancy

Antiphospholipid syndrome is an autoimmune disease. This happens when your immune system fights against normal cells. In this condition, your body makes antibodies that attack a kind of fat in cells. This makes your blood clot too easily.

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Anxiety and Worry

Anxiety is a normal emotion. It can cause feelings of fear, tension and worry. It can also cause physical changes in the body.

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Anxiety Disorders

Anxiety disorders are the most common type of mental health disorder in children. There are many types of anxiety disorders, each with its own distinct symptoms.

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Anxiety Disorders in Children

Detailed information on the most common types of anxiety disorders, including panic disorder, obsessive-compulsive disorder, post-traumatic stress disorder, generalized anxiety disorder, and phobias

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Aortic Stenosis

Aortic stenosis is a heart condition where the valve that controls blood flow from the heart to the body is too narrow. It can be treated with surgery or catheterization.

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Apert Syndrome

Apert syndrome affects the skull, face, hands and feet. It is a genetic syndrome, which is due to a mutation on the FGFR2 gene.

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APGAR Scoring

The Apgar score helps find breathing problems and other health issues.

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Aplastic Anemia in Children

Detailed information on aplastic anemia, including cause, symptom, diagnosis, and treatment

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Apnea

In this Helping Hand™ document, we discuss apnea, which is a pause in breathing that lasts 20 seconds or longer for full-term infants. There are many reasons why a baby may have periods of apnea including brain immaturity, neurological issues, heart disease, gastrointestinal issues and others.

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Appendicitis in Children

Appendicitis is a painful swelling and infection of the appendix.  It is a medical emergency. The appendix can burst or rupture. This is serious and can lead to more infection. If not treated, it can be fatal.

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Arrhythmias in Children

An arrhythmia is an abnormal rhythm of the heart. In an arrhythmia, abnormal electrical signals through the heart muscle may cause the heart to beat too fast (tachycardia), too slow (bradycardia), or irregularly. Read on to learn more.

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Arteriovenous Malformations

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Arthrogryposis

Arthrogryposis, also called arthrogryposis multiplex congenita (AMC), involves a variety of non-progressive conditions that are characterized by multiple joint contractures (stiffness) and involves muscle weakness found throughout the body at birth.

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Asperger's Syndrome

Asperger’s Syndrome, a form of Autism Spectrum Disorder, is a developmental disorder. Young people with Asperger’s Syndrome have a difficult time relating to others socially and their behavior and thinking patterns can be rigid and repetitive. They also may have trouble understanding body language.

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Aspiration in Babies and Children

Aspiration is when something enters the airway or lungs by accident. It may be food, liquid, or some other material. This can cause serious health problems, such as pneumonia.

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Assessments for Newborn Babies

Each newborn baby is carefully checked at birth for signs of problems or complications.

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Asthma

This Helping Hand™ covers asthma, which is a lung disease that can cause breathing problems. If your child has asthma, the airways in their lungs overreact to certain things, called triggers. 

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Asthma and Reactive Airway Disease (RAD) (Wheezing)

This Helping Hand™ covers asthma, which is a disease of the lungs in which the airways are sensitive to things in the air. During a flare-up the airways swell and fill with mucus. The muscles around the airways also tighten and squeeze. This can cause noisy breathing or wheezing.

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Asthma in Children

Asthma is a long-term (chronic) lung disease that causes your child's airways to become sensitive to certain things (triggers).

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Asthma in Children Index

Detailed information on asthma, including triggers of an asthma attack, symptoms, diagnosis, management, and treatment

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Asthma Triggers

Asthma triggers are things that can cause an asthma flare-up. Your health care provider can help you know what your triggers are and how to manage them.

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Astrocytoma (aka Glioma)

Astrocytoma is a type of tumor that can grow in the brain or spinal cord. It can be treated with surgery, radiation therapy, or other treatments depending on the type of tumor.  

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Astrocytoma in Children

Astrocytoma is the most common type of brain tumor in children. It is usually low grade, which means slow-growing.

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Atopic Dermatitis in Children

Atopic dermatitis is a long-term (chronic) skin condition. It causes dry, itchy skin. It’s very common in babies and children. It often first appears between ages 3 and 6 months.

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Atrial Septal Defect

Atrial septal defects (ASD) are a congenital heart defect characterized by a hole in the wall (septum) that divides the upper chambers (atria) of the heart.

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Atrial Septal Defect (ASD) in Children

The atrial septum is the wall between the two upper chambers of the heart (right and left atria). An atrial septal defect (ASD) is an abnormal hole in this wall. ASD is a heart problem that is present at birth (congenital). Read on for details about symptoms, diagnosis, and treatment.

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Atrioventricular Septal Defect (AVSD)

Atrioventricular septal defect (AVSD), also commonly known as endocardial cushion defect or atrioventricular canal defect (AVCD), is a heart condition where there are holes between the heart’s upper and lower chambers, and the valves controlling blood flow may not form correctly.

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Attention Deficit Hyperactivity Disorder - ADHD

Attention Deficit Hyperactivity Disorder (ADHD) is a common behavioral disorder. It affects about ten percent of school-age children. Boys are more likely than girls to be diagnosed with it. Young people with ADHD have an impulsive nature that is difficult for them to control.

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Attention Deficit Hyperactivity Disorder (ADHD)

Attention Deficit Hyperactivity Disorder (ADHD) is a condition characterized by inattention, impulsiveness and hyperactivity. Symptoms are usually noticed by the time a child starts school. Treatment of ADHD may include family or individual counseling. Medicines may also be prescribed.

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Attention-Deficit/Hyperactivity Disorder (ADHD) in Children

Attention-deficit/hyperactivity disorder (ADHD) is a brain-based, or neurodevelopmental, disorder. It is often first diagnosed in childhood.

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Atypical Teratoid/Rhabdoid Tumor (ATRT)

An atypical teratoid/rhabdoid tumor (ATRT) is a fast-growing tumor that grows in the brain or spinal cord. ATRTs usually occur in isolation, meaning the tumor does not spread to other parts of the body. 

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Audiology

As part of a hearing evaluation, your child's healthcare provider will do a complete medical history and physical exam. In addition, there are many different types of hearing tests.

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Auditory Processing Disorder (APD)

Auditory Processing Disorder (APD), also referred to as Central Auditory Processing Disorder (CAPD), is a disorder of the auditory (hearing) system that causes a disruption in the way that an individual’s brain understands what they are hearing. It is not a form of hearing loss.

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Autism Spectrum Disorder (ASD)

Autism Spectrum Disorder (ASD) refers to a complex neurodevelopmental disorder that impacts a child’s ability to communicate and interact socially. It also impacts the way the child thinks and behaves.

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Autism Spectrum Disorder in Children

Autism spectrum disorder is a problem that affects a child's nervous system and growth and development. It often shows up during a child's first 3 years of life.

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Autoimmune Diseases and Pregnancy

Detailed information on autoimmune diseases and pregnancy

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Autoimmune Hepatitis

Autoimmune hepatitis happens when something goes wrong with the body’s immune system. In autoimmune hepatitis, the immune system attacks normal liver cells. This causes damage that makes it hard for the liver to work properly.

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Autosomal Dominant Opitz G/BBB Syndrome

22q.11.2 deletion syndrome includes the autosomal dominant form of Opitz G/BBB Syndrome.

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Autosomal Recessive: Cystic Fibrosis, Sickle Cell Anemia, Tay Sachs Disease

Overview of autosomal recessive inheritance, including cystic fibrosis, sickle cell anemia, and Tay Sachs disease.

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Avoidant/Restrictive Food Intake Disorder

Avoidant/restrictive food intake disorder (ARFID) is a mental health diagnosis that is characterized by extreme picky eating and little interest in, or fear of, food or eating.

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Avulsion Fracture of the Iliac Crest

Avulsion fractures occur when a small piece of bone is separated from the main bone due to the pull of the muscle and tendon attached to it.

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Avulsion Fractures of the Ischial Tuberosity of the Pelvis

Avulsion fractures happen when a small piece of bone is pulled away by a muscle or tendon. The ischial tuberosity, located in the buttocks, is where the hamstring tendons attach to the pelvis. These fractures often occur in teenagers.

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Baby's Care After a Cesarean Delivery

Because babies born by cesarean may have difficulty clearing some of the lung fluid and mucus, extra suctioning of the nose, mouth, and throat are often needed.

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Baby's Care After a Vaginal Delivery

Healthy babies born in a vaginal delivery are usually able to stay with the mother. In many cases, immediate newborn evaluations are performed right in the mother's room.

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Baby's Care After Birth

Detailed information on baby's care after birth

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Baby's Care in the Delivery Room

A newborn baby is wet from the amniotic fluid and can easily become cold. Drying the baby and using warm blankets and heat lamps can help prevent heat loss. Often a knitted hat is placed on the baby's head.

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Back Sciatica

The sciatic nerve is the longest nerve in the body. Sciatica is caused by increased pressure placed on the sciatic nerve, most commonly from a herniated disk.

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Bacterial Endocarditis in Children

Bacterial endocarditis is an infection of the lining of the heart (endocardium), and the heart valves. It does not happen very often, but when it does, it can cause serious heart damage.

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Bacterial Skin Infections in Children

Detailed information on bacterial skin infections, including impetigo, cellulitis, scarlet fever, folliculitis, boils, carbuncles, and staphylococcal scalded skin syndrome

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Bacterial Vaginosis

Bacterial vaginosis is an infection of the vagina. Females of any age can have it and you do not have to be sexually active to get bacterial vaginosis.

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Bacterial Vaginosis (BV)

Bacterial vaginosis or BV is an infection of the vagina. BV is not a sexually transmitted disease. It is an overgrowth of specific anaerobic bacteria (bacteria that do not need oxygen to grow) in the vagina. Women with BV report a fishy-smelling discharge (fluid) that is white to gray in color.

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Bartholin’s Cyst

Girls have two Bartholin glands that are located just inside the opening of the vagina. The glands produce fluid that lubricates the vagina. A Bartholin gland cyst forms when the opening of the gland becomes blocked and the fluid cannot get out.

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Bartholin's Cyst

A Bartholin’s cyst is a pocket of fluid that forms in the tissue surrounding the vaginal opening. Bartholin glands create fluid that lubricates the vagina.

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Batten Disease

Batten Disease, also known as Spielmeyer-Vogt-Sjogren-Batten disease, is the most common form of a group of disorders called neuronal ceroid lipofuscinoses (or NCLs). Although Batten disease is usually regarded as the juvenile form of NCL, it has become the term which encompasses all forms of NCL.

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Becker Muscular Dystrophy

Becker muscular dystrophy is the same basic disease as Duchenne muscular dystrophy, except it is less common and the symptoms are milder and slower to progress. It only affects males. Once symptoms begin, they follow a slower, but similar, course to that of Duchenne muscular dystrophy.

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Behavior Changes

Your baby's activity level, appetite, and cries normally vary from day to day, and even hour to hour. But a distinct change in any of these areas may signal illness.

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Behavior Disorders

Detailed information on behavior problems in adolescents, including attention-deficit/hyperactivity disorder, conduct disorder, and oppositional defiant disorder

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Benign Skin Growths and Pigmentation Disorders

Detailed information on benign skin growths and pigmentation disorders in children

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Benign Skin Growths in Children

Detailed information on benign skin growths, including dermatofibromas, dermoid cyst, freckles, keloids, lipomas, moles, atypical moles, pyogenic granulomas

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Beta Thalassemia in Children

Beta thalassemia is an inherited blood disorder. This means it's passed down through the parent’s genes. It's a form of anemia. Beta thalassemia affects the production of hemoglobin.

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Biceps Tendonitis and Tenosynovitis (Distal)

Distal biceps tendonitis is pain at the front of the elbow and upper arm caused by inflammation (swelling) of the biceps tendon. Tenosynovitis is inflammation of the tendon sheath that surrounds the biceps tendon.

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Bicuspid Aortic Valve

Bicuspid aortic valve disease (BAV) is an irregularity in the heart where there are only two leaflets on a valve, instead of the normal three.

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Bicycle / In-Line Skating / Skateboarding Safety

Detailed information on bicycle, in-line skating, and skateboarding safety

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Bicycling, Inline Skating, Skateboarding, and Scooter Safety—Prevention

Read on for specific safety and injury prevention tips for wheel sports--from biking and inline skating to skateboarding and scooters.

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Bifid Uvula

A bifid uvula, also known as a cleft uvula, is a uvula that is split in two. A bifid uvula may be an isolated finding or it may be related to submucous cleft palate. In cases of isolated bifid uvula, and in cases of submucous cleft palate without hypernasality, no surgical intervention is needed.

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Bilateral Renal Agenesis

Bilateral renal agenesis (BRA) is a rare and life-limiting condition in which the baby’s kidneys never develop. BRA is usually diagnosed during pregnancy. Unfortunately, there currently is not a cure for bilateral renal agenesis. These babies usually only live for a few hours after birth.

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Biliary Atresia in Children

Biliary atresia is a rare liver disease that occurs in infants. It is often found shortly after birth. The disorder affects tubes in the liver called bile ducts. If not treated with surgery, it can be fatal.

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Biophysical Profile

A biophysical profile is a test that is sometimes used during the third trimester of pregnancy. It is often done if there is a question about the baby’s health. This may be because of other test results or certain pregnancy symptoms, or because your pregnancy is high risk.

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Bipolar Disorder

Bipolar disorder, formerly known as manic-depression, is a chronic mental illness that causes extreme mood swings from high to low.

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Bipolar Disorder in Teens

Bipolar disorder is a type of depression. A teen with bipolar disorder often has extreme mood swings. These mood swings go beyond the day's normal ups and downs.

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Birth Defects in Children

A birth defect is a health problem or abnormal physical change that is present when a baby is born. Birth defects can be very mild, where the baby looks and acts like any other baby. Or birth defects can be more severe. Read on to learn more.

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Birth Defects in Newborn Babies

Birth defects may be caused by inherited (genetic) problems or by environmental things, such as exposure to certain toxic substances during pregnancy. Some birth defects can be linked to a direct cause. Other reasons are not as clear.

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Birth Defects Index

Detailed information on birth defects, including their cause and frequency

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Birth Injury

Detailed information on birth injury, including the most common types.

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Birthmarks

Detailed information on birthmarks and the different types, including vascular birthmarks, hemangiomas, and port-wine stains.

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Birthmarks

More than 80 percent of babies have some type of birthmark. Most birthmarks are harmless and require no treatment. Vascular birthmarks include macular stains, hemangiomas and port wine stains. Pigmented birthmarks include congenital melanocytic nevi (moles), dermal melanosis and café-au-lait spots.

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Bites

Detailed information on bites, including human bites, animal bites, and insect bites

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Bites and Stings

Detailed information on insect bites, including bee stings, flea bites, mite bites, chigger bites, spider bites, tick bites, and lyme disease

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Biting

Young children may bite others out of frustration or stress, or because they feel powerless. Infants and toddlers often bite as a way of exploring their world.

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Black Eye (Ecchymosis)

A black eye should be seen by a healthcare provider to make sure no injury has happened to the eye itself. Most black eyes heal completely and don't cause any damage.

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Bladder Exstrophy

Children born with bladder exstrophy need lifelong management. The urology team at Nationwide Children's is here to help your family with a care plan.

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Bladder Outlet Obstruction

Bladder outlet obstruction, also known as lower urinary tract obstruction (LUTO), is a rare birth defect characterized by a partial or complete blockage in the urethra. There are several types of bladder outlet obstruction, including urethral atresia, posterior urethral valves, and triad syndrome.

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Bleeding Disorders

Detailed information on bleeding disorders, including Hemophilia and Idiopathic Thrombocytopenia Purpura

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Blepharitis in Children

Blepharitis is an inflammation in the oil glands of the eyelid. It causes swollen eyelids and crusting around the eyelashes. Even after it’s treated and goes away, it can often come back again and again for years. It can often lead to an infection of the eye and a loss of eyelashes.

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Blisters in Children

Detailed information on blisters, including cause, first aid, and treatment.

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Blocked Tear Duct (Dacryostenosis) in Children

In some children, the openings into the tear duct don’t form the right way. This causes a blockage. The tears have no place to drain. Learn more about how this condition can affect your child, and how it's treated.

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Blood Circulation in the Fetus and Newborn

During pregnancy, the fetal lungs are not used for breathing - the placenta does the work of exchanging oxygen and carbon dioxide through the mother's circulation. With the first breaths of air the baby takes at birth, the fetal circulation changes.

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Blood Clots

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Blood Clotting Disorders in Children

Blood-clotting disorders are a group of conditions in which there is too much clotting. They are often inherited.

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Blood in the Eye (Hyphema) in Children

Hyphema is blood in the front (anterior) chamber of the eye. This is located between the clear front part of the eye (cornea) and the colored part of the eye (iris). Read on to learn more about what to do when your child has blood in their eye.

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Blood Tests and Your Child's Heart

Detailed information on blood tests used to diagnosis heart disease.

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Blood Types in Pregnancy

A baby may have the blood type and Rh factor of either parent, or a combination of both parents.

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Bone Cancers in Children

Detailed information on bone cancer in children, including Ewing sarcoma and osteogenic sarcoma

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Bone Marrow

Detailed information on bone marrow and bone marrow transplantation in children

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Bone Marrow Transplant for Children

A bone marrow transplant (BMT) is a treatment for children with certain types of cancer or other diseases. The goal of BMT is to replace a child's diseased bone marrow with healthy bone marrow.

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Bone Marrow: Transplant Chronic Graft-Versus-Host-Disease

This Helping Hand™ explains how after someone has a bone marrow transplant, the donated bone marrow or stem cells can attack healthy tissue in a patient’s body.

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Bottle-Feeding

Detailed information on bottle-feeding, including information on the different types of baby formulas.

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Boxer's Fracture

This fracture in the hand is often caused by hitting something with a closed fist, thus the name Boxer’s Fracture. It is commonly seen in teenagers. The fracture will typically heal within 3 to 4 weeks from the date of injury.

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Brachial Plexus

The brachial plexus is a bundle of nerves that separates into the major nerves that supply movement and touch function to the arm.

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Brain Abscess in Children

An abscess is a pocket of infection. In the brain, an abscess may be in one or more areas. This condition may cause problems with how the brain and spinal cord function. It is a serious and life-threatening condition that needs to be treated right away.

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Brain Tumors

Brain tumors are the most common solid tumors in children. Primary brain tumors start in the brain and usually do not spread outside the brain tissue.

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Brain Tumors in Children

A brain tumor is an abnormal growth of tissue in the brain. The brain is part of the central nervous system (CNS). The CNS also includes the spinal cord.

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Branchial Cleft Abnormalities in Children

A branchial cleft abnormality is a cluster of abnormally formed tissue in the neck. A branchial cleft abnormality is a birth defect. It happens when the area doesn't form as it should during the early stages of an embryo’s development.

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Branchial Cleft Cyst/Sinus/Fistula

During early prenatal development, gill-like structures (branchial) usually resorb but in rare circumstances, they may remain. These are referred to as branchial anomalies. They include branchial sinus, branchial fistula and branchial cyst. Branchial anomalies can be removed surgically.

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Breast Asymmetry

Breast asymmetry in teenage females is common. In certain situations, the asymmetry may be significant and may lead to decreased body image, and difficulty finding clothes that fit. Treatment may include surgery. The type of surgery varies based on patient wishes and surgeon assessment.

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Breast Conditions in Young Women

Some breast changes or conditions are related to a young woman's menstrual cycle, but others may occur at any time. Most breast conditions are benign.

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Breast Health and Adolescents

Detailed information on breast health for children

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Breast Milk Collection and Storage

Detailed information on breast milk collection and storage

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Breast Milk Expression

Most mothers who plan to continue breastfeeding will need to express their breast milk during the work or school day if away from the baby for more than three or four hours.

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Breastfeeding and Delayed Milk Production

If your milk is delayed coming in, or you're not making enough milk, don't give up. Read on for some helpful tips.

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Breastfeeding and Returning To Work

Detailed information on breastfeeding while at work

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Breastfeeding at Work

Having your employer's support is important to successfully continue breastfeeding. Here's what you need to know about pumping breastmilk at work.

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Breastfeeding Difficulties - Baby

Detailed information on breastfeeding difficulties of the baby, including ineffective latch-on, ineffective sucking, slow infant weight gain, poor infant weight gain, mismanaged breastfeeding, over-active breast milk let down

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Breastfeeding Difficulties - Mother

Detailed information on breastfeeding difficulties of the mother, including sore nipples, low breast milk production, flat nipples, plugged milk ducts, and mastitis

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Breastfeeding the High-Risk Newborn

Detailed information on breastfeeding the high-risk newborn

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Breastfeeding When Returning to Work

Helpful advice on how to maintain your milk production when going back to work.

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Breastfeeding Your Baby

Click on the links below to learn more about this topic. Breast Milk is the Best Milk Getting Started How Milk is Made Effective Breastfeeding Effective Sucking Breastfeeding Difficulties - Mother Sore Nipples Insufficient or Delayed Milk Production Low Milk Production Flat or Inverted Nipples

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Breastfeeding Your High-Risk Baby

Learning to breastfeed effectively is a process that may take days or weeks for premature and many other high-risk babies. But you and your baby can become a breastfeeding team if you are patient and persistent.

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Breastfeeding Your Premature Baby

Breastfeeding your premature infant is not only possible, it's the best thing for your baby. Learn more about how your baby can benefit from breastfeeding.

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Breastfeeding: Returning to Work

It's important to give yourself enough time to practice pumping and get your body used to pumping before you return to work. Read on for some helpful tips.

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Breastmilk Is Best

Your milk contains just the right balance of nutrients in a form most easily used by your baby's immature body systems.

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Breastmilk: Pumping, Collecting, Storing

"Fresh breastmilk" contains the most active anti-infective properties. Refrigerated breastmilk has fewer anti-infective properties than fresh milk and frozen breastmilk has the least.

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Broken Bone

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Bronchiolitis

This Helping Hand™ covers bronchiolitis, which is an infection of the small airways (bronchioles) caused by a virus. The most common viruses that cause it are RSV, para influenza virus, rhinovirus (common cold), human metapneumovirus and adenovirus. Bronchiolitis is also often called "RSV infection."

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Bronchiolitis in Children

Bronchiolitis is an infection of the lungs that most often affects children younger than 2 years. Learn more about this condition, including causes, risks, symptoms, diagnosis, and treatment.

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Bronchopulmonary Dysplasia

This Helping Hand™ covers bronchopulmonary dysplasia (BPD), which is a term used to describe long-term breathing problems for premature babies. It involves abnormal development of the lungs, and sometimes the lungs are scarred and inflamed.

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Bronchopulmonary Dysplasia (BPD)

Bronchopulmonary Dysplasia (BPD) is a term used to describe long-term breathing problems for premature babies. BPD involves abnormal development of the lungs, and in the most severe cases the lungs are scarred and inflamed. Symptoms can include respiratory distress and assisted breathing.

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Bronchoscopy

Bronchoscopy is the examination of the main airways of the lungs using a flexible tube. It helps assess and diagnose lung problems, assess blockages, take samples of tissue or fluid, or help remove a foreign body.

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Brown Recluse and Black Widow Spider Bites in Children

Most spiders in the U.S. are poisonous. The fangs of most spiders are too short or too fragile to break through human skin. Or their poison (venom) is too weak to cause damage. Most spider bites cause only minor, local reactions. But bites from the black widow and the brown recluse spiders can cause serious problems. Read on to learn more.

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Bruises

A bruise is a collection of blood underneath the skin that is caused by injury to an area of the body. Sometimes enough bleeding occurs so that a lump also forms.

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Brushing and Toothpaste for Children

Read on to learn how to help your child care for their teeth correctly, from the type of toothbrush and toothpaste to use, to tips on how to brush their teeth.

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Bulimia Nervosa

Bulimia nervosa is a type of eating disorder in which a person regularly eats excessive amounts of food and then attempts to eliminate the consequences of overeating by vomiting, taking laxatives or diuretics, fasting, or exercising excessively.

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Burkitt Lymphoma in Children

Burkitt lymphoma is a rare, fast-growing form of non-Hodgkin lymphoma (NHL). It’s a type of cancer of the lymphatic system. The lymphatic system is part of the immune system. It helps to fight diseases and infections.

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Burkitt's Lymphoma

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Burkitt's Lymphoma/Burkitt's Like Lymphoma

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Burners and Stingers Syndrome in Children

Burners and stingers syndrome is a type of sports injury. It is a pain in the shoulder or neck that causes a burning or stinging feeling down an arm to the hand.

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Burns Caused by Heat (Child)

Learn how to care for your child who has a burn caused by heat.

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Burns: Symptom Management

Most children with burns have pain, which can be controlled with medicine. They also usually have itching at some point during the healing process.

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Bursitis

Bursitis is swelling or irritation of a bursa. A bursa is a fluid-filled sac that acts as a cushion between tendons, ligaments, bones, and skin.

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Campylobacter Infection in Children

Campylobacter infection is a mild to serious digestive illness. It is caused by bacteria. Symptoms often include cramping, diarrhea, belly pain, and fever.

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Cancer Treatment for Children

Learn who is involved in your child's treatment, what the treatment options are, how treatment is decided, and more.

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Candidiasis in Children

Candidiasis is an infection caused by yeast called Candida. Candida normally causes no harm, and is found on the skin, vaginal area, and digestive system. But in some cases, it can overgrow. This can cause a rash, itching, and other symptoms.

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Canker Sores (Aphthous Ulcers) in Children

Canker sores are small sores inside the mouth. They are often found inside the lips, on the cheeks, or on the tongue.

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Carbon Monoxide Poisoning in Children

Carbon monoxide poisoning is an illness that occurs from breathing in carbon monoxide (CO) gas. It's a medical emergency and needs treatment right away.

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Cardiac Catheterization for Children

Cardiac catheterization is a procedure in which a long, flexible tube (catheter) is put into a blood vessel. The doctor then guides the catheter into the heart to find and treat heart problems.

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Cardiomyopathy and Your Child

Cardiomyopathy is any disease of the heart muscle in which the heart loses its ability to pump blood effectively.

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Care of the Uncircumcised Penis in Teens

In an uncircumcised boy, the foreskin will begin to separate from the tip of the penis. This happens naturally while the boy is a baby. This is called foreskin retraction.

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Caring for Babies in the NICU

Detailed information on caring for babies in the NICU

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Caring for Newborn Multiples

Because many multiples are small and born early, they may be initially cared for in a special care nursery called the neonatal intensive care unit (NICU).

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Cast Types and Maintenance Instructions

The outside of a cast can be made of plaster or fiberglass. Cotton and synthetic materials line the inside of the cast to make it soft and to provide padding around bony areas, such as the wrist or elbow.

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Cat Scratch Disease in Children

Cat scratch disease is a bacterial infection carried in cat saliva. It is passed from a cat bite or scratch to a human. It can also result from a fleabite, but cats are the main source.

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Cataracts in Children

A cataract is a clouding over the lens of the eye. This area is normally clear (transparent). Some cataracts are small and don’t cause any trouble with vision. Others can cause visual problems in children. Cataracts are rare in children.

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Cauliflower Ear

Cauliflower ear is the result of a direct blow to the outer ear. Blood or other fluids fill the space in between and disrupts normal blood flow. Without adequate blood flow, the cartilage is starved of vital nutrients.

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Causes of Cancer

There is no one cause for cancer. Scientists believe that it is the interaction of many factors—genetic or environmental. Learn more about these risk factors for cancer.

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Cayler Cardiofacial Syndrome

Cayler Cardiofacial Syndrome is also known as 22q.11.2 deletion syndrome.

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Celiac Disease

Celiac disease is a chronic condition that results in damage to the lining of the small intestines. Symptoms are triggered by the ingestion of products that contain wheat, barley or rye proteins, collectively known as gluten.

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Cellulitis in Children

Cellulitis is a spreading skin infection. It may affect the upper skin layer. Or it may affect the deeper skin and layer of fat under the skin. When cellulitis affects the upper skin layer, it may be called erysipelas. This type of infection is more common in children.

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Cellulitis of the Eye in Children

Cellulitis is a serious type of infection and inflammation. It can occur in various parts of the body. When it occurs in the eyelid and tissues in the front part of the eye area, it’s called preseptal cellulitis. When it occurs behind and around the eye in the eye socket (orbit), it’s called orbital cellulitis. Both of these conditions are serious.

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Central Nervous System (CNS) Tumor

The central nervous system is made up of the brain and the spinal cord. This system is responsible for sending, receiving and processing information throughout your body, controlling how your body functions. When tumors grow in the central nervous system, they can cause significant symptoms.

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Cerebral Palsy (CP)

Cerebral palsy is a group of disorders that affects muscle tone, coordination, and movement. There are many types and severities of CP.

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Cerebral Palsy in Children

Cerebral palsy (CP) is a lifelong condition that affects how the brain and muscles communicate. CP affects body movement, muscle control, coordination, reflexes, posture, and balance.

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Chalazion in Children

A chalazion is a slow-growing, painless lump in the eyelid that forms because of the swelling of an oil gland. It’s more common in adults between ages 30 and 50 than in children.

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Chemical Burns of the Eye in Children

Chemical burns happen when a chemical gets into your child’s eye. Read on for details about this emergency situation.

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Chemical Burns: Caring for Your Child

Chemical burns can occur when strong acids or alkalis come in contact with the skin or the eyes. Learn how to care for your child and how to get help.

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Chemotherapy for Children

Chemotherapy is the use of medicines to treat cancer or kill cancer cells. Read on to learn more about what to expect when your child needs this treatment.

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Chemotherapy for Children: Side Effects

Detailed information on chemotherapy and managing chemotherapy side effects in children

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Chemotherapy-Related Hair Loss (Alopecia) in Children

Hair loss is a common side effect of chemotherapy. Learn about chemotherapy-related hair loss including how you can help your child.

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Chemotherapy-Related Mouth Mucositis in Children

Chemotherapy is the use of medicines to treat cancer. The medicines can cause an inflammation of the lining of the mouth. The mouth is lined with mucous membranes. When these are inflamed, it’s called mouth mucositis.

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Chest Wall Tumors

This Helping Hand™ covers the possible treatments of chest wall tumors. They can be benign or malignant.

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Chiari II Malformation in Children

A Chiari II malformation is present at birth. With this condition, two parts of the brain at the back of the skull bulge through a normal opening in the skull where it joins the spinal canal.

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Chiari Malformation Type I in Children

A Chiari malformation (CM) is a problem with how the brain sits in the skull. Read on for detailed information about this condition in children.

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Chiari Malformations

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Childhood Apraxia of Speech

Childhood apraxia of speech is a type of speech disorder. It is present from birth. A child with this condition has problems making sounds correctly and consistently. Apraxia is a problem with the motor coordination of speech.

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Childhood Immunization Index

Detailed information on immunizations for adults and children, including a current immunization schedule

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Childhood Immunizations

Your little one will need several immunization shots to help protect them from several childhood diseases, some of which can be deadly. Read on for helpful advice on which shots they need and when, and learn what to do if they have a minor reaction.

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Childhood Vision Problems

Detailed information on problems with vision in children

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Childproof Your Home for Poisons

Always remember that ordinary products you use each day around the home can become dangerous poisons in the hands of a child. Here's what you should know.

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Children Living with a Rheumatic Disease

Detailed information on living with a rheumatic disease.

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Chlamydia

Chlamydia is a sexually transmitted infection (STI) caused by the germ Chlamydia trachomatis. Anyone that is sexually active is at risk of getting chlamydia.

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Cholestasis of Pregnancy

Cholestasis of pregnancy is a liver problem. It slows or stops the normal flow of bile from the gallbladder. This causes itching and yellowing of your skin, eyes, and mucous membranes (jaundice). Cholestasis sometimes starts in early pregnancy. But it is more common in the second and third trimesters. It most often goes away within a few days after delivery. The high levels of bile may cause serious problems for your developing baby (fetus).

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Cholesterol, LDL, HDL, and Triglycerides in Children and Teens

The cholesterol in blood comes from 2 sources: the foods your teen eats and their liver. The liver, however, makes all of the cholesterol your teen's body needs.

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Chorioamnionitis

Chorioamnionitis [chor-y-oh-am-nee-oh-NY-tis] is an infection of the placenta and the amniotic fluid. Only a few women get it. But it is a common cause of preterm labor and delivery.

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Chorionic Villus Sampling

Chorionic villus sampling (CVS) is a test done early in a woman’s pregnancy. CVS checks for genetic problems in your baby. During CVS, your healthcare provider takes a small piece of tissue from the placenta for testing.

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Chronic Ankle Instability

Chronic ankle instability happens when your ankle keeps giving way, especially after many sprains. This makes it hard to walk or play sports without your ankle feeling weak or wobbly. It can happen even when you’re just standing still.

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Chronic Constipation

Many kids will experience occasional bouts of constipation during their childhood. Chronic constipation is a slightly different, yet much more challenging condition to treat.

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Chronic Illness and Transplantation Issues and the Teen

Detailed information on chronic illness and transplantation issues and the teen.

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Chronic Intestinal Pseudo-Obstruction

In CIP the intestines react as if there is a true obstruction or blockage. When tests are performed, no physical evidence of blockage is found.

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Chronic Myelogenous Leukemia (CML)

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Chronic Renal Failure

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Chronic Respiratory Disorders

Detailed information on chronic respiratory disorders in children

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Chronic Sinusitis

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Chylothorax

When lymphatic fluid (or lymph) collects around the chest wall and lungs, it can cause chest pain or make it hard to breathe. This condition is called chylothorax.

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Classification and Treatment of Burns

Burns are classified as first-, second-, or third-degree, depending on how deep and severe they penetrate the skin's surface.

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Classification of Burns

Burns are classified as first-, second-, or third-degree, depending on how deeply and severely they penetrate the skin's surface.

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Clavicle Fracture

A clavicle fracture is common in children after a collision or fall onto the shoulder. Most clavicle fractures that occur in children can be treated without surgery.

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Cleft Lip and Palate

Cleft lip and/or cleft palate is the most common birth defect in the United States. A cleft lip is a separation of the upper lip, often involving the upper gum line. A cleft palate is an opening or split in the roof of the mouth and may involve the soft palate alone or both the soft and hard palate.

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Cleft Lip and Palate in Children

Cleft lip and palate are openings or splits in the upper lip or roof of the mouth (palate). A child can be born with a cleft lip, cleft palate, or both. Cleft lip and palate may be the only birth defects, or they may happen with other defects.

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Cloacal Exstrophy

Cloacal exstrophy, also known as OEIS syndrome, is a rare congenital birth defect that occurs when the lower abdominal organs do not form properly during fetal development. Babies with this condition are born with organs outside the body, such as the bladder, small and large intestine.

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Cloacal Malformation

Cloacal malformation, sometimes called persistent cloaca, is found in female children where the rectum, vagina and urethra are fused together, creating a single common channel. In developing fetuses, these openings are joined in a sac known as the cloaca. At birth, these openings are normally separate.

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Clubfoot

In this Helping Hand™ document, we discuss clubfoot, a foot disorder in which the foot turns inward and downward at birth and remains in this position. In some cases, clubfoot can be corrected without surgery.

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Clubfoot (Talipes Equinovarus)

Clubfoot, also known as talipes equinovarus (TEV), is a common foot abnormality, in which the foot points downward and inward. It occurs twice as often in males than in females. Signs of clubfoot include a short and/or tight Achilles tendon (heel cord) and a heel that is turned in.

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Clubfoot in Children

Clubfoot is a deformity of the foot. It's when one or both feet are turned inward. The condition affects the bones, muscles, tendons, and blood vessels. Read on to learn more about this condition.

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Coagulation Disorders

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Coarctation of the Aorta

Coarctation of the aorta is a heart defect that is present at birth (congenital) in which the aorta is narrowed and results in decreased blood flow to the lower body. The left ventricle (pumping chamber) of the heart must work harder in order to pump blood through the narrowed aorta.

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Coarctation of the Aorta (COA) in Children

Coarctation of the aorta is a heart defect that's present at birth (congenital). It means that the aorta is narrower than it should be. Read on to learn details about the condition.

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Cognitive Development in Adolescence

Cognitive development means the growth of a child's ability to think and reason. This growth happens differently from ages 6 to 12, and ages 12 to 18.

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Cold vs. Allergy in Children: How to Tell the Difference

Detailed information on the differences between cold symptoms and symptoms of allergies.

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Colic

This Helping Hand™ covers colic, which is when a healthy baby cries more than 3 hours a day for 3 or more days in a week. If this happens 3 weeks in a row, your baby may have colic.

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Color Vision Defects

Color vision defects, also known as color blindness, occurs when someone is not able to see colors in a normal way.

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Common Childhood External Ear Problems

Detailed information on common childhood external ear problems

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Common Childhood Nose and Throat Illnesses

Detailed information on common childhood nose and throat problems in children

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Common Children's Digestive Problems

Detailed information on common children's digestive problems, including colic, diarrhea, food allergies, and lactose intolerance

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Common Cold in Children

The common cold is one of the most common illnesses in children. Most children will have at least 6 to 8 colds a year.

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Common Conditions and Complications

Detailed information on common conditions and complications of the high-risk newborn

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Common Dental Problems and Concerns

Detailed information on common dental problems and concerns in children

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Common Procedures

Detailed information on the most common procedures performed on newborns

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Common Skin Disorders in Children

Detailed information on common skin disorders, including Bacterial Skin Infections, Fungal Skin Infections, Viral Skin Infections, Viral Exanthems (Rashes), and Parasitic Skin Infections

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Common Types of Pediatric Arthritis and Other Rheumatic Diseases

Detailed information on the most common types of pediatric arthritis and other rheumatic diseases, including Juvenile Dermatomyositis, Fibromyalgia, Juvenile Ankylosing Spondylitis, Juvenile Rheumatoid Arthritis, Psoriatic Arthritis, Rheumatic Fever, Scleroderma, Septic Arthritis, Infectious Arthritis, Systemic Lupus Erythematosus, Lupus, Vasculitis, Kawasaki Disease, and Henoch-Schönlein Purpura

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Common Variable Immunodeficiency in Children

Common variable immunodeficiency (CVID) is an immunodeficiency problem. It is a lifelong health problem that can lead to a reduced ability to fight infections.

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Communication Disorders in Children

A child with a communication disorder has trouble communicating with others. They may not understand or make the sounds of speech. The child may also struggle with word choice, word order, or sentence structure.

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Complementary and Alternative Medicine (CAM) for Cancer

Alternative therapy is a nonconventional approach to healing. It may be used instead of standard treatment or in combination with standard medicine. Read on to learn more.

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Complete Blood Count (CBC)

A CBC count is a measurement of size, number, and maturity of the different blood cells in a specific volume of blood.

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Complex Heart Problems

Detailed information on complex heart problems

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Comprehensive Psychiatric Evaluation for Children

A psychiatric evaluation looks at the child's behaviors, when those behaviors happen, and what impact those behaviors have on school, family, and other relationships.

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Concussion

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Conduct Disorders

Conduct disorder refers to a group of behavioral and emotional problems characterized by a disregard for others. Children with conduct disorder have a difficult time following rules and behaving in a socially acceptable way.

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Congenital and Hereditary Neurological Disorders

Detailed information on the most common congenital and hereditary disorders in children

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Congenital and Hereditary Orthopedic Disorders

Detailed information on the most common congenital and hereditary disorders in children

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Congenital Diaphragmatic Hernia

Congenital diaphragmatic hernia (CDH), is a rare congenital condition where the muscles in the diaphragm do not grow together, leaving a hole. The hole allows the intestines and other organs (stomach, liver) to move up into the baby’s chest. When this happens, it makes it hard for the lungs to grow.

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Congenital Heart Defects

Congenital heart defects are problems with the heart that are present at birth. Some are simple and don’t need treatment, while others require surgery.

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Congenital Heart Disease Index

Detailed information on congenital heart disease, including patent ductus arteriosus, atrial septal defect, ventricular septal defect, atrioventricular canal, tricuspid atresia, pulmonary atresia, transposition of the great arteries, tetralogy of Fallot, double outlet right ventricle, truncus arteriosus, coarctation of the aorta, aortic stenosis, and hypoplastic left heart syndrome

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Congenital High Airway Obstruction Syndrome (CHAOS)

Congenital high airway obstruction syndrome, or CHAOS, is a very rare condition where the fetal airway is fully or partly blocked. CHAOS is usually found during a routine prenatal ultrasound. In some cases, fetal surgery may be done to remove the blockage. Sometimes CHAOS resolves on its own.

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Congenital Hypothyroidism

This Helping Hand™ is about congenital hypothyroidism, which is when a baby is born without enough thyroid hormone. Learn more about symptoms and treatment for congenital hypothyroidism here.

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Congenital Hypothyroidism in Children

Hypothyroidism is when the thyroid gland does not make enough thyroid hormone. Congenital hypothyroidism is when the disorder is present in a baby at birth. If not treated, it can lead to serious health problems.

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Congenital Laryngeal Stridor in Babies

Congenital laryngeal stridor is a noisy or high-pitched sound with breathing. It is from an abnormally formed voice box (larynx). It is present at birth (congenital).

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Congenital Limb Difference in Children

A congenital limb difference is when an arm or leg doesn't form normally as a baby grows in the uterus. The baby is born with the difference.

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Congenital Liver Defects

Congenital liver defects are liver disorders that are present at birth. They are rare. These liver disorders often block the bile ducts. This affects the flow of bile.

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Congenital Lung Lesions

Congenital lung lesions are a group of conditions where part of the lung has an abnormal growth or mass. Congenital pulmonary airway malformation (CPAM), bronchopulmonary sequestration and congenital lobar emphysema are the most common types of congenital lung lesions.

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Congenital Melanocytic Nevi (CMN)

Moles present from birth, or that develop within the first few months after birth, are called congenital melanocytic nevi (CMN). They are fairly common and, in most cases, they do not cause health problems. However, they can carry risks.

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Congenital Muscular Torticollis

Congenital torticollis means that a baby is born with an odd position of the neck. The odd position is because of a tight, short neck muscle. It affects the right side more often than the left side. It may range from mild to severe. The condition is sometimes called wryneck.

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Congenitally Corrected Transposition of the Great Vessels

Congenitally corrected transposition of the great vessels (CCTGA; l-TGA) is an uncommon congenital heart abnormality, where the receiving chambers (atria) are connected to their opposite pumping chambers (ventricles) because the ventricles are switched from their normal anatomic positions.

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Congestive Heart Failure

Congestive heart failure (CHF) happens when the heart does not pump enough blood to the body for normal function and activity. When the heart is not pumping normally, fluid can build up in the lungs.

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Conjunctivitis (Pink Eye)

Conjunctivitis, or pink eye, is an inflammation of the conjunctiva. The conjunctiva is a clear membrane that covers the white part of the eye and the inner part of the eyelids.

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Conjunctivitis in Children

Conjunctivitis is an inflammation of the conjunctiva of the eye. The conjunctiva is the membrane that lines the inside of the eyelids and covers the eyeball. Conjunctivitis is also known as “pink eye.”

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Conotruncal Anomaly Face Syndrome

Conotruncal Anomaly Face Syndrome is also known as 22q11.2 deletion syndrome.

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Constipation

Many children have constipation at one time or another. Constipation can be defined as more than three days between bowel movements; stools that are large, hard and painful to pass; or incomplete bowel movements and stool backs up in the bowel despite daily bowel movements.

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Constipation in Children

Common causes of constipation in children: a low-fiber diet, not enough fluids, lack of exercise, and emotional issues.

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Constipation: Child Over One Year of Age

This Helping Hand™ covers how constipation is a common problem in children, but it can be a cause for concern for parents. A constipated child has difficulty moving their bowels, does not have bowel movements often enough, or has hard or dry stool (poop).

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Constipation: Infant

This Helping Hand™ covers constipation in infants less than one year of age. It is common, but it can be a concern for parents. Signs of constipation include infrequent stools that are difficult to pass and straining more than normal to have a bowel movement. Even if a baby is not constipated, bowel movements may be irregular.

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Contact Dermatitis in Children

Contact dermatitis is a skin reaction from contact with certain substances. Read on to learn about its causes, symptoms, and treatment.

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Contact Sports and Kids: How to Keep Your Children Safe

Kids are more susceptible to sports injuries than adults because they are still growing and developing. The risk for injury is even greater if the child plays a contact sport, such as basketball, football, or soccer.

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Contusions Bruises

Contusions, or bruises, are one of the most common types of injuries occurring in active children. A contusion is caused by a direct blow to the body that can cause damage to the surface of the skin and to deeper tissues as well.

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Coping Emotionally After a Burn

Your child's burn care and emotional recovery will continue when you leave the hospital. Along with the excitement, you and your child may also feel uneasy about what will happen next.

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Coping with a Diagnosis of Cancer in Children

A cancer diagnosis is shocking and overwhelming. Learn some practical things that you can do to cope during this time.

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Corneal Abrasions in Children

A corneal abrasion is a scratch on the cornea. This is the clear, dome-shaped surface that covers the front of the eye. Learn details about symptoms, diagnosis, and treatment.

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COVID-19 (Coronavirus Disease 2019)

COVID-19 is a serious strain of coronavirus, a large family of viruses that usually cause only mild respiratory diseases, that spreads and infects people easily. The virus that causes COVID-19 is being passed from person to person through droplets of fluid that are coughed or sneezed into the air.

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Cradle Cap

Cradle cap (infant seborrheic dermatitis) is scaly patches on a baby's scalp. Cradle cap isn’t serious, but it can cause thick crusting and white or yellow scales. Some babies can also have seborrheic dermatitis in the diaper area, and on the face, neck, and trunk. Cradle cap usually clears up within the first year.

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Cradle Cap

Seborrheic dermatitis, also known as cradle cap, is very common in infants and children. It appears as scaly, itchy, white, yellow or red patches. It most often appears on the scalp but can also be found on the face, ears, or in body folds such as under the arms and behind the knees.

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Craniopharyngioma

Craniopharyngioma is a rare tumor that develops at the central, bottom portion of the brain. It can affect the pituitary gland, optic pathway, and hypothalamus.

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Craniopharyngioma in Children

Craniopharyngioma is a benign brain tumor that is found near the pituitary gland.

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Craniosynostosis

Craniosynostosis is a condition where one or more of the bones of the skull close too early. This can cause problems with normal brain and skull growth.

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Craniosynostosis

Craniosynostosis is a medical condition where one or more of the openings (known as sutures) between skull bones have closed too soon. This will affect the shape of the skull. It can also mean that over time brain growth may be restricted. This could result in increased pressure on the brain.

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Craniosynostosis

Craniosynostosis occurs when one or more sutures close early. Early suture closure can cause the skull to grow in an unusual shape. Sometimes, early suture closure can also restrict overall skull growth which may be harmful to the growing brain inside.

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Crohn's Disease in Children

Crohn's disease is when there is redness, swelling (inflammation), and sores along the digestive tract. It is part of a group of diseases known as inflammatory bowel disease.

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Croup

Croup is an illness that is usually caused by a virus. The tissues of the windpipe (trachea) and voice box (larynx) become swollen, which makes it harder for air to get into the lungs. Croup can cause a barky cough or hoarse voice. You may also hear a high-pitched squeaking sound called stridor.

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Croup in Children

Croup is a common infection in children. It causes swelling in the upper part of the airway in the neck. It causes a barking cough, with or without fever. And it may cause problems breathing.

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Crouzon Syndrome

Crouzon syndrome is a genetic condition that affects the skull, face and heart. It is caused by a mutation on the FGFR2 or FGFR3 gene. The treatment of Crouzon syndrome includes several operations. The Center for Complex Craniofacial Disorders expertly cares for children with Crouzon syndrome.

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Crush Injuries of the Fingertip

Crush injuries of a fingertip or the tip of a toe are common in children. They can happen when a finger is slammed in a door, a finger or toe is stepped on, or if a heavy object falls on a nail with great force. 

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Crutch Walking

Step-by-step tips to help your child learn to use crutches, including going up and down stairs, sitting and standing up, and more.

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Cushing Syndrome in Children

Cushing syndrome is a hormone disorder. It’s caused by having high levels of the hormone cortisol over a long time. Cushing syndrome is fairly rare. It most often affects adults who are 20 to 50 years old. But it can also occur in children. It is sometimes called hypercortisolism.

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Cuts and Wounds of the External Ear

Helpful first aid tips for handling minor cuts, wounds, or deep cuts a child may get to the outer ear.

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Cuts and Wounds of the Face

Most minor cuts or wounds to the face can be handled at home with simple first aid treatment. But there are also times when these injuries need medical care. Here's what you need to know.

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Cuts and Wounds of the Mouth and Lips

Kids can get cuts and wounds in their mouth and on their lips when they are playing or doing sports. Learn how to use first aid for these injuries, and when to get medical care.

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Cuts and Wounds of the Nose

Most minor nose wounds can be handled at home, but a wound or bruise that also involves one or both eyes needs immediate medical attention.

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Cystic Fibrosis - Related Diabetes

Cystic fibrosis-related diabetes (CFRD) is a type of diabetes that affects children and adults with cystic fibrosis (CF). Diabetes is a common complication for patients with cystic fibrosis.

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Cystic Fibrosis and the Digestive System

In the digestive system, cystic fibrosis (CF) mainly affects the pancreas. A child with CF has trouble absorbing fats, as well as some proteins and vitamins.

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Cystic Fibrosis and the Reproductive System

Detailed information on cystic fibrosis and its effect on the reproductive system.

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Cystic Fibrosis and the Respiratory System

Detailed information on cystic fibrosis and its effect on the respiratory system.

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Cystic Fibrosis in Children

Detailed information on cystic fibrosis, including symptoms, diagnosis, treatment, and genetics

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Cystic Fibrosis Overview

Cystic fibrosis (CF) is an inherited disease of the glands that make mucus and sweat. Here's a quick look at how CF affects the body, and who may be more likely to have this disease.

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Cytomegalovirus (CMV) in Newborns

CMV (cytomegalovirus) is a herpes virus. It is very common. It affects people of all ages and in all parts of the U.S. In most cases, CMV causes mild symptoms, or no symptoms at all. But it can cause serious problems in an unborn baby or newborn.

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Dandy-Walker Syndrome

Dandy-Walker Syndrome (DWS) is a congenital condition where the cerebellum does not develop normally. The cerebellum is an area at the back of the brain that controls movement and balance. With DWS, parts of the cerebellum may never develop, may be very small, or may become filled with fluid.

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Deep Vein Thrombosis (DVT)

Deep Vein Thrombosis is a blood clot that has formed in a large blood vessel. It may completely or partially block the blood flow in that vein. Symptoms of DVT include pain, swelling and feeling warm. In most cases, a DVT will be treated with an anticoagulation medicine.

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Dehydration

There are many reasons why children can get dried out or dehydrated. A child can lose too much liquid from the body from diarrhea, vomiting or fever. If the child has mouth sores or a bellyache, they may refuse to drink enough. Babies and younger children are at greater risk.

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Delayed Puberty

Puberty that happens late is called delayed puberty. This means a child's physical signs of sexual maturity don’t appear by age 12 in girls or age 14 in boys. This includes breast or testicle growth, pubic hair, and voice changes. These are known as secondary sexual characteristics.

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Delirium

Delirium is a serious disturbance in mental abilities. It involves changes in behavior, confused thinking, and reduced awareness of a person's surroundings. Delirium is a serious complication of medical illness.

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Dental Emergencies in Children

Learn about some common dental emergencies in children and guidelines for what to do.

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Dental Fillings (Restorations)

Teeth that have tooth decay must be repaired. Advances in dental materials and methods provide new, effective ways to restore teeth.

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Dental Health and Children

Detailed information on dental health in children

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Dental Health for Children- Overview

Generally, dental exams and cleanings are recommended every 6 months for children. Encourage good oral hygiene at home by helping your child brush their own teeth.

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Dental Procedures for Children

Detailed information on the most common dental procedures, including braces, bleaching, bridges, dentures, dental implants, fillings, root canal, sealants, and wisdom teeth extraction

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Depression

Clinical depression in children includes several disorders: major depressive disorder, disruptive mood dysregulation disorder, and persistent depressive disorder.

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Dermatitis in Children

Detailed information on dermatitis, including the different types of dermatitis such as atopic dermatitis (eczema), contact dermatitis, dermatitis herpetiformis, generalized exfoliative dermatitis, seborrheic dermatitis, localized scratch dermatitis, nummular dermatitis, perioral dermatitis, and stasis dermatitis

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Dermoid Cyst

Dermoid cysts, also called epidermoid cysts or dermal/epidermal inclusion cysts, are masses in children and adults, most commonly found in the head, face, neck and upper chest. Dermoid cyst ablation is a minimally-invasive procedure that is an alternative to surgically removing the dermoid cyst.

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Dermoid Cyst in Children

A dermoid cyst is a collection of tissue under the skin. It may contain hair follicles, oil, and sweat glands.

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Determining Body Mass Index for Teens

Although it is not a perfect measure, BMI gives a fairly accurate evaluation of how much of your teen's body is made up of fat.

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Developmental Care for Babies in the NICU

Premature babies especially need a supportive environment to help them continue to mature and develop as they would in their mother's womb.

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Developmental Disorders

Detailed information on developmental disorders in children

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Developmental Dysplasia of the Hip

Developmental Dysplasia of the Hip (DDH) is a term that includes several types of hip disorders that occur at different ages. DDH may be present at birth or may develop over time.

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Developmental Dysplasia of the Hip in Children

In a normal hip joint, the top (head) of the thighbone (femur) fits snugly into the hip socket. In a child with DDH, the hip socket is shallow. As a result, the head of the femur may slip in and out.

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Diabetes During Pregnancy

Diabetes is a condition in which the body can't make enough insulin, or can't use insulin normally. Insulin is a hormone. It helps sugar (glucose) in the blood get into cells of the body to be used as fuel. When glucose can’t enter the cells, it builds up in the blood. This is called high blood sugar (hyperglycemia).

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Diabetes Index

Detailed information on diabetes, including type 1 diabetes, type 2 diabetes, teens and diabetes, and diet and diabetes

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Diabetes Insipidus in Children

Diabetes insipidus is a condition caused by not enough antidiuretic hormone (ADH) in the body. ADH is also known as vasopressin. This is a hormone that helps the kidneys keep the correct amount of water in the body. The condition is also called “water diabetes.”

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Diabetes Ketoacidosis (DKA)

Diabetic ketoacidosis, also known as DKA, is a serious complication of diabetes. When cells do not have glucose to use for energy, the body starts to use fat for energy. Acids called ketones are made when fat is used for energy. If untreated, this leads to DKA and life-threatening problems.

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Diabetes: MODY

MODY is the name given to a collection of different types of inherited forms of diabetes that usually develop in adolescence or early adulthood. MODY stands for “Maturity-onset diabetes of the young” and was given that name because it acted like an adult type of diabetes but was found in young people.

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Diagnosing and Evaluating Heart Disease in Children

Detailed information on diagnosing and evaluating heart disease in children

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Diagnosing Anemia in Children

Many problems caused by anemia can be prevented when it's diagnosed in children at an early stage. Learn what symptoms to look out for, as well as what tests are done for diagnosis.

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Diagnosing Cancer

Many tests are needed to find out if a person has cancer, or if another condition is causing cancer symptoms.

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Diagnosis of Cystic Fibrosis

A detailed look at how cystic fibrosis is diagnosed.

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Diagnostic Tests for Allergy in Children

Detailed information on allergy testing for children, including blood tests and skin tests.

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Diagnostic Tests for Neurological Disorders in Children

Detailed information on the most common diagnostic tests for neurological disorders in children

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Dialysis

Detailed information on dialysis, including peritoneal dialysis and hemodialysis

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Diamond Blackfan Anemia

Diamond Blackfan anemia (DBA) is a rare blood disorder that is usually diagnosed in children during their first year of life. Children with DBA do not make enough red blood cells – the cells that carry oxygen to all other cells in the body.

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Diaper Dermatitis in Children

Diaper dermatitis is inflammation of the skin in the diaper area. It’s a very common condition in babies and toddlers.

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Diaper Rash

Diaper rash (diaper dermatitis) is a red, sore rash that happens when urine and bowel movements irritate your baby's skin. The Helping Hand™ will teach you how to prevent and treat diaper rash.

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Diapers and Diaper Rash

A core part of every baby's care is diapering. Read on for helpful information on changing diapers, preventing and treating diaper rash, and the pros and cons of cloth and disposable diapers.

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Diaphragmatic Hernia in Children

A diaphragmatic hernia is a birth defect. It happens in a baby during pregnancy. In this condition, there’s an opening in your baby’s diaphragm. This is the muscle that separates the chest cavity from the abdominal cavity.

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Diarrhea

Diarrhea (loose, watery bowel movements) is a common problem in young children. It is usually caused by a virus. It can also be caused by bacteria, something that the child eats or drinks (like too much fruit juice) or starting a new medicine. It rarely means a child has a serious illness.

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Diarrhea in Children

Diarrhea is a common problem. It may last 1 or 2 days and go away on its own. If diarrhea lasts more than 2 days, your child may have a more serious problem. Read on to learn more.

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Difficulty with Latching On or Sucking

Detailed information on problems with latching-on or sucking during breastfeeding, and how to handle them.

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Diffuse Intrinsic Pontine Glioma (DIPG)

Diffuse intrinsic pontine glioma, also know as DIPG, is an aggressive, malignant brain tumor that develops in a part of the brainstem called the pons.

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Diffuse Midline Glioma (DMG)

Diffuse midline glioma (DMG) is a rare, fast-growing tumor of the central nervous system that can occur in the brain or spinal cord. It affects up to 300 children annually. Most cases have no known cause and result from genetic changes that happen by chance.

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DiGeorge Syndrome

DiGeorge Syndrome is also known as 22q11.2 deletion syndrome.

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Digestive and Liver Disorders

Detailed information on digestive and liver disorders during pregnancy

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Digestive Disorders

Detailed information on the most common digestive disorders in high-risk newborns

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Diphtheria in Children

A detailed look at diphtheria, including symptoms, treatment, and a vaccination schedule.

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Diphtheria, Tetanus, and Pertussis (DTaP)

Diphtheria, pertussis, and tetanus are serious illnesses. A combination vaccine is given to babies and children to provide protection against all three diseases.

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Discharge from the Hospital

Learn what you can expect about hospital discharge after your child has minor surgery.

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Discipline

Detailed information on disciplining a child, including information on time-out, temper tantrum, lying, stealing, and television and children

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Disciplining Your Child at Any Age

Each child is different, but most children need to be given clear rules about behavior. Read on for some discipline tips by age group.

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Discomforts and Complications After a Child Has Surgery

Common discomforts after surgery include nausea and vomiting, soreness in the throat, and restlessness or sleeplessness.

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Discussing Death with Children

The ultimate goal in discussing death with a dying child is to optimize his or her comfort and alleviate any fears. If the child is not ready to discuss death, the most helpful step parents can take is to wait until he or she is ready.

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Dislocations in Children

A dislocation is a joint injury. It occurs when the ends of 2 connected bones come apart. Dislocations happen more often among teens.

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Disorders Affecting Calcium Metabolism

Detailed information on disorders affecting calcium metabolism, including juvenile osteoporosis, hyperparathyroidism, hypoparathyroidism, and DiGeorge syndrome

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Disorders Affecting the Adrenal Glands

Detailed information on disorders affecting the adrenal glands, including underactive adrenal glands (Addison's disease), overactive adrenal glands (Cushing's syndrome), and pheochromocytoma

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Disorders Affecting the Pituitary Gland

Detailed information on disorders affecting the pituitary gland, including posterior anterior disorders and anterior pituitary disorders

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Disorders Affecting the Thyroid

Detailed information on disorders affecting the thyroid gland, including hyperthyroidism (Graves disease) and hypothyroidism

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Disorders of the Brain and Nervous System

Detailed information on the most common disorders of the brain and nervous system in high-risk newborns

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Disruptive Behavior Disorders (DBD)

Children with disruptive behavior disorders (DBD) show ongoing patterns of uncooperative and defiant behavior. The most common types of these disorders include disruptive behavior disorder not otherwise specified (DBD NOS), oppositional defiant disorder (ODD) and conduct disorder (CD).

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Distal Radius Buckle (Torus) Fracture

A distal radius buckle (torus) fracture causes one side of the bone to bend but does not actually break through the bone. It is an incomplete fracture that normally heals within 1 month.

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Double Outlet Right Ventricle (DORV)

Double outlet right ventricle (DORV) is a congenital heart defect where the two great arteries are both attached to the right ventricle. In DORV, the normally separated oxygen-rich arterial blood and oxygen-poor venous blood is mixed prior to leaving the heart.

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Double-Inlet Left Ventricle

Double-inlet left ventricle (DILV) is a heart defect where both upper chambers send blood to one lower chamber, causing mixed blood flow to the body and lungs. Most babies with DILV will need many heart surgeries over their lifetime. Most surgeries are successful, but your child will need cardiology care for life.

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Down Syndrome (Trisomy 21) in Children

Down syndrome is a genetic disorder that includes certain birth defects, learning problems, and facial features. Read on to learn more details about this disorder.

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D-Transposition of the Great Vessels

D-Transposition of the great vessels (d-TGA) is a congenital heart defect where the aorta and pulmonary artery are switched from their normal positions. Shortly after birth, babies with d-TGA are blue because not enough oxygen is getting to the body.

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Duchenne Muscular Dystrophy (DMD)

Duchenne muscular dystrophy (DMD) is a rare condition defined by worsening muscle weakness and damage. It is the most common inherited neuromuscular disorder that affects all races and ethnicities. DMD only affects males and children with DMD may lose the ability to walk as early as 7 years of age.

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Duchenne Muscular Dystrophy in Children

Duchenne muscular dystrophy is a rare genetic condition that weakens your child's muscles. It appears in young boys, usually between ages 2 and 5.

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Duodenal Atresia

Duodenal atresia is a congenital condition where the duodenum is narrowed or blocked. The duodenum is the first part of the small bowel (intestine). This blockage keeps liquids and food from passing through the stomach into the rest of the intestine. The cause of duodenal atresia is not known.

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Dyskeratosis Congenita in Children

Dyskeratosis congenita is a rare disease that's present at birth. Learn more about the causes, symptoms, diagnosis, treatment, and complications.

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Dysmenorrhea (Painful Menstruation)

A common reason patients experience painful menstruation, also known as dysmenorrhea, is because of inflammatory agents, called prostaglandins, which are released from the lining of the uterus during menstruation.

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Dysphagia in Children

Dysphagia means trouble swallowing. This condition happens when food or liquids can’t pass easily from your child’s mouth, into the throat, down the esophagus, and into the stomach when swallowing.

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Dysthymia

Persistent depressive disorder is a type of depression. Depression involves a child’s body, mood, and thoughts.

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Ear Disorders

Detailed information on ear disorders in children

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Ear Infections (Otitis Media)

Ear infections, also known as otitis media, occur when the middle ear is infected or inflamed. There are two main types of otitis media: acute otitis media with effusion (fluid in the middle ear space) and chronic otitis media with effusion.

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Ear Tube Insertion for Children

An ear tube insertion is when a tiny tube is placed in the eardrum to let fluid leave the middle ear. Read on to learn all about this procedure.

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Eating Disorders and Young Athletes

Playing competitive sports can boost self-esteem and teach teamwork and leadership lessons. But sometimes being on a team that focuses too heavily on performance--or appearance--may trigger an eating disorder.

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Eating Disorders in Children

Detailed information on adolescents and eating disorders, including anorexia, bulimia and obesity.

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Ebstein's Anomaly

Ebstein’s anomaly is a heart problem that some people are born with. It means the tricuspid valve, which helps control blood flow in the heart, doesn’t work right. Most babies with severe Ebstein’s need surgery at some point.

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Echocardiography for Children

Echocardiography is an imaging test. It uses sound waves to make detailed pictures of the heart.

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Ectopic Pregnancy

A pregnancy that develops outside the uterus is called ectopic pregnancy. This nearly always happens in a fallopian tube. So it’s often called tubal pregnancy. Rarely, an ectopic pregnancy will happen in an ovary, in the cervix, or the belly (abdomen).

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Ectopic Ureterocele

An ectopic ureterocele is when there is an abnormality in the renal system, usually with an extra tube that drains pee (urine) into the wrong place.

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Eczema

Eczema is a chronic dry, itchy skin condition that often runs in families. Eczema is not contagious. Eczema often affects the insides of elbows, backs of knees, and the face.

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Eczema (Atopic Dermatitis)

This Helping Hand™ is about eczema in children, which is a skin problem that causes dry, itchy, rough skin rashes.

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Egg Allergy Diet for Children

Parents of children with egg sensitivity may not be aware of the many food products that contain eggs. That's why it's important to carefully read food labels. Here's what you should know.

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Eisenmenger Syndrome in Children

Eisenmenger syndrome is an advanced form of pulmonary artery hypertension.

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Elbow Dislocation

The elbow joint is made up of three bones. An elbow dislocation is an injury to the elbow joint that causes the humerus and ulna to be moved from their normal spot, so they no longer fit together. 

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Electrical Burns

Electrical burns occur when a child comes in contact with electricity, either alternating current (AC) or direct current (DC).

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Electrocardiography for Children

Electrocardiography (ECG) is a simple, fast test to check the electrical activity of your child's heart as blood moves through it.

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Electroencephalogram (EEG) for Children

An electroencephalogram (EEG) is a test that measures the electrical activity in the brain (brain waves). Small, round discs with wires (electrodes) are placed on the scalp during the test. The electrodes are not painful to your child.

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Elevated Liver Enzymes

Elevated (too high) levels of liver enzymes are a warning sign that something might be harming the liver. Two of these enzymes are alanine aminotransferase (ALT) and aspartate aminotransferase (AST). Symptoms of elevated liver enzymes may include jaundice and swelling of the abdomen, arms or legs.

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Embryonal Tumor with Multilayered Rosettes (ETMR)

If you are worried about your child’s symptoms or development, reach out to a physician. The sooner your child is diagnosed, the better the chances are of survival.

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Emergency Contact Information

In an emergency, it is easy to "forget" even the most well-known information. That's why it is crucial to complete the information in this form for each member of your household.

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Emergency Treatment of a Burn Injury

Detailed information on emergency treatment of a burn injury

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Emery-Dreifuss Muscular Dystrophy

Emery-Dreifuss muscular dystrophy is a rare form of MD that affects only males. Symptoms may begin in childhood or adolescence. The condition causes slowly progressive weakness in the muscles of the shoulders, upper arms, and lower legs and joint stiffness.

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Emery-Dreifuss Muscular Dystrophy in Children

EDMD is a rare inherited muscle disease. It causes weakness in your child’s shoulders, upper arms, and calves. The disease also causes stiff joints that can’t move well.

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Emotional and Family Issues in Children with Heart Disease

A detailed look at the way children may feel about having congenital heart disease, plus some tips for helping them cope.

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Encephalitis in Children

Encephalitis is inflammation of the brain. The inflammation causes the brain to swell. This leads to changes in a child's nervous system that can include confusion, changes in alertness, and seizures.

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Encephalocele

Encephalocele is a rare congenital condition where the neural tube does not close and causes a sac-like bulge with brain tissue and spinal fluid that pokes through the skull. Encephalocele is often found during a prenatal ultrasound. Treatment depends on the location of the encephalocele on the skull.

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Encopresis

Encopresis is when your child leaks stool into their underwear. It is also called stool soiling. It is most often because of long-term (chronic) constipation. Encopresis happens to children ages 4 and older who have already been toilet trained.

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Endometriosis

Endometriosis is an inflammatory and estrogen-dependent condition in which the menstrual tissue is found outside the uterus, within the pelvis. Pain due to endometriosis is different from normal menstrual pain. Girls who have a family history of endometriosis have an increased chance of developing it.

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Endoscopic Sinus Surgery for Children

Endoscopic sinus surgery is a procedure to open the passages of the nose and sinuses. It is done to treat long-term (chronic) sinus infections. An ear, nose, and throat specialist (ENT) does the surgery.

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Enlarged Adenoid

The adenoid is a structure located at the junction of the nose and throat (nasopharynx) that functions in the immune system. Adenoids sometimes become enlarged during childhood and the increased size may cause problems.

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Enlarged Lymph Nodes

Hundreds of these lymph nodes are present in your child’s neck and face. When an infection is present, lymph nodes can become enlarged as an immune response is mounted.

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Enlarged Tonsils

The function of the tonsils is to help identify and fight infections caused by viruses or bacteria. They can cause problems if they are enlarged or become infected.

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Enteroviruses in Children

There are many types of enteroviruses. The viruses mostly cause illness in babies, children, and teens. This is because most adults have already been exposed to many enteroviruses and have built up immunity.

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Enuresis (Bedwetting)

Enuresis is the medical term for wetting the bed. It means a child urinates without meaning to. Treatment usually means helping a child to form habits that will allow him to control his need to urinate.

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Eosinophilic Esophagitis (EoE)

Eosinophilic esophagitis is a condition in which large numbers of eosinophils, a white blood cell, build up inside the esophagus and cause inflammation.

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Ependymoma

Ependymomas are a type of a tumor that form in the brain or spinal cord (central nervous system) as a result of abnormal growth of ependymal cells.

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Epididymitis in Children

Epididymitis is an inflammation or infection of the epididymis. This is a thin, coiled tube that sits on top of a male testicle. In younger boys, this condition can be caused by a urinary tract infection. In older boys and teens, it's often caused by a sexually transmitted infection (STI).

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Epiglottitis in Children

The epiglottis is a flap of cartilage at the base of the tongue at the very back of the throat. When the epiglottis becomes swollen and inflamed, it is called epiglottitis.

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Epilepsy

Epilepsy is a neurological condition involving the brain that makes people more susceptible to having recurrent unprovoked seizures. The two broad categories of epileptic seizures are generalized and partial seizures.

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Epilepsy and Seizures in Children

Epilepsy is a brain condition that causes a child to have seizures. It is one of the most common disorders of the nervous system.

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Epilepsy During Pregnancy

Epilepsy is a disorder of the nervous system. It is also called a seizure disorder. Normally the body's nerves send information by electrical and chemical signals. People with epilepsy have abnormal electrical signals in the brain. This can cause a seizure. Seizures can cause severe shaking of muscles. Or they may be very mild with hardly any symptoms at all.

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Equipment That Is Used in the NICU

NICUs are equipped with complex machines and devices to monitor nearly every system of a baby's body--temperature, heart rate, breathing, oxygen and carbon dioxide levels, and blood pressure.

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Evaluating a Child for Birth Defects

Detailed information on evaluating a child for birth defects

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Evoked Auditory Potentials

Learn more about evoked auditory potentials.

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Ewing Sarcoma

Ewing sarcoma is a type of bone or soft tissue cancer. It is the second most common tumor of the bone and affects children and young adults.

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Ewing Sarcoma

This Helping Hand™ explains Ewing sarcoma which is a form of cancer that usually starts in the bone. The tumors, sometimes referred to as the Ewing Family of Tumors, include Ewing sarcoma, atypical Ewing sarcoma and peripheral primitive neuroectodermal (PNET) tumor of the bone.

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Ewing Sarcoma in Children

Ewing sarcoma is a rare type of cancer. It’s most common in children and teens between ages 10 and 19. It usually grows in bone, but it can also grow in soft tissue that’s connected to the bone. Read on to learn about symptoms, diagnosis, and treatment.

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Examples of Teratogens

Detailed information on examples of teratogens

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Exercise and Children

Exercise is an important part of keeping children healthy. Encouraging healthy lifestyles in children and teens is important for when they grow older.

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Exercise and Teenagers

Teens need at least 60 minutes of moderate to vigorous physical activity on most days for good health and fitness and for healthy weight during growth.

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Exercise Electrocardiogram (ECG) Testing for Children

Electrocardiography (ECG) is a simple, fast test to check the electrical activity of your child's heart as blood moves through it. Abnormal ECG results may mean there's a problem with your child's heart.

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Exercised Induced Asthma (EIA)

Exercise-induced asthma, also known as EIA, is breathing difficulty that is triggered by increased activity. There are many factors that contribute to EIA.

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Expressing Milk for Your High-Risk Baby

You will have to remove milk from your breasts on a regular basis if you are to provide enough of your milk for your high-risk baby.

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Expressing Your Milk - Helpful Equipment

Hospital-grade, electric breast pumps are the only pumps built for frequent and prolonged use. These pumps automatically cycle suction with release of suction—similar to a baby's sucking action.

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Extreme Prematurity

A birth that occurs any time prior to 37 weeks of pregnancy is considered premature. Sometimes that baby is referred to as preterm, near-term or a preemie. The most extreme issues occur in babies born at less than 28 weeks.

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Eye Disorders in Children

Detailed information on eye disorders in children

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Eye Injury Corneal Abrasion

The cornea is the clear part of the eye that covers the iris and pupil. A corneal abrasion is an injury caused by something scratching or rubbing the surface of the eye.

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Eye Medicine and Vitamin K Injection for Newborns

Newborn babies routinely receive eye medicine and a vitamin K injection soon after birth. Both prevent serious conditions.

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Eye Safety and First Aid

Detailed information on eye safety and tips to avoid eye injury

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Eye Trauma

Detailed information on eye trauma in children

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Eyeglasses and Contact Lenses

A child who needs vision correction may wear eyeglasses or contact lenses. Either one comes in a range of choices.

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Eyelid Lacerations in Children

Eyelid lacerations are cuts to the eyelid. They are caused by injury.

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Facial Paralysis

Facial paralysis is weakness or complete lack of motion of part or all of the face. It can cause issues involved with one or both sides of the face.


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Facioscapulohumeral Muscular Dystrophy

Facioscapulohumeral muscular dystrophy, also known as Landouzy-Dejerine, causes severe weakness in muscles of the face, shoulders and back.

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Facioscapulohumeral Muscular Dystrophy in Children

FSHD is a rare genetic muscle disease that affects the muscles of your child’s face, shoulders, upper arms, and lower legs.

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Factor V Leiden

In this Helping Hand™ document, we discuss Factor V Leiden, which is an inherited blood disorder. Doctors can find out if your child has Factor V Leiden by genetic testing.

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Factor V Leiden

Factor V (factor five) is a protein involved in the blood clotting process. Children born with Factor V Leiden produce a mutated form of Factor V that does not respond well to activated Protein C.

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Factors That May Lead to a Congenital Heart Defect (CHD)

In most cases of congenital heart defect, the cause is thought to be a combination of genetics and environment.

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Facts About Animal Bites and Scratches

Whether the bite is from a family pet or an animal in the wild, scratches and bites can become infected and cause scarring. Animals can also carry diseases that can be transmitted through a bite.

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Facts About Poisons

Medicines are the leading cause of poisoning in children. Poisoning by makeup and personal care products is the next most common cause.

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Failure to Thrive

Failure to thrive (FTT) is a term that is traditionally used for children who have failed to develop and grow normally. FTT occurs when a child is either not receiving enough calories or is unable to properly use the calories that are given, resulting in failure to grow or gain weight.

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Failure to Thrive (FTT) in Children

Failure to thrive (FTT) is slow physical development in a baby or child. It's caused by a baby or child not having enough nutrition.

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Failure to Thrive In Infants

Failure to Thrive (FTT) describes an infant or child who does not gain weight at the expected rate. The two kinds of FTT are organic and non-organic. Medical problems such as diarrhea or vomiting may be the cause of organic FTT.

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Falls

Detailed information on falls and preventing injuries and death in children

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Familial Adenomatous Polyposis (FAP)

Familial adenomatous polyposis (FAP), previously known as Gardner syndrome, is an inherited colorectal cancer syndrome characterized by the development of numerous adenomas throughout the digestive tract. Other organs of the body can be affected as well. FAP can be passed from one generation to the next or occur as a new genetically driven disorder.

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Family Support for Autism Spectrum Disorder

Having a child with autism spectrum disorder can be hard on the entire family. That's why it's so important to have a good support system in place. Read on to learn more.

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Fanconi Anemia

Fanconi anemia is a blood disorder in which the bone marrow doesn’t make enough blood cells or makes abnormal types of blood cells.

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Febrile Seizures

In some children, fever of 100.4˚ F or higher can bring on a seizure or a convulsion called febrile seizures. febrile seizures usually do not last long and do not cause brain damage, learning disabilities or epilepsy.

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Fecal Incontinence

Fecal incontinence is a very common problem in children. Soiling can be caused by medical conditions like chronic constipation or congenital conditions that may disrupt bowel control.

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Feeding A Child Who Has Cystic Fibrosis

Children with cystic fibrosis often have poor weight gain. This can happen even when they get enough calories. Read on for details on how to make sure your child gets enough nutrients--and what to do if your child isn't gaining weight.

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Feeding Disorders

Feeding disorders are characterized by extreme food selectivity by type, texture, brand, shape or color.

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Feeding Guide for the First Year

It's important to feed your baby a variety of healthy foods at the correct time. Learn more with this helpful guide.

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Female Growth and Development

Detailed information on female physical development

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Female Physical Development

Detailed information on female physical development

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Femoral Anteversion

Femoral anteversion is a condition where the femur (thigh) bone rotates inward. This rotation causes the knee and foot to point inward as well. It is known as intoeing or being “pigeon-toed”. Often parents first notice this intoeing when their child begins to walk. It becomes most noticeable around 4 to 6 years of age. Femoral anteversion may exist in one or both legs.

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Femoral Anteversion

Femoral anteversion is an inward turn of the thigh bone, which can cause the knees and toes to point in.

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Femoral Anteversion in Children

Femoral anteversion is an inward twisting of the thighbone (femur). This health problem causes a child's knees and feet to turn inward. The child may have a pigeon-toed appearance.

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Femoroacetabular Impingement

Femoroacetabular impingement (FAI) is a condition where extra bone grows on the bone(s) within the hip joint.

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Fetal Alcohol Spectrum Disorder (FASD)

A baby born to a mother who drinks alcohol during pregnancy can have many problems. This is called fetal alcohol spectrum disorder (FASD).

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Fetal Blood Sampling

Fetal blood sampling is a procedure to take a small amount of blood from an unborn baby (fetus) during pregnancy. Fetal blood sampling is usually done by a perinatologist with special training. This is a healthcare provider who specializes in the care of babies in high-risk pregnancies.

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Fetal Circulation

Through the blood vessels in the umbilical cord, the fetus receives all the necessary nutrition, oxygen, and life support from the mother through the placenta.

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Fetal Echocardiography

Fetal echocardiography (echo) uses sound waves to check the heart of your developing baby. Learn why the test is used, and what to expect before, during, and after this test.

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Fetal Growth Restriction

Fetal growth restriction is a condition in which an unborn baby is smaller than expected for the number of weeks of pregnancy (gestational age).

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Fetal Monitoring

In pregnancy and during labor, your health care provider will check your unborn baby’s heart rate and other functions. Monitoring can be done on the outside of your belly (external monitoring). Or it may be done directly on the baby while inside your uterus (internal monitoring). Fetal monitoring is a very common procedure.

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Fetal Movement Counting

Fetal movement counting is a way to check the health of a woman’s unborn baby (fetus). It’s often called kick counting. It’s done by counting the number of kicks you feel from your baby in the womb in a certain time period.

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Fever

In this Helping Hand™, we discuss fever, which is an increase in the body’s temperature above the normal range. Most doctors agree that a temperature over 101° F is a fever. Fevers lower than 101° F don't need to be treated unless your child is uncomfortable or has a history of febrile seizures.

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Fever in a Newborn Baby

The system that controls body temperature is not well developed in a newborn. Here's what you need to know about fever and your baby.

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Fever in Children

Read on to learn all about fever and children--from symptoms and treatment to how to take your child's temperature.

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Fibromyalgia in Children

Fibromyalgia is a condition that causes pain in muscles and soft tissues all over the body. It is an ongoing (chronic) condition. It can affect the neck, shoulders, back, chest, hips, buttocks, arms, and legs.

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Fifth Disease (Erythema Infectiosum)

Fifth disease is a mild illness caused by a virus. Symptoms include a blotchy rash that begins on the cheeks and spreads to the arms, legs and torso.

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Fifth Disease in Children

Fifth disease is a viral illness that causes a rash. It occurs most often in the winter and spring.

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Fire Safety and Burns

Detailed information on fire safety and burns and preventing injuries and death in children

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Fire Safety and Burns Overview

Know the types of burns you can get and how to keep you and your family safe.

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Fire Safety and Burns—Identifying High-Risk Situations

Children are at increased risk for serious fire and burn injuries and death because they have thinner skin than adults. This results in burns at lower temperatures.

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Firearms

Detailed information on firearm safety and preventing injuries and death in children

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First Aid for a Choking Baby

If your baby is choking, first aid may clear the airway so your baby can breathe. Read on to learn what to do.

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First Aid for Poisonings in a Child

Sometimes accidental poisonings can be treated in the home under the direction of a poison control center or your child's healthcare provider. At other times, emergency medical care is necessary.

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First Aid for the Eyes

A helpful guide to treating different types of eye injuries.

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First-Degree Burn in Children

A burn is damage to tissues of the body caused by contact with things such as heat, radiation, or chemicals. A first-degree burn affects only the outer layer of skin (epidermis).

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Flat or Inverted Nipples

Detailed information on breastfeeding and flat or inverted nipples.

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Flea, Mite, or Chigger Bites in Children

Fleas, mites, and chiggers are different kinds of small insects. They are also parasites. This means they feed off the blood, skin, or both of animals and humans. These insects are more common in the warm weather. They bite skin and cause symptoms such as bumps, redness, pain, or itching.

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Flossing and Children

Flossing should be started when your child is about 2 to 3 years old, under the direction of your child's dentist. Read on for helpful tips, including step-by-step flossing directions.

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Fluoride and Children

Fluoride helps prevent tooth decay, strengthens tooth enamel, and reduces the harmful effects of plaque.

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Folliculitis

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Folliculitis

Folliculitis is a common inflammation of the hair follicles, which are the openings in the skin where the hair grows. The rash appears as small red bumps or pus bumps that can itch or be mildly painful.

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Folliculitis, Furuncles, and Carbuncles in Children

Bacteria on the skin can cause an infection of one or more hair follicles. A hair follicle is the base or root of a hair.

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Food Allergies in Children

A food allergy is when your child’s body has a bad immune reaction to a certain food. This is different than a food intolerance which does not affect the immune system. This is true even though some of the same signs may be present.

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Food Allergy

A food allergy is when the immune system mistakenly responds to a food protein, resulting in inflammation or damage to the intestinal tract. Allergies can present with an immediate or a delayed reaction.

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Food Allergy and Parenting

This Helping Hand™ offers advice on parenting a child with food allergies. You have watched your child’s food and surroundings from an early age. You have also worked hard to speak to others, such as family, friends, and your child’s school, about keeping them safe from their allergen(s).

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Food Poisoning

When people eat tainted food, they can develop anything from a mild illness to a serious disease. Germs that cause food poisoning include Campylobacter, E-Coli, Salmonella and Shigella.

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Foot Sprain or Strain

A foot sprain is a stretching or tearing of the ligaments that connect the bones of the foot. A foot strain is a stretching or tearing of the tendons and muscles in the foot.

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For Parents: Important Decisions to Be Made in the Dying Process

Detailed information on important decisions to be made when a child is dying, including the right to refuse treatment, to die at home versus the hospital, advanced directives, do not resuscitate, autopsy, organ donation, palliative hospice care, and funeral arrangements.

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For Parents: Signs That Your Child Is Being Bullied

Bullying is very common. About 1 in 5 children and teens ages 12 to 18 report that they were bullied over the last 12 months.

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For Parents: What to Do if Your Child Is a Bully

Here’s what you can do as a parent to stop the bullying.

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Foreign Bodies in the Ear, Nose, and Airway

Children usually place things in their ears because they are bored, curious, or copying other children. Some objects may cause no symptoms, but other objects, such as food and insects, may cause pain in the ear, redness, or drainage.

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Foreign Bodies in the Eye in Children

A foreign body in your child’s eye is any object that isn’t supposed to be there. The foreign object may be in the conjunctiva. This is a thin membrane that covers the white of the eye. Or it may be in the cornea. This is the clear, dome-shaped surface that covers the colored part of the eye and the pupil.

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Fractures in Children

A fracture is a partial or complete break in the bone. When a fracture happens, it is classified as either open or closed.

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Fractures of the Orbit in Children

An orbital fracture happens when one or more bones around one of your child's eyes is broken. The orbit is the bony structure around the eye.

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Frostbite

Frostbite is damage to the skin and underlying tissues caused by the cold. It occurs most often on small, exposed areas of the body such as the hands and fingers, feet and toes, and the ears, nose and cheeks.

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Frostbite and Frostnip in Children

Frostbite is damage to parts of the body from freezing. It occurs when ice crystals form in the skin or in deeper tissue. Frostnip is a mild form of frostbite. It does not cause permanent tissue damage.

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Fungal Infections

Detailed information on fungal skin infections, including Candidiasis, Tinea Infections, and Tinea Versicolor

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Ganglion Cysts

A ganglion cyst is a fluid-filled lump under the skin, often over a joint or in a tendon in the hand or wrist. If the cyst appears on top of the wrist, it is called a dorsal wrist ganglion cyst. A cyst on the palm side of the wrist is a volar wrist ganglion cyst. These cysts are usually harmless.

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Gastroesophageal Reflux

Gastroesophageal reflux, also known as chalasia or spitting up, is so common that it should be considered normal for babies. In infants, the sphincter that keeps food in the stomach is not as strong, so some formula or food can come back up. Reflux can cause heartburn which may make the baby fussy.

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Gastroesophageal Reflux Disease (GERD) in Infants

In this Helping Hand™ document, we discuss Gastroesophageal Reflux Disease, also known as GERD, in infants. This document provides tips on feeding your child, medications, positioning and safe sleep to help you manage your infant's reflux. Call your child's doctor if they fail to gain weight.

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Gastroparesis

Gastroparesis is a condition that causes food and liquid to stay in the stomach for a long time.

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Gastroschisis

Gastroschisis is a defect in the abdominal wall. Part of the intestine is outside of the baby's body, rather than inside the abdomen.

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Gastroschisis

When the muscles and skin fail to form normally in the abdominal wall, this results in an abdominal wall defect. Gastroschisis is the most common of the abdominal wall defects. Babies born with gastroschisis have a hole in the abdominal wall.

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Generalized Anxiety Disorder (GAD) in Children and Teens

Generalized anxiety disorder (GAD) is a mental health problem. A child with GAD has a lot of worry and fear that seems to have no real cause.

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Genetic Disorders Associated with Congenital Heart Disease

Detailed information on congenital heart disease, including patent ductus arteriosus, atrial septal defect, ventricular septal defect, atrioventricular canal, tricuspid atresia, pulmonary atresia, transposition of the great arteries, tetralogy of Fallot, double outlet right ventricle, truncus arteriosus, coarctation of the aorta, aortic stenosis, and hypoplastic left heart syndrome

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Genital Herpes

It's important not to get genital herpes during pregnancy. A first episode during pregnancy raises the risk of passing the disease on to your baby.

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Genital Warts

The Human Papilloma Virus (HPV) commonly causes genital warts. In females, these warts can occur around the vagina, on the cervix or around the rectum. Some strains of HPV can cause different types of cancer, however, most do not.

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Genital Warts (HPV Infection)

Genital warts are skin-colored, cauliflower-like, painless growths. They are caused by the Human Papilloma Virus (HPV). Genital warts are usually spread by sexual contact. During pregnancy or delivery, the HPV virus can be passed on to the baby from an infected mother.

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Genital Warts in Babies and Children

Genital warts are common skin-colored growths that are caused by the Human Papilloma Virus (HPV). In males, they can occur on the penis or around the rectum. In females, they can occur around the vagina or rectum. Treatment includes freezing with liquid nitrogen or applying topical medicine.

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GERD (Gastroesophageal Reflux Disease) in Children

GERD, or gastroesophageal reflux disease, is a long-term (chronic) digestive disorder. It happens when stomach contents flow back up (reflux) into the food pipe (esophagus).

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Germ Cell Tumors (GCTs) in Children

Germ cells form as a baby grows in the womb. The cells usually form the eggs (ova) in females and the sperm in males. Germ cell tumors are made up of these underdeveloped cells. The tumors may be cancer (malignant) or not cancer (benign).

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Gestational Hypertension

Gestational hypertension is high blood pressure in pregnancy. It occurs in about 3 in 50 pregnancies.

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GI Bleeding (Upper and Lower)

Pediatricians and pediatric gastroenterologists see this quite regularly. It is estimated that GI bleeding accounts for 1% of all pediatric hospitalizations.

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Giant Neck Mass

A giant neck mass is an abnormal growth of the neck. There are two different types of masses including cervical teratomas and lymphatic malformations. The cause of it is unknown, but it can be treated.

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Glomerulonephritis

Glomerulonephritis is a kidney disease that involves inflammation of tiny filter units in the kidneys called glomeruli. Due to inflammation, these filters can leak blood and protein into the urine. Symptoms may include dark brown-colored urine (from blood and protein) and diminished urine output.

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Glomerulonephritis in Children

Glomerulonephritis is a type of kidney disease that makes it hard for the kidneys to filter blood from urine.

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Gonadal Dysgenesis

Gonadal dysgenesis, also known as 46XY gonadal dysgenesis and Swyer syndrome, is a condition in which the ovaries or testes (gonads) did not form the right way during pregnancy. Treatment may include surgery or hormone therapy.

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Gonadotropin-Independent Precocious Puberty

Puberty that happens early is called precocious puberty. Gonadotropin-independent precocious puberty is caused by early secretion of high levels of sex hormones. These include the male androgens and female estrogens.

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Gonorrhea

Gonorrhea is a sexually transmitted infection (STI) caused by the germ Neisseria gonorrhoeae. Anyone that is sexually active is at risk of getting gonorrhea. Those who have had more than one sexual partner are at higher risk of getting infected.

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Granuloma Annulare

Granuloma annulare is a raised, bumpy ring-like rash. This starts as a smooth bump on the skin and becomes a circular ring. Granuloma annulare is common, but no one knows what causes it. It is not infectious or contagious. Granuloma annulare is often mistaken for ringworm or bug bites.

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Graves' Disease

This Helping Hand™ explains the causes, signs and symptoms, and treatment for Graves' disease.

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Graves Disease in a Newborn (Neonatal Graves Disease)

Graves disease is an autoimmune disease. The immune system normally protects the body from germs with chemicals called antibodies. But with an autoimmune disease, it makes antibodies that attack the body’s own tissues. With Graves disease, antibodies cause the thyroid gland to make too much thyroid hormone. This is known as hyperthyroidism. Extra thyroid hormone in the bloodstream leads to the body's metabolism being too active.

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Graves Disease in Children

Graves disease is an autoimmune disease. With this disease, antibodies cause the thyroid gland to make too much thyroid hormone. This is known as hyperthyroidism. Excess thyroid hormone in the bloodstream leads to the body's metabolism being too active. It can cause problems such as weight loss, nervousness, fast heartbeat, tiredness, and other issues. It’s an ongoing (chronic) condition that needs lifelong treatment.

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Graves Disease in Pregnancy

Graves disease is a condition where the thyroid gland makes too much thyroid hormone. This is called hyperthyroidism or overactive thyroid. Graves disease is the most common cause of hyperthyroidism during pregnancy.

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Greater Trochanter Bursitis

A bursa is a fluid-filled sac, like a water balloon. It reduces rubbing between the bone and the surrounding soft tissue, like muscles, ligaments, and tendons. Bursitis occurs when there is swelling and pain in a bursa.

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Grief and Bereavement

The process of grieving is often long and painful for parents, siblings, relatives, friends, peers, teachers, neighbors, and anyone that understands the loss of a child.

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Growth and Development in Children with Congenital Heart Disease

Children with congenital heart disease often grow and develop more slowly than other children. Here's what you should know.

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Growth Hormone Deficiency in Children

Growth hormone (GH) deficiency is when the pituitary gland doesn't make enough growth hormone. GH is needed to stimulate growth of bone and other tissues. This condition can occur at any age. GH deficiency does not affect a child's intelligence.

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Growth in Children

Detailed information on growth in children, including normal growth, newborn screening tests, growth problems, growth hormone deficiency, and achondroplasia

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Growth Plate Injuries

The physis, or growth plate, is an area of growing bone near the ends of long bones. Bones grow longer from the tissue produced by the physis and then harden.

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Growth Problems in Children

A growth problem means that a child falls either below or above the average range of growth for a child's age, sex, family history, or racial background.

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Growth-Related Disorders

Detailed information on the most common growth-related disorders in children

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Guillain-Barré Syndrome in Children

Guillain-Barré syndrome (GBS) is a short-term but often life-threatening disorder that affects the nerves in the body. GBS can cause muscle weakness, pain, and short-term (temporary) paralysis of the facial, chest, and leg muscles.

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Gynecological and Menstrual Conditions

Detailed information on the most common gynecological and menstrual conditions that affect adolescents

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Gynecological Health

Detailed information on gynecological health of a child

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Gynecological Infections

Detailed information on gynecological problems in a child

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Gynecomastia

Gynecomastia refers to enlarged breasts in males. This condition is common in teenagers and often resolves on its own. However, if it persists for longer than 12 months, it may benefit from breast surgery.

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Gynecomastia

This Helping Hand™ is about gynecomastia and explains what it is, how it is treated and what the symptoms are.

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H. Pylori

H. pylori, also known as Helicobacter pylori, is a bacteria that infects the stomach. Although common, this infection rarely shows any signs or symptoms. 

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Haemophilus Influenzae Infections in Children

Haemophilus influenzae (H. influenzae) is a group of bacteria that can cause different types of infections in babies and children. H. influenzae most often cause ear, eye, or sinus infections. They also cause pneumonia.

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Haemophilus Influenzae Type b (Hib)

Haemophilus influenzae type b is a serious bacterial disease that usually strikes children younger than 5. It is spread from person-to-person by coughing and sneezing.

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Hamstring Strain

A hamstring strain is a stretching or tearing of the hamstring muscles located in the back of the thigh. Hamstring strains are usually caused by an over-stretching of the muscle. Symptoms of a hamstring strain include immediate pain in the muscle, pain with movement and swelling or bruising.

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Hand, Foot and Mouth Disease

Hand, foot and mouth Disease (HFMD) is a common illness caused by a virus. Early symptoms of HFMD are much like a common cold. After a day or two, you might see small painful sores (ulcers) on the throat and tonsils and a rash of very small blisters or red spots on the hands, feet and diaper area.

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Hand-Foot-and-Mouth Disease in Children

Hand-foot-and-mouth disease is an illness caused by a virus. It causes a rash on the palms of the hands and soles of the feet. It can also occur in the diaper area, and on the legs and arms.

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Hashimoto's Thyroiditis

This Helping Hand™ explains the causes, signs and symptoms, and treatment for Hashimoto’s Thyroiditis.

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Head Injury - Concussion

This Helping Hand™ covers what a concussion is, as well as what to look for and do if you think your child has a concussion.

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Head Injury in Children

The more common causes of head injury in children are falls, motor vehicle accidents—in which the child is either a passenger or a pedestrian—or a result of child abuse.

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Head Lice

Head lice are tiny, six-legged insects that spend their entire life on human heads. Nits are the eggs of the lice. Nits look like bits of dandruff in the hair but do not flake off when touched. Lice are usually spread from child to child when sharing clothing, combs or brushes.

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Head Lice in Children

Head lice are tiny parasitic bugs that can infest the skin. They live on people’s heads and feed on their blood. Head lice can cause intense itching.

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Headaches

Most headaches in children are not serious. Children’s headaches are very rarely from serious diseases or physical problems. Because of their young age, children may not know how to describe pain. Symptoms of headaches include acting quieter or moodier than normal and a drop in their activity.

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Headaches in Children

Many headaches in children may be caused by tight muscles and dilated blood vessels in the head. Other headaches may be caused by an actual problem, such as a tumor or malformation of the brain, although this is much less common.

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Headaches in Children

Headaches are common in children and teens. There are many types of headaches. Each type has their own treatment.

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Headaches: Migraine

Migraine headaches occur when there are changes in some of the nerves and blood vessels and are common in children.

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Health Maintenance

Detailed information on proper health maintenance for a child

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Health Promotion and Common Problems

Detailed information on health promotion and common health problems in children

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Healthy Diets Overview

Eating healthy is an important part of a healthy lifestyle and is something that should be taught to children at a young age.

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Healthy Eating During Adolescence

Encourage your teen to eat three balanced meals a day, with fruits or vegetables as snacks.

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Healthy Lifestyles

Detailed information on healthy lifestyle choices for teenagers

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Healthy Sleep Habits

The normal amount of sleep varies depending on the age of your child. Read on for helpful tips to create healthy sleep habits, plus a chart of normal day and night sleep times by age.

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Hearing Aids for Children

Hearing aids can help improve hearing and speech, especially in children with hearing loss in the inner ear caused by damaged hair cells or a damaged hearing nerve. Read on to learn about the types of hearing aids available, and what to think about before buying one.

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Hearing Loss in Babies

Hearing loss in babies is rare in this country. But when it does happen, it's important to diagnose it early. Undetected hearing loss can delay speech and language development.

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Hearing Loss in Children

A look at the 3 different types of hearing loss and what causes them.

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Hearing Screening Tests for Newborns

Today nearly all newborns are screened for hearing loss. Here's a look at why, and the types of screening tests that are done.

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Hearing Testing

Learn more about hearing tests for children.

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Hearing, Speech, and Language

Detailed information on hearing, speech, and language in children

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Heart Defects Causing Obstructions to Blood Flow

Detailed information on heart defects that cause obstructions in blood flow

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Heart Defects Causing Too Little Blood Flow Through the Lungs

Detailed information on heart defects that cause too little blood flow through the lungs

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Heart Defects Causing Too Much Blood Flow Through the Lungs

Detailed information on heart defects that cause extra blood flow through the lungs

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Heart Disorders

Detailed information on heart disorders in high-risk newborns

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Heart Failure

Heart failure means the heart’s ability to squeeze is weakened. As a result, the heart cannot pump enough oxygen and nutrients to meet the body’s needs. 

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Heart Failure in Children

Heart failure is when the heart can't pump enough blood to the body. In children, it is often caused by a congenital heart defect.

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Heart Murmurs

Murmurs are extra or unusual sounds made by blood circulating through the heart's chambers or valves, or through blood vessels near the heart.

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Heart Murmurs in Children

Heart murmurs are extra or unusual sounds made by blood moving through the heart. Many children have heart murmurs. Some cause no problems or go away over time. Others need treatment.

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Heart Transplant for Children

A heart transplant is a surgery to replace a diseased heart with a healthy one from an organ donor. This topic describes the transplant surgery for children and what to expect from it.

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Heart-Healthy Eating for Children

This offers detailed information on heart-healthy eating for children.

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Heat-Related Illnesses (Heat Cramps, Heat Exhaustion, Heat Stroke)

Children and teens are at greater risk for heat-related illnesses for several reasons. They adjust more slowly to changes in air temperature. They also make more heat with activity and sweat less.

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Helicobacter Pylori in Children

H. pylori (Helicobacter pylori) is a spiral-shaped germ (bacteria) that infects the stomach. It can damage the tissue in your child’s stomach and the first part of the small intestine (duodenum). This can cause redness and swelling (inflammation). It may also cause painful sores called peptic ulcers in the upper digestive tract.

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HELLP Syndrome

HELLP syndrome is a rare but life-threatening condition in pregnancy. It causes red cells in the blood to break down. It also causes problems with the liver, bleeding, and blood pressure. It's often linked with preeclampsia and eclampsia. It often develops before delivery. But it may also occur after delivery.

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Hemangioma and Vascular Malformations

The treatment of a hemangioma is usually observation. Some hemangiomas can cause problems if they bleed or press on important nearby structures, such as the eye or the upper airway. Venous malformations, lymphatic malformations and arteriovenous malformations require a multidisciplinary approach.

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Hemangiomas

This Helping Hand™ explains different types of hemangiomas and how they're benign (noncancerous). 

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Hemifacial Microsomia (HFM) in Children

Hemifacial microsomia (HFM) is a congenital disorder. This means that your child is born with it. In this condition, one side of your baby’s face is underdeveloped (hemi means half). HFM usually only affects one side of the face. Sometimes both sides may be affected.

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Hemoglobin C Disease

Most people carry hemoglobin A in their red blood cells. Those who carry hemoglobin C, considered an abnormal variation, may develop hemoglobin C disease. This blood disorder develops because the red blood cells break down earlier than they should, leaving too few in the blood and leading to mild anemia.

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Hemoglobin E Trait

Hemoglobin E trait is an inherited blood disorder. That means it's passed down through your parent’s genes. Read on to learn more.

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Hemoglobinopathy

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Hemolytic Anemia in Children

Hemolytic anemia is a group of disorders in which the red blood cells are destroyed faster than the bone marrow can make them. Learn more about the causes, symptoms, diagnosis, and treatment.

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Hemolytic Disease of the Fetus and Newborn (HDFN)

Hemolytic disease of the fetus and newborn (HDFN) is a blood disorder that causes a baby’s red blood cells to break down quickly (hemolysis). HDFN occurs when there is a mismatch between the mother’s and baby’s blood type and/or Rh factor during pregnancy. Hemolysis causes anemia and jaundice.

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Hemolytic Disease of the Newborn (HDN)

Hemolytic disease of the newborn (HDN) is a blood problem in newborns. It occurs when your baby's red blood cells break down at a fast rate.  It’s also called erythroblastosis fetalis.

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Hemolytic Uremic Syndrome in Children

Hemolytic uremic syndrome (HUS) is a rare condition that can lead to kidney failure. The syndrome harms the small structures and vessels inside the kidneys. HUS causes red blood cells to clog the tiny blood vessels in the kidneys. It may cause damage to the kidney tissues.

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Hemophilia

Hemophilia is an inherited bleeding disorder. People with hemophilia can’t stop bleeding because they don’t have enough clotting factor in their blood. Clotting factors are needed for blood to clot. Blood clots to prevent excessive bleeding.

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Hemophilia

Hemophilia is an inherited blood disorder. In hemophilia, a blood clotting factor is missing. In Hemophilia A, Factor VIII (8) is missing. In Hemophilia B, Factor IX (9) is missing. Without these factors, blood will not clot well. People with hemophilia are born with the disorder. It is not contagious.

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Hemophilia Carrier

A hemophilia carrier is a female who has the gene that causes hemophilia A or hemophilia B deficiency.

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Hemorrhagic Stroke

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Henoch-Schonlein Purpura (HSP)

HSP results from inflammation of small blood vessels in the skin and other organs in the body.

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Hepatitis B

The hepatitis B virus is one of the several viruses that can cause hepatitis. Hepatitis is an inflammation of the liver. Hepatitis B is caused by a virus found in blood, semen, vaginal secretions and saliva. It is mainly spread through unprotected sexual activity or exposure to blood.

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Hepatitis B Virus (HBV) in Children

An infant or young child who contracts hepatitis B is at greater risk of staying infected with the virus and of having lifelong liver problems, such as scarring of the liver and liver cancer.

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Hepatitis in Children

Hepatitis is an inflammation of the liver. It can damage and destroy liver cells.

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Hepatoblastoma in Children

Hepatoblastoma is a very rare cancer. It’s a tumor that starts in the liver. The cancer cells are similar to fetal liver cells. It usually affects children less than 3 to 4 years of age.

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Hepatocellular Carcinoma

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Hereditary Multiple Osteochondromas

Hereditary multiple osteochondromas (HMO) is a rare genetic disorder. Children develop non-cancerous (benign) bone tumors called osteochondromas. Knees, shoulders, ankles and wrists are the most common sites for osteochondromas.

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Hereditary Retinoblastoma

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Herpangina in Children

Herpangina is a very common illness in children. It causes small blisterlike bumps or sores (ulcers) in the mouth.

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Herpes Simplex Virus

Herpes simplex virus (HSV) is a very contagious virus that causes infections. There are two types of HSV. One type (HSV-1) usually causes sores around the lips or inside the mouth that are sometimes called fever blisters or cold sores. The other type (HSV-2) usually causes sores on the genitals.

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Herpes Simplex Virus (Cold Sores) in Children

Cold sores are small blisters around the mouth caused by the herpes simplex virus. Once a child is infected with the virus, the virus becomes inactive (dormant) for long periods of time. It can then become active at any time and cause cold sores.

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Heterotaxy Syndrome

Heterotaxy syndrome, also called isomerism, occurs when the heart and other organs are in the wrong place in the chest and abdomen. This complex heart condition commonly affects the lungs, liver, spleen, stomach and intestines. There are two types: right atrial isomerism and left atrial isomerism

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Hidradenitis Supperativa (HS)

Hidradenitis suppurativa (HS) is a long-term (chronic) skin condition. Plugged pores and red, tender bumps or boils begin deep in the skin around hair follicles that contain specific sweat glands called apocrine glands. The tender bumps often enlarge, break open and drain pus.

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High Blood Pressure

High blood pressure, also known as hypertension, means that there is higher than normal pressure inside the arteries either during systole (when the heart contracts and pumps blood through the body), or during diastole (when the heart relaxes and fills with blood).

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High Blood Pressure in Children and Teens

Blood pressure is the force of the blood pushing against the artery walls. High blood pressure (hypertension) means that the pressure inside the arteries is too high. This higher pressure may harm the arteries and cause the heart to work harder.

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High Cholesterol

Cholesterol is a fatty yellow substance. It is made by your liver from the fats, carbohydrates and proteins in the food you eat. Learn more from Nationwide Children's. 

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High-Grade Gliomas

High-grade gliomas are fast-growing cancers that form in the brain or spinal cord. Surgery, radiation, and targeted therapies can help. High-grade gliomas are more aggressive and can grow quickly. They are the second most common type of malignant brain tumor in children.

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High-Risk Newborn Blood Disorders

Detailed information on blood disorders that place a newborn at higher risk and require clinical care by a physician or other healthcare professional

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Hip Dysplasia

Hip dysplasia, also known as developmental dysplasia of the hip (DDH), is an issue that is present at birth. In a child with DDH, the hip socket is shallow. As a result, the head of the femur may slip in and out. It may dislocate. This means it moves partly or completely out of the hip socket.

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Hip Flexor Strain

The hip flexor muscles are in the front of the thigh. They are made up of the iliopsoas (i-lee-uh-sow-uhs), sartorius (saar-taw-ree-is), and rectus femoris (rek-tuhs feh-mr-uhs) muscles. They allow the hip to lift up, or flex. Muscle attaches to bone via a tendon.

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Hip Pointer (Iliac Crest Contusion)

A hip pointer is a bruise to the bone on the side of the hip called the iliac crest. It is usually from a direct hit to the hip. Bruises cause bleeding from small blood vessels that split, allowing blood to leak into the muscles, tendons, or other soft tissues.

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Hirschsprung Disease

Hirschsprung disease, also known as megacolon, is a congenital condition that causes blockage of the intestine. The blockage is caused by a lack of nerves in the bottom segment of the colon. Children with Hirschsprung disease will need surgery to remove the non-functional segment of the intestine.

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Hirschsprung Disease (HD)

In Hirschsprung disease, the nerves in the colon, also known as the large intestine or bowel, that move stool forward did not form. Hirschsprung disease can affect a small part of the colon or the entire colon. In rare situations, it can move into the small intestine, as well.

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HIV Home Care for a Child

Detailed information on HIV home care for your child

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HIV Infection/AIDS

HIV (human immunodeficiency virus) is a virus that causes a number of different health problems including AIDS (acquired immune deficiency syndrome). The HIV virus is passed from person to person through sexual contact, contact with blood from an infected person, or from mother to infant.

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HIV/AIDS and Pregnancy

A mother with HIV can pass the virus to her baby during pregnancy, labor and delivery, and breastfeeding.

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Hives

In this Helping Hand™ we will discuss the causes and treatment of hives, as well as how to prevent them and when to seek help from a doctor.

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Hoarse Voice (Dysphonia)

Dysphonia, also known as hoarseness, refers to having an abnormal voice. For those affected by dysphonia, the voice can be described as hoarse, rough, raspy, strained, weak, breathy or gravely. There may also be voice breaks and pitch changes. Causes may include inflammation, growths and scarring.

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Hodgkin Lymphoma

Hodgkins Lymphoma (also known as Hodgkin’s Disease) is a form of cancer of the lymphatic system. The lymphatic system is a part of the circulatory system. It plays a main role in fighting infection. It is made up of hundreds of lymph nodes.

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Hodgkin Lymphoma in Children

Hodgkin lymphoma is a type of cancer in the lymphatic system. The lymphatic system is part of the immune system. It helps to fight diseases and infections. The lymphatic system also helps with balancing fluids in different parts of the body.

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Holter Monitoring for Children

Holter monitoring is a way to continuously check the electrical activity of the heart. Your child will wear a small device called a Holter monitor for at least 24 to 48 hours. The device constantly checks your child's heart during this time.

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Home Care for Children with Sickle Cell Disease

Although a child who has sickle cell disease should be under a health care provider's care, parents can do many things at home to reduce symptoms and maintain the child's health.

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Home Page - Adolescent Medicine

Detailed information on adolescent medicine, including growth and development, cognitive development, relationship development, health and injury problems, and safety

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Home Page - Allergy, Asthma, and Immunology

Detailed information on allergy, asthma, and immunology

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Home Page - Burns

Detailed information on burns, including anatomy, classification, treatment, and prevention

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Home Page - Cardiovascular Disorders

Detailed information on cardiovascular diseases in children

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Home Page - Care of the Terminally Ill Child

Detailed information on care of the terminally ill child

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Home Page - Child and Adolescent Mental Health

Detailed information on child and adolescent mental health disorders

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Home Page - Common Childhood Injuries and Poisonings

Detailed information on the common poisonings and injuries of children

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Home Page - Craniofacial Anomalies

Detailed information on craniofacial anomalies, including Cleft Lip, Cleft Palate, Craniosynostosis, Deformational Plagiocephaly, Hemifacial Microsomia, Vascular Malformations, and Hemangiomas

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Home Page - Dental and Oral Health

Detailed information on dental and oral health in children

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Home Page - Dermatology and Children

Detailed information on dermatology and children

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Home Page - Diabetes and Other Endocrine and Metabolic Disorders

Detailed information on diabetes and other endocrine and metabolic disorders that affect children

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Home Page - Digestive and Liver Disorders

Detailed information on digestive disorders in children

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Home Page - Ear, Nose, and Throat

Detailed information on ear, nose, and throat disorders in children

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Home Page - Eye Care and Children

Detailed information on eye disorders in children

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Home Page - Genitourinary and Kidney Disorders

Detailed information on genitourinary and kidney disorders in children

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Home Page - Growth and Development

Detailed information on proper health maintenance for a child

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Home Page - Hematology and Blood Disorders in Children

Detailed information on blood disorders, including Anemia, Aplastic Anemia, Hemolytic Anemia, Iron Deficiency Anemia, Megaloblastic Anemia, Sickle Cell Anemia, Thalassemia, Alpha Thalassemia, Beta Thalassemia (Cooley's Anemia)

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Home Page - High-Risk Newborn

Detailed information on high-risk newborns

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Home Page - High-Risk Pregnancy

Detailed information on high-risk pregnancy

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Home Page - Infectious Diseases in Children

Detailed information on infectious diseases in children

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Home Page - Medical Genetics

Detailed information on medical genetics, including chromosome abnormalities, single gene defects, multifactorial inheritance, teratogens, and non-traditional inheritance

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Home Page - Neurological Disorders

Detailed information on neurological disorders in children

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Home Page - Normal Newborn

Detailed information on newborn care

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Home Page - Oncology

Detailed information on cancer in children

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Home Page - Orthopedics

Detailed information on orthopedic disorders in children

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Home Page - Pediatric Arthritis and Other Rheumatic Diseases

Detailed information on pediatric arthritis and other rheumatic diseases

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Home Page - Respiratory Disorders in Children

Detailed information on respiratory disorders in children

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Home Page - Safety and Injury Prevention

Detailed information on safety and injury prevention of children

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Home Page - The Child Having Surgery

Detailed information on surgery in children

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Home Page - Transplantation

Detailed information on transplantation in children

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Home Wound Care

Your child may come home with unhealed areas that still need dressing changes. You will be trained on how to change dressings before you leave the hospital.

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Horseshoe Kidney (Renal Fusion) in Children

Horseshoe kidney is when the 2 kidneys join (fuse) together at the bottom. They form a U shape like a horseshoe.

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Hospice Care for a Child

The goal of hospice care is to provide the terminally ill child peace, comfort, and dignity.

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Hospital Visit/Preoperative Clinic

Touring the hospital before surgery can help your child see the sights, sounds, and events they will experience the day of surgery. It is a nonthreatening, often reassuring, way to learn about the hospital.

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How Breastmilk Is Made

Detailed information on how breastmilk is made for breastfeeding.

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How the Liver Works

Detailed information on how the liver works, including a full-color, labeled illustration of the digestive system

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How to Manage Hearing Loss in Children

A look at the healthcare team members involved in diagnosing a child's hearing loss, and different ways of managing hearing loss.

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Human Papillomavirus (HPV)

Human papillomavirus (HPV) is the most common sexually transmitted infection (STI). Anyone who is sexually active is at risk of getting HPV.

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Human Parainfluenza Viruses (HPIVs) in Children

Human parainfluenza viruses (HPIVs) are a group of viruses that cause different types of respiratory infections. They are more common in children and babies. But they can occur in people of any age, especially those with a weak immune system.

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Hydramnios

In this condition, there is too much amniotic fluid around your baby during pregnancy. It happens in about 1 in 100 pregnancies.

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Hydrocele

Hydrocele is a collection of clear or yellow fluid around the testicle within the scrotum. Many male newborns have small hydroceles present at birth, most of which will go away on their own within the first year and do not require surgery.

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Hydrocele in Children

A hydrocele is fluid buildup in the thin pouch that holds the testes in the scrotum. Up to 1 in 10 baby boys have a hydrocele at birth. In most cases, it goes away without treatment in the first year.

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Hydrocephalus

A baby with hydrocephalus has extra fluid around the brain. This fluid is called cerebrospinal fluid (CSF). Too much CSF can increase the pressure in your baby’s head. This causes the bones in your baby’s skull to expand and separate. The baby's head may look larger than normal.

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Hydrocephalus

Hydrocephalus occurs when too much fluid builds up inside the spaces around the brain. This fluid, called cerebrospinal fluid (CSF), surrounds and cushions the brain and spinal cord. Hydrocephalus can be caused by a blockage in the flow or reabsorption of CSF, causing extra fluid to build up.

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Hydronephrosis

Hydronephrosis is a radiology term for swelling or fluid in the kidney. Hydronephrosis can be a sign of other kidney or bladder problems or developmental issues

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Hydrops Fetalis

Hydrops fetalis is severe swelling (edema) in an unborn baby or a newborn baby. It is a life-threatening problem.

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Hydroureter

Hydroureter is when the ureter gets bigger than normal due to a backup of urine.

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Hymen Variants

Hymen is a thin piece of tissue located at the opening of the vagina. The hymen needs to be open to allow menstrual blood and normal secretions to exit the vagina. Hymens come in different shapes including imperforate hymen, microperforate hymen, cribiform hymen and septate hymen.

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Hyperbilirubinemia in the Newborn

Hyperbilirubinemia happens when there is too much bilirubin in your baby’s blood. Bilirubin is made by the breakdown of red blood cells. It’s hard for babies to get rid of bilirubin. It can build up in their blood, tissues, and fluids.

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Hyperhidrosis

Sweating (or perspiration) is a normal body function that helps to maintain body temperature and prevent overheating. An increased, unusual amount of sweating is called hyperhidrosis. The three types of hyperhidrosis are primary focal, generalized idiopathic and secondary generalized.

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Hypermobile Joints

Hypermobile joints, also known as loose joints, describes the ability of a joint to move beyond its normal range of motion. People with hypermobile joints are sometimes referred to as being double jointed. Benign hypermobility syndrome can lead to weak, loose ligaments and joint instability.

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Hyperparathyroidism in Children

Hyperparathyroidism is when the parathyroid glands make too much parathyroid hormone. The condition is rare in children.

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Hypertelorbitism

Hypertelorism, also known as orbital hypertelorism, is an abnormally increased distance between the orbits (the bony sockets holding the eyes).

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Hypertension (High Blood Pressure)

Hypertension, also called high blood pressure, can cause damage to the arteries and organs over time. It is estimated that about 3-4% of children have hypertension.

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Hyperthyroidism

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Hyphema

Hyphema is a collection of blood inside the front of the eye. The blood may cover all or part of the iris (the colored part of the eye) and the pupil (the black circle of the eye). It usually heals without problems but can cause loss of vision if it is not properly managed.

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Hypocalcemia in the Newborn

Hypocalcemia is when a person doesn't have enough calcium in the blood. In babies, it’s called neonatal hypocalcemia. Your baby can get it at different times and from different causes.

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Hypoglycemia in a Newborn Baby

Hypoglycemia is when the level of sugar (glucose) in the blood is too low. Glucose is the main source of fuel for the brain and the body. In a newborn baby, low blood sugar can happen for many reasons. It can cause problems such as shakiness, blue color to the skin, and breathing and feeding problems. Read on to learn more.

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Hypoglycemia in Children

Hypoglycemia is when the level of sugar (glucose) in the blood is too low. Hypoglycemia can be a condition by itself. Or it can be a complication of diabetes or other disorder. Read on to learn more.

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Hypoparathyroidism in Children

Hypoparathyroidism is when the parathyroid glands don’t make enough parathyroid hormone. The parathyroid glands are four tiny glands on the thyroid. The hormone they make helps manage levels of calcium in the bloodstream. Low levels of the hormone leads to low levels of calcium. This can lead to muscle spasms and cramping, called tetany.

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Hypopituitarism in Children

Hypopituitarism means that the pituitary gland is not working normally. The pituitary gland is a pea-sized gland located at the base of the brain. It’s the master endocrine gland in the body. The pituitary gland normally releases as many as 8 different hormones. These hormones control growth, metabolism, blood pressure, and other body processes. The effects of hypopituitarism may be slow over time. Or they may be sudden.

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Hypoplastic Left Heart Syndrome

Hypoplastic left heart syndrome (HLHS) is a congenital heart defect where most of the structures on the left side of the heart are small and underdeveloped. The Hybrid approach, developed by surgeons at Nationwide Children's Hospital, is an alternative to Norwood open heart surgery for HLHS.

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Hypoplastic Left Heart Syndrome (HLHS) in Children

Hypoplastic left heart syndrome (HLHS) is a group of defects of the heart and large blood vessels. A child is born with this condition (congenital heart defect). It occurs when part of the heart doesn't develop as it should during the first 8 weeks of pregnancy.

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Hypospadias

Many children with hypospadias will have a partially-formed or hooded foreskin with deficient skin on the bottom side of the penis where the urethra is located.

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Hypospadias in Children

Hypospadias is a problem where the opening of the urethra is not at the tip of the penis. With hypospadias, the end of the tube is lower down on the underside of the penis. Or it may be in the scrotum.

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Hypothyroidism

This Helping Hand™ explains the cause, types, symptoms, diagnosis, and treatment for hypothyroidism.

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Identification, Treatment, and Prevention of Birth Defects

Detailed information on the identification, treatment, and prevention of birth defects

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If Your Child Has Trouble Adjusting After a Burn Injury

Agitated behavior, such as crying, sleep disturbances and nightmares, and repeated episodes of sadness, are signs that your child may be having trouble coping with stress.

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IgA Vasculitis in Children

IgA Vasculitis is a condition that involves swelling (inflammation) of small blood vessels. The swollen blood vessels leak into the skin, joints, intestines, and kidneys.

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Iliac Apophysitis

Iliac apophysitis (uh-paa-fuh-sai-tuhs) is pain and swelling (inflammation) of the growth plate along the side of the hip (iliac crest). The growth plate is an area of weakness, and injury to it occurs because of repeated stress or forceful exercise.

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Iliotibial Band Syndrome

The Iliotibial Band (IT Band) is an extension of muscle on the outside of the thigh. IT band syndrome is a painful condition caused by overuse. Symptoms of IT band syndrome include pain on the outside of the knee or hip that becomes worse with activity.

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Immune Deficiencies

Detailed information on immune deficiency disorders in children, including Severe Combined Immunodeficiency, Common Variable Immunodeficiency, DiGeorge Syndrome, and X-linked Agammaglobulinemia

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Immune Disorders

Detailed information on the immune system and immune disorders

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Immune Thrombocytopenia (ITP)

Immune thrombocytopenia (ITP) happens when the body destroys its own platelets. Platelets are a kind of blood cell that help the blood to clot after a person gets cut or bruised. A child with ITP may have a platelet count of less than 1,000.

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Immune Thrombocytopenic Purpura in Children

ITP is a blood disorder that causes a decrease in the number of platelets in the blood. Platelets help stop bleeding. So a decrease in platelets can result in easy bruising, bleeding gums, and bleeding inside the body.

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Impaired Spleen Function

The spleen is an organ that helps prevent and control some infections. Asplenia is when you don’t have a spleen.

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Imperforate Anus in Children

Imperforate anus happens when your child is born with a blocked or missing anus. Learn more about this condition, including causes, symptoms, diagnosis, and treatment.

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Impetigo

Impetigo is a common skin infection caused by bacteria.

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Impetigo in Children

Impetigo is a skin infection. When it affects just the surface, it’s called superficial impetigo. Impetigo can also affect deeper parts of the skin. This is called ecthyma. It may occur on healthy skin. Or it may occur where the skin was injured by a cut, scrape, or insect bite.

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Increased Intracranial Pressure

Increased intracranial pressure (ICP) means greater than normal pressure on the brain. It results from a greater volume of fluid or swelling of the brain. Call 911 if your child loses consciousness or has convulsions (seizures) lasting longer than 5 minutes.

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Infant

Detailed information on infant health

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Infant Nutrition

Choosing how to feed your baby is an important decision that has life-long effects for your baby and for you.

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Infant of a Mother with Diabetes

When a mother has diabetes, her baby is at risk for problems. Read on to learn more.

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Infant Play

Read on for helpful suggestions for activities and toys for your baby, according to their age.

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Infant Problems of the Teeth and Mouth

Detailed information on infant problems of the teeth and mouth

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Infant Sleep

If you know anything about your baby's sleeping pattern, it's probably that it doesn't coincide with yours. But learning more about your baby's nighttime and daytime sleep needs can help you recognize what's normal, and what's not.

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Infectious Diseases

Detailed information on infectious diseases in children

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Infectious Mononucleosis (Mono) in Teens and Young Adults

Infectious mononucleosis is a contagious illness. It’s common in teens and young adults.

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Inflammatory and Infectious Digestive Disorders

Detailed information on digestive inflammatory and infectious disorders in children

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Inflammatory and Infectious Musculoskeletal Disorders

Detailed information on the most common types of inflammatory and infectious disorders in children

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Inflammatory and Infectious Neurological Disorders

Detailed information on the most common inflammatory and infectious disorders in children

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Inflammatory Bowel Disease

Inflammatory Bowel Disease (IBD) refers to chronic inflammation of the intestines not due to infections or other identifiable causes. There are two main types of IBD: ulcerative colitis and Crohn’s disease. The most common symptoms are diarrhea, sometimes with blood and mucus and abdominal pain.

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Influenza

Influenza, also known as the flu, is an illness caused by a virus. A child who has the flu may have some or all of these symptoms: high fever, headache, dry cough, sore throat, runny or stuffy nose, muscle aches, tiredness, stomach pain and diarrhea. Antibiotic medicines will not help cure the flu.

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Influenza (Flu) in Children

Influenza (flu) is a very contagious viral infection that affects the air passages of the lungs. It causes a high fever, body aches, a cough, and other symptoms.

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Inguinal and Umbilical Hernias in Children

A hernia is when a part of the intestine pushes through a weak spot in the belly (abdominal) muscles. The hernia creates a soft lump or bulge under the skin.

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Inguinal Hernia in Children

A hernia occurs when a part of the intestine pushes through a weakness in the belly (abdominal) muscles. A hernia in the groin area is called an inguinal hernia.

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Injuries to a Child's Tooth

The injury may be to a primary tooth or a permanent tooth. A tooth can be cracked, chipped, or totally detached from its socket.

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Insect Bites and Children

Detailed information on insect bites, including fleas, mites, chiggers, and ticks

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Insect Stings and Allergic Reactions in Children

For most children, the reaction to a sting is brief, with redness and swelling followed by pain and itching. Others may have an allergic reaction that is life-threatening. Read on for details.

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Insect Stings in Children

Insect stings can occur anywhere on the body and can be painful and frightening for a child. Most insect stings cause only minor discomfort. Most stings are from honeybees or yellow jackets, also called ground hornets.

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Insects in a Child's Ear

Read on for important tips on what to do if your child has an insect in their ear.

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Intensive Care

Intensive care is needed for children who have had certain types of major surgery: heart operations, organ transplants, or neurosurgery.

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Interacting with a Child Who Has Autism Spectrum Disorder

If you are a parent or grandparent of a child with ASD, it can be heartbreaking if you feel like you just can't connect with them. Here are some things to know that can help you and your relationship.

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Interrupted Aortic Arch (IAA)

Interrupted aortic arch is a heart condition where the aorta doesn't form completely. This affects blood flow and will require open heart surgery to treat it.

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Intestinal Malrotation and Volvulus in Children

Intestinal malrotation is a birth defect. It happens when your baby’s intestinal tract doesn’t form as it should during pregnancy. Malrotation happens when your baby’s intestine doesn’t turn like it should.

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Intestinal Malrotation Surgery

In this Helping Hand™, we discuss malrotation of the intestines, which is when a baby’s intestines do not move or rotate into the right place.

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Intracranial Hypertension (Pseudotumor Cerebri)

Idiopathic intracranial hypertension, sometimes called pseudotumor cerebri, is a condition in which the cerebro-spinal fluid is not able to drain normally.

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Intraoperative Care for Children

Detailed information on intraoperative management

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Intravenous (IV) Line and Tubes

Because most babies in the NICU are too small or sick to take milk feedings, medicines and fluids are often given through their veins or arteries.

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Intraventricular Hemorrhage in Babies

Intraventricular hemorrhage (IVH) is bleeding inside or around the ventricles in the brain. The ventricles are the spaces in the brain that contain the cerebral spinal fluid.

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Intussusception (Inpatient)

Intussusception is a blockage of the intestines. It happens when one part of the intestine folds into another part. Signs of intussusception include pain in the abdomen (stomach) that comes and goes, or comes on suddenly. Many intussusceptions are fixed with an air enema but some require surgery.

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Intussusception (Outpatient)

Intussusception is a blockage of the intestines. It happens when one part of the intestine folds into another part. Signs of intussusception include pain in the abdomen (stomach) that comes and goes, or comes on suddenly. Many intussusceptions are fixed with an air enema but some require surgery.

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Intussusception in Children

Intussusception is a serious problem in the intestine. It's the most common abdominal emergency in early childhood. Read on to learn more.

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Iron Deficiency Anemia

The most common cause of anemia worldwide is iron deficiency. Iron is needed to form hemoglobin. Iron is mostly stored in the body in the hemoglobin. Iron deficiency anemia can be caused by diets low in iron, body changes, gastrointestinal tract abnormalities and blood loss.

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Iron-Deficiency Anemia in Children

Anemia is a common health problem in children. A common cause of anemia is a child who doesn't have enough red blood cells or enough hemoglobin. Read on to learn more.

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Irritable Bowel Syndrome

This Helping Hand™ covers irritable bowel syndrome (IBS) which is a common disorder that affects the large intestine (colon). Symptoms are caused by changes in how the GI tract works. IBS is a group of symptoms that occur together, not a disease.

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Irritable Bowel Syndrome (IBS) in Children

Irritable bowel syndrome (IBS) is a long-term (chronic) disorder that affects the large intestine or colon. IBS causes painful belly (abdominal) and bowel symptoms.

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Jaundice in Children

Jaundice is a common condition in newborns that occurs when a yellow pigment (bilirubin) cannot be removed from the body fast enough and levels in the blood become too high. The buildup of bilirubin causes the skin and the white part of the eyes to appear yellow. Most cases clear without treatment.

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Jaundice in Newborns

This Helping Hand™ explains what jaundice (yellowing of the skin) is and how it affects newborns. 

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Jaw Abnormalities

Jaw abnormalities affect the bite and appearance of patients. These may be due to a cleft lip and palate, or other causes. Learn more today. 

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Jeune's Syndrome

Jeune's Syndrome is a form of congenital dwarfism causing children to have a deformity of their chest wall. Learn more about signs, symptoms, and treatment.

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Juvenile Ankylosing Spondylitis (JAS) in Children

Juvenile ankylosing spondylitis is a type of arthritis. It affects the spine and the places where the muscles, tendons, and ligaments are attached to bone. Ankylosing means stiff or rigid. Spondyl means spine. Its refers to inflammation.

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Juvenile Arthritis and Other Rheumatic Diseases

Arthritis is an inflammation of the joints that causes pain and swelling. Juvenile arthritis is the term used for arthritis in children. Read on to learn more.

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Juvenile Dermatomyositis

Juvenile dermatomyositis (JDM) is a rare disease that causes muscle inflammation and a skin rash.

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Juvenile Fibromyalgia Syndrome

Juvenile Fibromyalgia Syndrome is a chronic pain condition characterized by widespread musculoskeletal pain. The symptoms begin in childhood or adolescence. JFS can run in families.

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Juvenile Idiopathic Arthritis

Juvenile idiopathic arthritis (JIA) is a form of arthritis in children. Arthritis causes joint swelling (inflammation) and joint stiffness. JIA is arthritis that affects 1 or more joints for at least 6 weeks in a child age 16 or younger.

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Juvenile Osteoporosis

Osteoporosis is a condition where the bones are thinner than normal. It’s a condition that gets worse over time. This means that bones get thinner over time, or don’t grow as they should. The bones are then weaker and at higher risk of breaking. The condition is much more common in older adults. But it can also occur during childhood. In children, it’s called juvenile osteoporosis.

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Juvenile Polyposis Syndrome (JPS)

Juvenile polyposis syndrome is an inherited condition that is characterized by the development of hamartomatous polyps throughout the digestive tract.

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Juvenile Xanthogranuloma (JXG)

A juvenile xanthogranuloma, or JXG, is a benign skin lump or bump caused by a collection of cells called histiocytes. These may be red, orange or tan at first, but over time may become more yellow in color.

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Kawasaki Disease

Kawasaki Disease is the most common cause of acquired heart disease in the United States and Japan. The disease can cause blood vessels to become inflamed or swollen throughout the body. It is more common in boys and in Asians and Asian-Americans.

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Kawasaki Disease in Children

Kawasaki disease is a rare illness that most often affects children. Learn more about this condition, including symptoms, diagnosis, treatment, and complications.

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Keeping Your Baby Warm

Premature and low-birth-weight babies may be too immature to regulate their own temperature, even in a warm environment. Read on to learn how to safely keep them warm.

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Keratitis in Children

Keratitis is an inflammation or infection of the cornea of the eye. The cornea is the clear, dome-shaped surface that covers the front of the eye.

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Keratosis Pilaris

Keratosis pilaris is a dry skin type. It looks like dry, rough, small bumps that are flesh-colored or pink and can feel like sandpaper or chicken skin. It is not contagious and is usually not itchy. The most common areas for these bumps are on the back of the arms, front of the thighs and the face.

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Ketogenic Diet for Seizures in Children

A ketogenic diet is a special type of diet that causes the body to make ketones. The diet is very high in fat, and very low in carbohydrates. It includes enough protein to help your child grow.

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Kidney Disease in Children

Kidney disease (renal failure) is short-term or permanent damage to the kidneys that results in loss of normal kidney function.

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Kidney Stones

Stones in the urinary tract form in the kidneys when small particles, which are usually dissolved in the urine, become oversaturated and begin to form small crystals. These small crystals can continue to grow into larger solid crystals, which resemble sand, gravel or small rocks.

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Kidney Transplantation in Children

Detailed information on kidney transplants, including why a kidney transplant is recommended, what is involved in kidney transplant surgery, and the long-term outlook for a child after a kidney transplant.

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Knee Sprain

Knee sprains can be significant injuries that occur from a stretch or tear of the ligaments in and around the knee. The four main ligaments of the knee most often damaged are the Anterior Cruciate (ACL), Posterior Cruciate (PCL), Medial Collateral (MCL) and Lateral Collateral (LCL).

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Knock Knees (Genu Valgum)

Genu valgum, also known as knock knees, is a common lower leg abnormality that is usually seen in the toddler, preschool and early school-age children. In genu valgum, the lower extremities turn inward, causing the appearance of the knees to be touching while the ankles remain apart.

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Knowing When to Seek Treatment for Your Child

Common symptoms of a potential emotional, behavioral, or developmental problem include poor grades in school, withdrawal from friends and family, and insomnia.

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Kyphosis

Kyphosis is the natural curve of the upper back (thoracic) area of the spine. In the extreme curves, the spine looks like a “hunchback.” Some excessive curves can be passed on by parents. Some are brought on from bad posture, while others can develop from a disorder.

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Kyphosis in Children

Kyphosis is a deformity of the backbone (spine). It's when the bones of the spine (vertebrae) in the upper back curve outward more than they should.

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Labial Adhesions

Labial adhesions, or labial agglutination, occur when the labia minor (inner lips of the vulva) are stuck together, covering the vaginal opening. The vast majority of girls with labial adhesions have no symptoms and do not require treatment as the adhesions will resolve on their own.

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Labial Hypertrophy

Larger-appearing labia minora, known as labial hypertrophy, may be completely normal. Labia vary in appearance with a wide range of normal regarding the size, shape and color. The majority of patients who have concerns about labial hypertrophy have normal labia.

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Labral Tear of Hip

The labrum is a piece of cartilage that lines the socket (acetabulum) of the hip joint. It provides strength and cushions the hip joint. A tear in the labrum can result from injury, repeated wear-and-tear to the hip joint, or from a bony deformity (impingement) in the hip joint.

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Lacerations (Cuts) Without Stitches in Children

A laceration (cut) is a tear or opening in the skin caused by an injury. Some lacerations are small and need only minor treatment at home.

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Lacerations with Stitches and Adhesive Strips (Child)

Stitches and adhesive strips are used to treat lacerations. Learn how to give your child first aid for cuts and when stitches or adhesive strips are needed.

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Lactose Intolerance in Children

Lactose intolerance is when the body can’t easily break down or digest lactose. Lactose is a sugar found in milk and milk products.

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Langerhan Cell Histiocytosis (LCH)

Langerhans Cell Histiocytosis (LCH) is among a rare and diverse group of disorders affecting primarily children. LCH was previously known as Histiocytosis-X, with the terms eosinophilic granuloma, Hand-Schuller-Christian disease, and Letterer-Siwe disease applied to various forms of the disease.

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Langerhans Cell Histiocytosis in Children

Langerhans cell histiocytosis is a rare disorder that causes damage to tissues all over the body. Read on to learn about causes, symptoms, diagnosis, and treatments.

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Language Disorders in Children

A language disorder in a child means they have trouble understanding words that they hear and read. Or the child has trouble speaking with others and expressing thoughts and feelings.

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Large Cell Lymphoma

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Large for Gestational Age

Large for gestational age is used to describe newborn babies who weigh more than the usual amount for the number of weeks of pregnancy. Babies are called large for gestational age if they weigh more than 9 in 10 babies of the same gestational age.

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Laryngomalacia

Laryngomalacia literally means “Soft Larynx”. It is caused by floppiness of the laryngeal tissues above the vocal cords (the supraglottic larynx).

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Laryngomalacia (Laryngeal Stridor)

Laryngomalacia, also called laryngeal stridor, results from a weakness of parts of the voice box (larynx). The main symptom of laryngomalacia is noisy breathing when your child breathes in.

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Latent Tuberculosis Infection (LTBI)

Tuberculosis, or TB, is the common name for a germ called Mycobacterium tuberculosis. People with latent TB infection (LTBI) do not feel sick. They do not have any symptoms but can potentially develop active TB disease. People with LTBI are not contagious and cannot spread TB to others.

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Lateral Collateral Ligament Sprain

The lateral collateral ligament (LCL) is one of the 4 major ligaments of the knee. An injury to the LCL alone is not common and often occurs with knee injuries.

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Lateral Epicondylitis (Tennis Elbow)

Lateral epicondylitis, or tennis elbow, is an injury to the outer side of the elbow where the muscles and tendons attach to the bone. The muscles or tendons of the forearm that pull your wrist back (extend the wrist) get damaged.

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Lateral Malleolus Avulsion Fractures

Avulsion fractures are breaks or splits in the bone.

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Lead Poisoning in Children

Lead poisoning is a totally preventable disease. Children ages 1 to 3 who live in low-income housing built before 1978 are especially at risk. Read on to learn more.

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Learning Disorders in Children

A learning disorder is when a child has trouble learning in certain school subjects. Your child may have problems with reading, math, or writing. Here's what you need to know, and how to help.

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Legg Calve Perthes Disease

Legg Calve Perthes Disease, also known as Perthes or LCP, is a condition affecting one or both hips typically in children ages 3 to 10 years old

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Legg-Calve-Perthes Disease

Legg-Calve-Perthes disease, often called Perthes disease, is an uncommon condition in children affecting the hip. Perthes disease occurs when blood flow to the ball at the top of the thigh bone (femur) temporarily stops. If the growing bone does not get enough blood, it dies and collapses.

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Legg-Calvé-Perthes Disease

This disease is a temporary condition that causes the hip joint to become painful and stiff.

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Leukemia

This Helping Hand™ covers leukemia, the most common form of childhood cancer. Leukemia is a cancer of the bone marrow, which is the tissue found inside many of the bones of the body. There are two main types of childhood leukemia: acute lymphocytic leukemia (ALL) and acute myeloid leukemia (AML).

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Leukemia (ALL and AML)

Leukemia (ALL and AML) is the most common form of childhood cancer. It affects the tissues of the body which make the blood cells and the bone marrow. When leukemia strikes, the body makes an abundance of abnormal white cells that invade the marrow and crowd out the normal healthy blood cells.

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Leukemia in Children

Leukemia is cancer of the blood. It’s the most common form of cancer in childhood. The cancer cells grow in bone marrow and go into the blood.

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Lichen Planus

Lichen planus is a common rash that appears on the skin as shiny, flat bumps. The bumps may be clustered together in patches or scattered far apart. These bumps can occur anywhere on the body but are most often found on the legs and wrists. They can be red or purple in color. The rash may be itchy.

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Lichen Sclerosus (LS)

Lichen sclerosus (LS) usually affects the area outside the vagina (vulva). The most common symptoms of LS are vulvar itching, irritation, pain and bleeding.

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Lichen Striatus

Lichen striatus is a rash that appears as pink or lightly-colored, scaly, flat bumps. Over time, these bumps come together to form a line or band on the skin.

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Limb Length Discrepancy (LLD)

A limb length discrepancy (LLD) is when one arm or leg is longer than the other arm or leg. Leg length discrepancies are very common. There are two main causes of leg length discrepancy: a condition that caused one leg to grow slower or something like an injury affected the growth of the bone.

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Limb-Girdle Muscular Dystrophy

Limb-Girdle muscular dystrophy affects males and females. Most commonly it causes progressive hip and shoulder muscle weakness that spreads to the arms, legs and back. Symptoms usually begin between ages 8 and 15 and progress slowly. Patients usually become confined to a wheelchair by age 30.

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Lisfranc Injury

A Lisfranc injury occurs when the ligaments in the middle part of the foot are sprained. That causes some of the foot bones to move out of position. It may or may not involve a break (fracture) of the bones.

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Little League Elbow

Little league elbow is a painful inflammation of the bony bump on the inside of the elbow where the tendons of the muscles that bend your wrist and fingers are located. Little league elbow occurs as a result of overuse to the muscles of the elbow and forearm from activities such as throwing a ball.

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Little Leaguer's Elbow

Little leaguer’s elbow is an injury to the medial epicondylar growth plate of the inner elbow. The growth plate is a weak area. Injury to it occurs due to repeated stress.

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Liver Disease

Liver disease occurs in children for a variety of reasons. Babies may have problems with inherited disease, despite having healthy parents. Congenital problems where the bile ducts don’t develop normally may also cause problems in babies. Infections may also lead to the development of liver disease.

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Liver Disorders

Detailed information on the most common liver disorders in children

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Liver Failure in Children

Liver failure happens when the liver becomes so sick and damaged that it stops working, either partly or completely. Although this is rare, liver failure can happen even in children. Many of them recover well, but others become extremely ill, and some may need a liver transplant to survive.

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Liver Transplant for Children

A liver transplant is surgery to replace a diseased liver with a healthy liver from another person.

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Living with Aplastic Anemia

Aplastic anemia is a rare blood disorder that most often occurs in children, teens, and young adults. This piece offers helpful information on how to help your child live with this disease.

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Living With Congenital Heart Disease

Detailed information for children living with a congenital heart disease

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Lordosis

Lordosis is the natural curve of the lower back (lumbar) area of the spine. There are five primary types of lordosis: postural lordosis, congenital/traumatic lordosis, post-surgical laminectomy hyperlordosis, neuromuscular lordosis and lordosis secondary to hip flexion contracture.

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Lordosis in Children

Lordosis is a deformity of the backbone (spine). It's when the bones of the spine (vertebrae) in the lower back curve inward more than normal.

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Low Back Strain

A low back strain is a stretch or tear of a muscle in the lower back that hold the vertebrae in its proper place. A low back strain can occur from lifting heavy objects, sitting or standing for long periods of time or a direct blow to the area.

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Low Milk Production

Detailed information on breastfeeding and low breastmilk production.

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Lower Respiratory Disorders

Detailed information on lower respiratory disorders in children

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Lower Urinary Tract Outlet Obstruction (LUTO)

Lower urinary tract outlet obstruction is when pee is partly or completely blocked from leaving the body at the lower urinary tract. LUTO occurs in about 1 in every 5,000 pregnancies. It is more common in males.

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Low-Grade Gliomas

Low-grade gliomas are a type of brain tumor that grow slowly and are less aggressive than high-grade gliomas. They can cause seizures, headaches, and other symptoms. Treatment options include surgery, radiation therapy, and chemotherapy.

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Lumbar Facet Syndrome

The facet joints are the links between the bones of the spine. They allow the spine to bend and twist and keep the back from slipping too far forward or twisting too far. Injury to one or more of the facet joints can cause pain and irritation known as lumbar facet syndrome.

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Lumbosacral Transitional Vertebra (LSTV)

The lumbar spine (low back) normally has 5 vertebral bones that attach to the sacrum (bone at the bottom of the spine). The lumbosacral spine supports the majority of the body’s weight and protects the primary nerves that arise from the spinal cord.

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Lung Transplantation in Children

A detailed look at lung transplantation in children, including why it is advised, information about the surgery, and the long-term outlook for a child after a lung transplant.

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Lupus and Pregnancy

Many women with lupus give birth to healthy children. The key to a successful pregnancy is to know how lupus affects your body.

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Lying and Stealing

Lying and stealing are common, but inappropriate, behaviors in school-aged children. Most of the time these behaviors will be outgrown. Here's what you should know.

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Lyme Disease

Lyme disease is spread to humans through the bite of infected ticks. Symptoms of Lyme disease include fever, swollen lymph nodes, headache, stiff neck, tiredness, swelling of large joints and red rash that often has a “bulls-eye” appearance.

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Lyme Disease in Children

Lyme disease is an infection caused by bacteria called Borrelia burgdorferi. The bacteria are usually spread by tick bites. Lyme disease is a year-round problem, but it peaks during the spring and summer months.

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Lymphadenopathy in Children

Lymphadenopathy means swelling of the lymph nodes or glands. Lymphadenopathy can occur in just one area of the body, such as the neck. Or it may affect lymph nodes throughout the body. The cervical lymph nodes, found in the neck, are the most common site of lymphadenopathy.

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Lymphatic Disorders

Lymphatic disorders arise when the lymphatic system is disrupted either through congenital malformation, traumatic injury from a medical procedure, or a change in the lymphatic-circulatory balance. Lymphatic disorders may result in losses in nutritional, immune, electrolyte and clotting factors.

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Lymphatic Malformation

A lymphatic malformation is the result of abnormal formation and development during fetal development of the otherwise normal lymphatic vessels in the body. This is usually in one area of the body: neck, chest, abdomen and extremities.

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Lymphatic Malformations in Children

A lymphatic malformation is a lymphatic vessel that isn't formed correctly. The vessel traps the lymph fluid and causes cysts to form. Your child may have 1 or more of these cysts.

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Lymphatic Masses

Detailed information on lymphatic masses in children

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Lymphoblastic Lymphoma

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Lymphoma

Lymphoma is cancer which arises in the lymph system, the body’s circulatory network for filtering out impurities. There are two broad varieties, Hodgkin’s disease, and Non-Hodgkin’s lymphoma.

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Lynch Syndrome / HNPCC

Lynch syndrome, also known as hereditary nonpolyposis colorectal cancer (HNPCC), is an inherited cancer syndrome that affects the digestive tract, reproductive tract and other major organs. It is the most common of the digestive cancer risk syndromes.

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Macromastia

Macromastia refers to enlarged breasts in females. This condition may cause back and neck pain, as well as rashes and limitations with daily activities. In those situations, breast reduction surgery may be beneficial.

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Magnetic Resonance Imaging (MRI) for Children

MRI is a procedure that uses a large magnet, radio waves, and a computer to create detailed images of organs and tissues in the body. It’s used to diagnose problems in many areas of the body.

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Major Depression in Teens

Major depression goes beyond the day's normal ups and downs. It involves a teen's body, mood, and thoughts. It can affect and disrupt eating, sleeping, or thinking patterns.

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Male Conditions

Detailed information on the most common male genitourinary conditions

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Male Growth and Development

Detailed information on male growth and development

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Male Physical Development

Detailed information on male growth and development

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Malignant Teratoma

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Mallet Finger

Mallet finger is an injury to the end of a finger. It happens when an object, like a ball, hits the tip of a finger and bends the joint down too fast and too far. The force of the hit can either tear the extensor tendon or break the bone.

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Malocclusion in Children

Malocclusion is when a child’s teeth become crooked or crowded. The child may also have a problem with their bite. That means the teeth of the upper jaw don’t meet normally with the teeth of the lower jaw when the jaw is closed.

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Managing Poor Weight Gain in Your Breastfed Baby

Sometimes a breastfed baby will gain weight more slowly than they should. Read on to learn some helpful tips on how to deal with this.

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Marfan Syndrome

Marfan Syndrome is an inherited disorder of connective tissue caused by genetic mutations that result in the dysregulation of the proteins of the extracellular matrix (fibrillin). The diagnosis is based on signs, family history, and results of diagnostic tests.

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Marfan Syndrome in Children

Marfan syndrome is a genetic  disorder that affects the body's connective tissue. Connective tissue holds the body's cells, organs, and other tissue together. Connective tissue is also important in growth and development.

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Mastoiditis in Children

Mastoiditis is a complication of a middle ear infection. Read on to learn more about symptoms, diagnosis, and treatment.

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Maternal and Fetal Infections

In pregnancy, infections are a common complication—but women may not have obvious symptoms, or they may show different symptoms of an infection.

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Maternal and Fetal Testing

Women with high-risk pregnancies often need a close watch for potential problems or complications. Many tests and procedures are available to monitor the health of both mother and baby.

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Maternal and Fetal Testing Overview

Many tests and procedures are available to keep track of the health of both you and your baby. Many of these pose little or no risk.

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Maternal Nutrition and Breastfeeding

People who are breastfeeding should eat a well-balanced, varied diet and drink enough liquids. Read on for more details.

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Maternity Leave

The length of time given for a paid maternity leave of absence varies among companies. Some women extend their maternity leaves by taking additional weeks of unpaid leave.

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Mayer-Rokitansky-Küster-Hauser Syndrome

Mayer-Rokitansky-Küster-Hauser Syndrome (MRKH) is a rare condition that affects girls and women. It means they are born without a fully developed uterus or vagina.

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Meal Planning for Children with Diabetes

It's important to learn about correct meal planning when your child has diabetes. The type and amount of food your child eats affects their blood sugar levels.

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Measles

Measles, also known as rubeola, is an infection caused by a virus. It is very contagious. It can be very serious in young children, adults over 20, pregnant women and people with a weakened immune system.

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Measles (Rubeola) in Children

Measles (rubeola) is a respiratory illness caused by a virus. It causes a red, blotchy rash. It’s a very contagious illness.

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Measles, Mumps, and Rubella (MMR) Vaccine

The MMR vaccine is given in 2 doses--at 12 to 15 months and at 4 to 6 years, or at least 1 month after the first dose.

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Meckel Diverticulum

Meckel diverticulum is a small pouch in the wall of the intestine. It’s near where the small and large intestines meet. This condition is the most common birth defect of the digestive system. It happens to about 1 in 50 babies.

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Meconium Aspiration

Meconium aspiration happens when a newborn breathes in a mixture of meconium and amniotic fluid. Amniotic fluid is the liquid that surrounds the baby in the womb. Meconium is the baby's first stool, or poop, which is sticky, thick, and dark green. It is typically passed in the womb during early pregnancy and again in the first few days after birth.

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Medial Epicondylitis (Golfer's Elbow)

Medial epicondylitis, or golfer’s elbow, is an injury to the inner side of the elbow where the muscles and tendons attach to the bone. The muscles and tendons of the forearm that bring your wrist down (extend the wrist) get damaged.

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Medical Genetics: Chromosome Studies

When a chromosome is abnormal, it can cause health problems in the body. Tests called studies can look at chromosomes to see what type of problem a person has.

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Medical Genetics: DNA Studies for Single Gene Defects

To look for single gene defects, healthcare providers look at the DNA to see if it has any errors in it. Errors are known as mutations.

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Medical Genetics: Getting Genetic Services for Your Child

Genetic services are programs that help support families and children with genetic disorders.

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Medical Genetics: How Chromosome Abnormalities Happen

Chromosome problems usually happen as a result of an error when cells divide.

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Medical Genetics: How Genetic Testing Is Used

Genetic testing can help find diseases that run in a family or don't yet have symptoms.

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Medical Genetics: Mosaicism

Mosaicism is when a person has 2 or more genetically different sets of cells in his or her body.

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Medical Genetics: Teratogens

A teratogen is something that can cause or raise the risk for a birth defect in a baby. They are things that a mother may be exposed to during her pregnancy.

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Medical Genetics: Treatment with Gene and Enzyme Replacement Therapy

Gene therapy is a way to change the genes a person has. Enzyme therapy treats a genetic condition by replacing a certain enzyme.

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Medical Genetics: Types of Genetic Changes

Genetic changes come in 2 main types: chromosome abnormalities and single-gene defects.

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Medical Genetics-Multifactorial Inheritance

Multifactorial inheritance is when more than 1 factor causes a trait or health problem, such as a birth defect or chronic illness. Genes can be 1 factor, but other things that aren't genes can play a part, too.

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Medicine Rashes in Children

Medicine rashes are the body’s reaction to a certain medicine. The type of rash that occurs depends on the type of medicine that is causing it. Rashes can range from mild to severe.

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Medulloblastoma

Medulloblastomas are tumors that develop in the brain, most commonly in a region called the cerebellum. The cerebellum is located next to the brainstem and controls coordination, balance and other motor skills.

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Megaloblastic Anemia in Children

Anemia is a problem in which there are not enough red blood cells or hemoglobin. In megaloblastic anemia, the bone marrow, where the cells are formed, makes fewer cells. And the cells that are formed don’t live as long as normal.

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Megaureter in Children

Megaureter is a ureter that is much wider than normal. A megaureter may not drain urine normally. This can lead to infections and kidney damage.

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Melanoma

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Ménière's Disease

Ménière's disease is a balance disorder caused by an abnormality found in a section of the inner ear called the labyrinth.

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Meningitis

Meningitis is an infection of the meninges. These are the membranes that cover the brain and spinal cord.

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Meningitis in Children

Meningitis is most often caused by a bacterial or viral infection that moves into the cerebral spinal fluid (CSF).

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Meningocele

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Meningococcal Infection in Children

Meningococcal infections are not common, but they can be fatal. They occur most often in late winter and early spring. Children are more often affected, but the illnesses also occur in teens and adults.

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Meniscus Injuries

The meniscus are two pieces of cartilage located in the knee joint that are responsible for cushioning and adding stability to the knee.

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Meniscus Tear

The meniscus is a C-shaped structure in the knee that acts as a shock absorber between the thigh bone (femur) and the shin bone (tibia). The meniscus can tear due to a blow to the knee, twisting, pivoting, kneeling, squatting or fast change in running direction.

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Meniscus Tears

Meniscus tears are common injuries. The meniscus is the rubbery cartilage disc between the tibia and femur. It acts as a shock absorber in the joint. The meniscus helps provide stability in the knee.

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Menkes Disease

Menkes disease, also known as Menkes syndrome, is a disorder caused by a mutation of the ATP7A gene. This gene affects how the body transports copper and maintains copper levels. Menkes disease usually causes low copper levels in blood plasma, the liver and the brain. It occurs mostly in male infants.

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Menstrual Cramps (Dysmenorrhea) in Teens

Menstrual cramps (dysmenorrhea) are severe, painful cramps that occur with menstruation.

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Menstrual Disorders

Detailed information on the most common menstrual conditions, including premenstrual syndrome (PMS), premenstrual dysphoric disorder, amenorrhea, dysmenorrhea, and menorrhagia

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Menstrual Dysfunction in the Athlete

Many things can cause changes in hormone levels. These changes can lead to irregular or missed periods, especially in athletes.

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Menstrual Period Disorders

Menstrual periods can be very different for different people. What is “normal” for some may not be for others. Menstrual period disorders can mean your periods are not the same length or time each month or can mean your blood flow is heavier than usual.

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Metatarsal Stress Fracture

A metatarsal stress fracture is a break in the foot which involves one or more of the long foot bones (metatarsals). It is caused by intense exercise or repeat pressure on the foot.

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Metatarsalgia

Metatarsalgia (met-uh-tahr-sal-juh) refers to pain in the ball of the foot (metatarsal heads). This is the part of the foot where you push off when walking or running. This pain can occur in one or more of the toes. It usually involves the second and third toes.

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Metatarsus Adductus in Children

Metatarsus adductus is a common foot deformity noted at birth. It causes the front half of the child's foot (forefoot) to turn inward.

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Microcephaly in Children

Microcephaly is a condition where a baby's head is much smaller than normal. It is most often present at birth (congenital). Most children with microcephaly also have a small brain and an intellectual disability. Some children with small heads have normal intelligence.

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Micrognathia

Micrognathia is when the lower jaw is smaller than normal. In some cases, this can cause problems with feeding, breathing and sleeping.

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Micropenis in Children

A micropenis is a penis that is smaller than normal. A penis length of less than 0.75 inches is considered micropenis.

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Mid-Back Strain

A mid-back strain is an injury to the muscles and ligaments of the middle back that attach to the ribs, chest wall and the thoracic spine. 

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Migraines

To be diagnosed with migraines, a child needs to have at least five headaches that meet certain criteria: pain that is moderate to severe, pain that is one-sided (unilateral) or on both sides of the head (bilateral), sensitivity to light and sound, and nausea that may or may not lead to vomiting.

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Milk Allergy Diet for Children

Helpful information on helping your child follow a milk-free diet, including tips for reading food labels.

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Milk Production and Your High-Risk Baby

When you have a high-risk baby, you may face some challenges with milk production. Read on to learn details of what to expect, as well as helpful tips and strategies.

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Minor Cuts, Scrapes, and Skin Wounds

Detailed information on minor cuts, scrapes, and skin wounds in children

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Minor Injuries Overview

Children's days are filled with running, jumping, bicycling, sports, and other fun activities that keep them active and on the go from morning until night. Along with the fun comes an occasional cut.

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Miscarriage

Miscarriage is a pregnancy loss in the first 20 weeks of pregnancy. About 10% to 20% of pregnancies end in miscarriage, most often in the first trimester (first 13 weeks of pregnancy). Read on to learn more.

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Mitochondrial Inheritance- Leber Hereditary Optic Neuropathy

Detailed information on mitochondrial inheritance and Leber's optic atrophy.

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Mold

Detailed information on mold allergy, including possible sources of mold inside and outside the home.

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Moles

Moles are areas of the skin where there are more cells called melanocytes. Melanocytes are the cells in the body that produce pigment, or color.

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Molluscum

Molluscum are smooth, pearly, skin-colored, benign bumps on the skin. They begin as small bumps and they may grow as large as a pencil eraser.

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Molluscum Contagiosum

Molluscum contagiosum is a viral skin infection that causes pinpoint lesions on the skin. Molluscum contagiosum is part of the pox virus family. This virus is spread through direct skin-to-skin contact.

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Molluscum Contagiosum in Children

Molluscum contagiosum is a viral skin disease that causes small pink or skin-colored bumps on your child’s skin. It is not harmful and usually does not have any other symptoms. The virus is inside the bumps and is mildly contagious. These bumps usually clear over time.

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Mononucleosis (Infectious)

Infectious mononucleosis, also known as “mono” or "the kissing disease," is an illness usually caused by the Epstein-Barr virus (EBV). Some cases are caused by a virus called cytomegalovirus (CMV). The virus is contagious and spreads when someone comes in contact with an infected person’s saliva.

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Mood Disorders in Children and Adolescents

Detailed information on the most common types of mood disorders, including major depression, manic depression (bipolar disorder), dysthymia, seasonal affective disorder, and suicide

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Mood Disorders in Teens

Anyone can feel sad or depressed at times. But mood disorders are more intense. They are harder to handle than normal feelings of sadness. Read on to learn more about these types of disorders in teens.

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Morton's Neuroma

Morton’s neuroma is a nerve disorder in the foot. It causes pain and loss of feeling between 2 toes. It is caused by thickening of the tissue around the nerve (interdigital nerve) between the metatarsal bones of the foot, near the toes.

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Mosaic Down Syndrome

Detailed information on mosaic Down syndrome, including the chances for it to happen again in a family

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Mosquito-Borne Diseases

Mosquito-borne diseases are spread to people and animals by the bite of an infected mosquito.

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Motor Vehicle Safety Overview

Detailed information on motor vehicle safety, including installing and using child safety seats and booster seats

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Mouth Sores (Viral) Herpes Gingivostomatitis

Mouth sores (or Gingivostomatitis) can be caused by viruses and other illnesses. Some mouth sores are caused by the herpes virus. It is not caused by sexual activity nor related to it. Mouth sores can last from 7 to 10 days. They should heal without leaving a scar.

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Mouthguards

Mouthguards are important to help protect your child's mouth and teeth from serious injury.

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MRSA Infection in Children

MRSA is an infection that can be life-threatening if it spreads from the skin to the lungs, the bloodstream, or other organs. MRSA infection can be hard to treat.

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MRSA Infection in the Community (Methicillin Resistant Staphylococcus Aureus)

Staphylococcus aureus often simply called "staph," are common bacteria. In the United States, staph germs are some of the most common causes of skin infections.

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Multicystic Dysplastic Kidney

Multicystic dysplastic kidney is a common condition that occurs when one kidney does not develop correctly as it is forming in the womb. It is possible to end up with a non-functioning kidney full of cysts and scar tissue. The remaining kidney is usually able to take over all kidney function.

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Mumps

Mumps is an illness caused by a virus. The virus is spread through saliva, so you can catch mumps from being around someone who already has it.

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Mumps in Children

Mumps is a very contagious viral illness that infects the pair of salivary glands in front of the ears. Cases of mumps in the U.S. happen much less often since the mumps vaccine has been used.

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Muscle and Joint Injuries

Detailed information on muscle and joint injuries, including prevention

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Muscular Dystrophy

Muscular dystrophy causes the muscles in the body to become very weak. The muscles break down and are replaced with fatty deposits over time.

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Muscular Dystrophy

The muscular dystrophies, or MD, are a group of more than 30 genetic (passed down by parents) neuromuscular disorders, in which defects of muscle (not nerves) cause muscle weakness and difficulties in body movement and control.

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Mushroom Poisoning in Children

Mushroom poisoning happens when a child eats a mushroom that has poisons (toxins). Here's what you need to know, from symptoms to diagnosis and treatment.

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Myasthenia Gravis (MG) in Children

Myasthenia gravis (MG) is a disorder that causes weakness in muscles around the body. This happens because antibodies destroy some of the places where nerves and muscles meet. It mostly affects the eyes, mouth, throat, arms, and legs.

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Myasthenia Gravis and Pregnancy

Myasthenia gravis is a complex autoimmune disorder. It causes antibodies to destroy the connections between your muscles and nerves. This causes muscle weakness and tiredness.

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Myelodysplastic Syndrome (MDS)

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Myelomeningocele

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Myotonic Muscular Dystrophy

Myotonic muscular dystrophy, also known as MMD or Steinert’s disease, is the most common form of MD in adults.

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Nasal Congestion

Nasal congestion, nasal obstruction, and mouth breathing are all descriptions of a similar condition where the nasal passages are blocked, resulting in the sensation of difficulty breathing through the nose.

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Nasal Fracture in Children

A nasal fracture is a break in one or more of the bones of the nose, caused by trauma. It's also called a broken nose.

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Nasal Turbinate Hypertrophy

Turbinate hypertrophy, inferior turbinate hypertrophy, and nasal turbinate hypertrophy are all descriptions of a similar condition where the tissue on the lateral (outside) walls of the nose are too large, causing nasal obstruction.

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Natal Teeth

Natal teeth are teeth that are present when a baby is born. The teeth are often not fully developed and may have a weak root.

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Neck Masses

Detailed information on the different types of neck masses in children

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Necrotizing Enterocolitis (NEC)

Necrotizing enterocolitis (NEC) is a disease of the bowel (intestine) of newborn infants.

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Necrotizing Enterocolitis in the Newborn

Necrotizing enterocolitis (NEC) is a serious illness in newborns. It happens when tissue in the large intestine (colon) gets inflamed. This inflammation damages and sometimes kills the tissue in your baby’s colon.

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Neonatal Abstinence Syndrome

Neonatal abstinence syndrome is what happens when babies are exposed to drugs in the uterus before birth. Babies can then go through drug withdrawal after birth.

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Neonatal Abstinence Syndrome (NAS)

Neonatal Abstinence Syndrome (NAS) is a condition that starts at birth when an infant’s mother has used drugs (legal or illegal) or alcohol during her pregnancy.

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Neonatal Diabetes

Neonatal diabetes mellitus is a rare form of diabetes that occurs within the first 6 months of life.

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Neonatal Hypothyroidism

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Neonatal Hypoxic-Ischemic Encephalopathy

HIE is a type of brain damage. It’s caused by a lack of oxygen to the brain before or shortly after birth.

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Nephrotic Syndrome

Nephrotic syndrome happens when protein passes from the kidneys into the urine through tiny filters in the kidneys. When this happens, there is too little protein in the blood.

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Nephrotic Syndrome in Children

Nephrotic syndrome is a problem where too much protein called albumin is released from the body into the urine. It means that one or both kidneys are damaged.

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Nephrotic Syndrome in Children

Nephrotic syndrome is characterized by symptoms that result from changes that occur to the small, functional filters in the kidneys.

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Neuroblastoma

Neuroblastoma is a cancerous tumor. It grows in nerve tissue of babies and young children. The cancer cells grow in young nerve cells of a baby growing in the womb. These cells are called neuroblasts. It’s in the most common cancer in babies under age 1. It’s rare in children older than age 10.

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Neuroblastoma

Neuroblastoma is a rare cancer that develops from immature nerve cells. It most commonly arises in and around the adrenal glands, but can also develop in other areas of the body.

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Neurocutaneous Syndromes in Children

Neurocutaneous syndromes are disorders that affect the brain, spinal cord, organs, skin, and bones. The diseases are lifelong conditions that can cause tumors to grow in these areas. They can also cause other problems, such as hearing loss, seizures, and developmental problems.

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Neurofibromatosis (NF1, NF2 & SWN)

Neurofibromatosis includes three distinct health conditions. These genetic disorders case tumors in the nervous system, including the brain, spinal cord and nerves. While most tumors are non-aggressive, they may still require treatment.

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Neurogenic Bladder in Children

Neurogenic bladder means the bladder doesn't work normally because of nerve damage. It causes a child to have problems with holding or releasing urine.

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Neurological Conditions and Pregnancy

Detailed information on neurologic conditions in pregnancy

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Neurological Disorders in the Newborn

Detailed information on the most common neurological disorders in the newborn

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Neurological Exam for Children

Is it time for your baby to have a full physical exam? Your pediatrician might want to conduct a neurological exam. Don't worry, this series of tests designed to evaluate your child's nervous system is painless. Here's what it entails.

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Neuromuscular Disorders

Detailed information on the most common neuromuscular disorders in children

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Neuromuscular Disorders

Patients benefit from coordinated care from specialists, all with expertise in pediatric neuromuscular disorders.

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Nevus Sebaceous

A nevus sebaceous is a type of birthmark that usually appears on the scalp. It may also appear on the face but this is less common. It is made of extra oil glands in the skin. It starts as a flat pink or orange plaque (slightly raised area). A nevus sebaceous does not go away on its own.

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Newborn Appearance

Newborns have many variations in normal appearance, from their skin color to the shape of their head. Here's a look at some of the normal variations you can expect.

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Newborn Babies: Getting Ready at Home

Newborns need just some basic items at first. These include a warm and safe place to sleep, food, clothing, and diapers. Here's a helpful guide to the essentials.

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Newborn Care in the Delivery Room

The birth of a baby is one of life's most wondrous moments. Few experiences compare to this event. Newborn babies have amazing abilities. Yet they depend on others for feeding, warmth, and comfort.

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Newborn Clavicle Fractures

Clavicle (collar bone) fractures are the most common injury sustained by newborns during birth. Factors that may increase the risk for a clavicle fracture include the newborn being large in size, the newborn’s shoulder getting stuck during delivery, or the use of tools to assist with the delivery.

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Newborn Complications

Detailed information on the most common types of newborn complications

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Newborn Crying

Crying is the way babies communicate. They cry because of hunger, discomfort, frustration, tiredness, and even loneliness.

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Newborn Health Assessment

Detailed information on newborn health assessments

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Newborn Measurements

Your newborn will be weighed in the hospital and at all check-ups. This chart will help you convert the metric unit grams (g) to pounds (lb) and ounces (oz).

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Newborn Metabolic Screening

Because some potential problems aren't readily seen at birth, all newborns are tested for certain conditions, including metabolic disorders.

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Newborn Screening Tests

A national program exists to screen all newborns for certain disorders in the first few days of life.

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Newborn Senses

Babies are born with all five senses--sight, hearing, smell, taste, and touch. Some of the senses are not fully developed.

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Newborn Sleep Patterns

New parents are often unsure how long and how often a newborn should sleep. Read on to learn about general newborn sleep patterns, the quiet alert phases, and how to help your baby fall asleep.

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Newborn Warning Signs

Most newborns adjust well to the outside world. But it's helpful to know about these warning signs that could indicate a possible problem.

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Nightmares and Night Terrors

A night terror is a partial waking from sleep with behaviors such as screaming, kicking, panic, sleep walking, thrashing, or mumbling.

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Noisy Breathing (Stertor, Stridor or Wheezing)

Noisy breathing is common, especially in children. and can be a sign of many different conditions. Noisy breathing is typically caused by a partial blockage or narrowing at some point in the airways. Types of noisy breathing include low-pitched, stridor and wheezing.

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Non-Alcoholic Fatty Liver Disease

Non-alcoholic fatty liver disease (NAFLD) is the most common chronic liver disease in American children. NAFLD occurs when too much fat builds up in the liver. Excess fat in the liver and elsewhere in the body makes it harder for the liver to work well. Over time, NAFLD can cause other health issues.

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Non-Hodgkin Lymphoma

Non-Hodgkin's lymphoma (NHL) is a malignant (cancerous) tumor that starts in the lymphatic tissue in the body. There are 2 major forms of NHL: lymphoblastic and non-lymphoblastic lymphoma.

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Non-Hodgkin Lymphoma in Children

Detailed information on non-Hodgkin's lymphoma, including causes, staging, symptoms, diagnosis, and treatment

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Noninfectious Skin Conditions

Detailed information on non-infectious skin conditions, including dermatitis, acne, drug rashes, poison ivy/poison oak, and toxic epidermal necrolysis

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Non-Ossifying Fibromas

Non-ossifying fibromas (NOFs) are made of fibrous or “scar” tissue in the bone. They are not cancerous and they do not spread to other parts of the body or bone.

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Nonstress Testing

A nonstress test is a type of test done during pregnancy. It measures the heart rate of the unborn baby in response to its movements. In most cases, the heart rate of a healthy baby increases when the baby moves.

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Nontraditional Inheritance

Detailed information on nontraditional inheritance, including uniparental disomy and Prader-Willi Syndrome and Angelman Syndrome, trinucleotide repeats and Fragile-X Syndrome, and mitochondrial inheritance and Leber's Optic Atrophy

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Normal Breast Development

Breast development occurs in distinct stages, first before birth, and again at puberty and during the childbearing years. Changes also occur to the breasts during menstruation and when a woman reaches menopause.

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Normal Growth

A child's growth not only involves the length and weight of his or her body, but also internal growth and development.

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Normal Newborn Behaviors and Activities

Detailed information on normal newborn behaviors and activities

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Normal Vision

To understand how certain problems can affect your child's vision, it’s important to know how normal vision happens.

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Nose and Throat Disorders

Detailed information on nose and throat disorders in children

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Nosebleed (Epistaxis) in Children

A nosebleed is bleeding from tissues inside the nose (nasal mucus membranes) caused by a broken blood vessel. Most nosebleeds in children occur in the front part of the nose close to the nostrils.

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Nosebleeds

In this Helping Hand™, we discuss nosebleeds. Also known as epistaxis, nosebleeds occur when small and delicate blood vessels (capillaries) in the lining of the nose break and bleed. There are many things you can do to stop a nosebleed. If your child’s nosebleed does not stop, call your doctor.

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Nosebleeds (Epistaxis)

Nosebleeds, also called epistaxis, commonly occur in children for a number of reasons.

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Nursemaid’s Elbow in Children

Nursemaid's elbow is a type of elbow injury. It's when a forearm bone (radius) slips out of place from where it normally attaches to the elbow joint.

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Nursemaid's Elbow

This Helping Hand™ explains what Nursemaid's elbow is and talks about how to prevent it.

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Nutrition and Burns

A child who has been burned needs additional calories and protein to help them heal and grow.

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Nutrition and Fluids in the NICU

When your baby is in the NICU, your main concern is getting them healthy and home. That means feeding your baby and having them gain weight. But feeding babies in the NICU is quite different from feeding healthy babies. Here's what you need to know.

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Nutrition and Nephrotic Syndrome

Here is information on nutrition and diet for children with nephrotic syndrome.

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Nutrition and Renal Failure

Detailed information on nutrition and renal failure in children

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Nutrition Before Pregnancy

Pre-onception nutrition is a vital part of preparing for pregnancy. Read on to learn more about your nutritional needs before getting pregnant.

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Nutrition Index

Detailed nutrition information for mothers who are breastfeeding or bottle-feeding, and toddlers, preschool-aged children, school-aged children, and adolescents

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Nutrition- School-Age

Helpful information and tips on healthy food choices for school-age children.

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Nutritional Requirements for a Child With Cancer

Good nutrition is vital for children being treated for cancer, yet these young patients often have poor appetites.

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Obesity Hypoventilation Syndrome in Children

Obesity hypoventilation syndrome (OHS) is a breathing problem. It affects some children who are obese. Poor breathing causes too much carbon dioxide and too little oxygen in the blood. This is a rare but life-threatening issue. Your child will need treatment right away.

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Obesity in Children and Teens

Obesity is when a teen has too much body fat. Obesity is a serious, long-term disease.

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Obesity in Children: How Parents Can Help

Most children become obese because of a poor diet, lack of physical activity, and other lifestyle issues. In rare cases, however, a child's excess weight may be because of a specific illness.

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Obsessive Compulsive Disorder

Obsessive compulsive disorder (OCD) is a common mental disorder in which “obsessions” and “compulsions” cause extreme anxiety and daily life disruptions.

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Obsessive-Compulsive Disorder (OCD) in Children

Obsessive-compulsive disorder (OCD) is a type of anxiety disorder. A child with OCD has obsessive thoughts that are not wanted. The thoughts are linked to fears, such as touching dirty objects.

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Obstructed Mullerian Duct Anomalies

Obstructed mullerian duct anomalies are defects in the development of the reproductive system that are present in a female baby before birth.

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Obstructive Sleep Apnea in Children

Obstructive sleep apnea is when a child briefly stops breathing while sleeping. It happens because of a blockage in the upper airway. The pause in breathing may occur many times in a night, disrupting the child’s sleep.

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Oligodendroglioma in Children

The brain is part of the central nervous system (CNS). The CNS also includes the spinal cord. A tumor is an abnormal growth of tissue. An oligodendroglioma is a type of CNS tumor called a glioma.

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Omphalocele

An omphalocele is a birth defect. It happens when your baby is forming during pregnancy. In this condition, some of your baby’s abdominal organs poke out (protrude) through an opening in the abdominal muscles. This area is in the umbilical cord. A clear (translucent) membrane covers the organs.

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Omphalocele

In normal development before birth, the intestines are formed in a sac around the umbilical cord, and then move into the baby's body. If the intestines stay in the sac (and do not move into the baby’s body) it is called an omphalocele.

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Omphalocele

An omphalocele is an abdominal wall defect that allows the intestine to remain outside the abdomen. An omphalocele can contain parts of the intestine, liver and other organs. The goal of surgery is to place the abdominal organs back into the baby’s body and repair the defect in the wall of the belly.

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Omphalocele Repair

Treatment of an omphalocele will depend on your child’s symptoms, age, and general health. It will also depend on how severe the condition is.

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Oppositional Defiant Disorder

Oppositional defiant disorder is a type of disruptive behavior disorder in which children frequently defy authority with hostility, leading to serious disturbances in their daily life.

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Oppositional Defiant Disorder (ODD) in Children

Oppositional defiant disorder (ODD) is a type of behavior disorder. It is mostly diagnosed in childhood. Children with ODD are uncooperative, defiant, and hostile toward peers, parents, teachers, and other authority figures.

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Optic Gliomas

Childhood optic pathway glioma is a slow-growing brain tumor that forms along the optic nerve. Optic gliomas are the most common type of brain tumor in children under the age of 10.

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Oral Health

Detailed information on oral health problems and teens

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Orthodontics/Braces for Children

Orthodontics is the dental specialty that focuses on the development, prevention, and correction of irregularities of the teeth, bite, and jaws.

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Orthopedic Evaluation Procedures for Children

Here you will find detailed information on evaluation procedures used to diagnosis orthopedic disorders in children.

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Orthopedic Problems

Detailed information on orthopedic problems and teens

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Osgood-Schlatter Disease in Children

Osgood-Schlatter disease is an overuse condition in children. It's when the tendon in a knee becomes injured and inflamed.

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Osgood-Schlatter's Disease

Osgood-Schlatter's Disease is one of the most common causes of knee pain in active children.

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Osteitis Pubis

Osteitis pubis (Aa-stee-ai-tuhs Pyoo buhs) is an overuse injury at the front of the hip at the symphysis pubis joint. The symphysis pubis connects 2 of the main bones of the pelvis. The symphysis pubis is made up of the pubic bones, cartilage, a joint capsule, and joint fluid.

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Osteochondritis Dissecans

Osteochondritis Dissecans (OCD) is a condition in which a piece of cartilage and the underlying bone separate.

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Osteochondritis Dissecans (OCD)

Osteochondritis Dissecans (OCD) is a condition that develops in the joints, most often in children and adolescents. OCD lesions can develop when the area of bone beneath the cartilage is injured. In children, they are most often found in the knee and elbow. They may also be found in the talus bone in the ankle.

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Osteochondritis Dissecans of the Capitellum (OCD)

Osteochondritis dissecans of the capitellum (OCD) is a condition that affects the outside surface of the elbow that involves a separation of a segment of cartilage and the underlying bone. The bone underneath the joint’s cartilage is damaged due to lack of blood flow, causing pain.

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Osteomyelitis in Children

Acute osteomyelitis is an infection in the bone. It develops over a short time, usually about 2 weeks. In children, osteomyelitis is more common in the long bones of the arms and legs. But it can affect any bone in the body. Read on to learn more.

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Osteosarcoma

Osteosarcoma is a cancer of the bone. It starts in immature bone cells that normally form new bone tissue.

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Osteosarcoma

Osteosarcoma is the most common form of bone cancer in young people under age 20. Tumors are lumps or masses and usually affects the long bones near the knee or the shoulder.

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Osteosarcoma (Osteogenic Sarcoma) in Children

Osteosarcoma is cancer of the bone. It is rare, but it is the most common type of bone cancer in children and teens. Learn more about risks, symptoms, diagnosis, treatment, and prevention.

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Otitis Externa (Swimmer's Ear)

Swimmer’s ear, also called otitis externa, is an infection of the skin in the outer ear canal. It is called “swimmer’s ear” because it often occurs when water stays in the ear canal and it is usually caused by bacteria or fungus found in swimming pools, lakes and rivers.

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Otorrhea

Otorrhea is the medical term for ear drainage. In order for there to be drainage from the middle ear into the ear canal, there must be a connection present.

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Ovarian Cyst

An ovarian cyst s a fluid filled sac in or on the surface of an ovary. It often forms during or after ovulation.

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Ovarian Masses and Tumors

Ovaries can become enlarged due to cysts, masses or neoplasms. The vast majority of ovarian neoplasms in girls and young women are not cancerous. Most ovarian cysts do not cause significant symptoms and resolve spontaneously.

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Ovarian Neoplasm

This Helping Hand™ highlights ovarian neoplasm, which is an abnormal growth of cells in the ovary. It can be benign or malignant. Symptoms include abdominal bloating, weight loss, and fatigue. Treatment usually involves surgery and chemotherapy.

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Overuse Injuries

Detailed information on overuse injuries in children, including jumper's knee, patellar tendonitis, little leaguers' elbow or shoulder, and more.

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Overview of Blood and Blood Components

Blood is the life-maintaining fluid that circulates through the entire body. Learn about the components of blood.

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Overview of Craniofacial Anomalies

Detailed information on craniofacial anomalies, including cleft lip, cleft palate, craniosynostosis, hemifacial microsomia, vascular malformation, hemangioma, and deformational plagiocephaly

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Overview of Diabetes Mellitus

Diabetes occurs when not enough insulin is made, or when the body is unable to use the insulin that is made. The three main types of diabetes are type 1, type 2, and gestational diabetes.

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Overview of Diagnostic Tests for Nervous System Disorders in Children

Evaluating and diagnosing damage to the nervous system can be complicated. Many of the same symptoms occur in different combinations among the different disorders, and many disorders do not have definitive causes, markers, or tests.

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Overview of Kidney Disorders in Children

Kidney disorders can show up on fetal ultrasound before birth. Or a healthcare provider may diagnose them after a urinary tract infection.

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Overview of Neck Masses in Children

Detailed information on neck masses in children.

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Overview of Nervous System Disorders in Children

The most common symptoms of nervous system disorders in children include delays in developmental milestones, an increase or lack of growth in head size, and a lack of coordination.

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Overview of Pregnancy Loss

Pregnancy loss is the death of an unborn baby (fetus) at any time during pregnancy. Pregnancy loss may occur in as many as 1 in every 4 pregnancies. Most pregnancy losses happen during the first trimester.

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Pacemaker and Implantable Cardioverter Defibrillator (ICD) Insertion for Children

A child with an arrhythmia may need a pacemaker or an implantable cardioverter defibrillator (ICD). These devices require a simple surgery to implant. They can increase a slow heartbeat or correct a possibly life-threatening fast or chaotic beat.

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Pain Control After Your Child's Surgery

If your child has moderate to severe pain, they may receive narcotics during and after surgery. If your child is in the ICU after surgery, they may receive sedatives along with pain medicines.

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Pain Management for Children with Cancer

When a child has cancer or another pain-causing disease, one of their greatest fears is pain. Every effort should be made to ease the pain during the treatment process.

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Painful Menstruation

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Palliative Care

Supportive, or palliative, care is care aimed at comfort of the person versus cure and treatment.

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Pancreatitis

Pancreatitis is an inflammation of the pancreas that can impact children at any age. Children may have acute, acute recurrent or chronic pancreatitis. All three types are serious, their symptoms vary and treatment can range from pain management to surgery.

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Pap Test for Adolescents

A Pap test, along with a pelvic exam, is an important part of a female's routine healthcare because it may find abnormalities that can lead to invasive cancer.

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Paradoxical Vocal Cord Dysfunction (PVCD)

With Paradoxical Vocal Cord Dysfunction (PVCD), the vocal cords close together, or constrict, when a person inhales, leaving only a small opening for air to flow into the windpipe.

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Parasitic Skin Infections

Detailed information on parasitic skin infections, including scabies and lice

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Parenting in the Neonatal Intensive Care Unit (NICU)

In most cases, you can be with your baby in the NICU at any time. Read on to learn what you can expect.

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Patellar Subluxation

A patellar subluxation means that the kneecap has briefly slid out of its normal place in the groove at the center of the bottom end of the thigh bone.

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Patellar Tendonitis

Patellar Tendinitis is inflammation of the patellar tendon located directly below the knee cap.

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Patellofemoral Dislocation

The patella (kneecap) sits in the groove at the end of the femur. Sometimes, it moves too far to the side of the knee and slides out of the groove. This is called a dislocation.

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Patellofemoral Pain

Patellofemoral pain is when there is pain in the soft tissue of the knee and around the patella (kneecap).

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Patent Ductus Arteriosus (PDA)

Patent ductus arteriosus (PDA) is a heart defect found in the days or weeks after birth. Read on to learn about symptoms, diagnosis, and treatment options.

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Patent Ductus Arteriosus (PDA)

The ductus arteriosus is a blood vessel that is formed during fetal growth to provide blood flow between two of the major arteries in the baby’s body while in the womb.

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Peanut Allergy Diet for Children

A detailed look at how to follow a peanut-free diet for your child, including how to read food labels.

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Pectus Carinatum

Pectus carinatum - also known as pigeon breast - is characterized by a prominent sternum and is usually asymptomatic.

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Pectus Excavatum

Pectus excavatum - also known as sunken chest syndrome - is the most common chest wall disorder treated at Nationwide Children’s.

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Pedestrian Safety

Children are at higher risk for pedestrian injury and death because they often don't understand traffic rules or the danger that vehicles pose. In addition, parents and caregivers often overestimate a child's traffic skills. Read on to learn how to keep your child safe.

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Pediatric Blood Disorders

Detailed information on blood disorders, including Anemia, Aplastic Anemia, Hemolytic Anemia, Iron Deficiency Anemia, Megaloblastic Anemia, Sickle Cell Anemia, Thalassemia, Alpha Thalassemia, Beta Thalassemia (Cooley's Anemia)

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Pediatric Cataracts

A cataract is a clouding (whitening) of the lens of the eye, which is normally clear.

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Pediatric Feeding Disorder

A child with Pediatric Feeding Disorder does not eat or drink enough food or liquid, or a broad enough range of food, to achieve and maintain growth or meet nutritional needs. The child also may not eat in age-typical ways.

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Pediatric Glaucoma

Glaucoma is a group of diseases that cause damage to the optic nerve. It occurs when eye pressure is too high. It is a serious vision-threating disease. Children who have glaucoma need to be closely monitored because glaucoma is usually a lifelong problem.

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Pediatric Obesity

The American Academy of Pediatrics recommends using body mass index (BMI) to screen for overweight children beginning at age 2 and through age 19.

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Pediatric Ptosis

Ptosis is an eye condition that involves drooping of the upper eyelid(s). The eyelid may droop just a little, or enough to cover the pupil. Ptosis can prevent normal visual development and cause amblyopia (lazy eye). It can also block part of the visual field.

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Pediatric Trigger Thumb

Pediatric trigger thumb (PTT) is also called a flexion contracture of the IP joint. It is a condition that affects the movement of the thumb in children. In PTT, a tendon cannot slide back and forth through the ligament and the thumb gets stuck in a bent (flexed) position.

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Pelvic Apophysitis

Apophysitis (uh-paa-fuh-sai-tuhs) is pain and swelling (inflammation) of a growth plate that has a muscle attached to it and can happen in many locations throughout the body. The growth plate is an area of weakness and is prone to injury.

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Pelvic Inflammatory Disease

Pelvic inflammatory disease, also known as PID, is an infection in the uterus, the fallopian tubes or the ovaries. PID most commonly occurs in sexually active females, but may also occur in females who have never been sexually active.

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Pelvic Inflammatory Disease (PID)

Pelvic inflammatory disease (PID) is an infection in the uterus, the fallopian tubes or the ovaries.

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Pelvic Masses

Pelvic masses may be caused by adnexal cysts, ovarian masses and tumors and uterine abnormalities. The most common reason the uterus would become enlarged in a girl or young woman is due to build-up of menstrual blood, also known as an outflow tract obstruction.

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Pelvic Pain

Pelvic pain is considered pain in the lowest part of your abdomen. Acute pelvic pain is pain that is present for less than three months. Chronic pelvic pain is persistent and presents for six months or greater.

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Pericarditis in Children

Pericarditis is inflammation or infection of the pericardium. In children, pericarditis is most likely to happen after surgery to repair heart defects.

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Periodontal Disease in Children

Periodontal disease is a serious bacterial infection. It destroys the gums and the nearby tissues of the mouth.

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Perioral Dermatitis

In this Helping Hand™ document, we discuss perioral dermatitis, which is a common dry or bumpy rash that can occur around the mouth, the nose and the eyes. To treat the rash, it is important to stop using any topical steroids. Instead, your child’s doctor may prescribe topical or oral antibiotics.

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Periventricular Leukomalacia (PVL) in Children

Periventricular leukomalacia (PVL) is a softening of white brain tissue near the ventricles. The ventricles are fluid-filled chambers in the brain.

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Pernicious Anemia

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Persistent Depressive Disorder in Children

Persistent depressive disorder is a type of depression. A child with this disorder has a low, sad, or irritable mood for at least 1 year.

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Persistent Diarrhea & Malabsorption

Diarrhea lasting more than seven days is considered persistent, while less than seven days is acute. Diarrhea that lasts more than 30 days is chronic. Toddler's diarrhea is caused by a diet low in fat and high in sugar and fluids. Malabsorption is the inability to use the food the body takes in.

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Persistent Pulmonary Hypertension in the Newborn

Persistent pulmonary hypertension (PPHN) happens in newborn babies. It occurs when a newborn’s circulation continues to flow as it did while in the uterus. When this happens, too much blood flow bypasses the baby’s lungs. This is sometimes called persistent fetal circulation.

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Persistent Pulmonary Hypertension of the Newborn (PPHN)

In this Helping Hand™ document, we discuss persistent pulmonary hypertension of the newborn. PPHN is a life-threatening condition. Another term for high blood pressure is hypertension. In PPHN, blood is forced away from the lungs due to high blood pressure in the arteries that go to the lungs.

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Persisting Symptoms After Concussion

Most children return to typical function in 3-4 weeks after a concussion. About one in four children can have symptoms that continue for a longer time. This is called Persisting Symptoms after Concussion, or Post-Concussion Syndrome.

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Pertussis (Whooping Cough)

In this Helping Hand™ document, we discuss pertussis, also known as whooping cough. Pertussis is an infection of the respiratory tract caused by bacteria. The bacteria are easily spread by breathing in droplets from an infected person who coughs or sneezes. Call 911 if your child stops breathing.

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Pes Planus

Pes planus, also known as flat feet, is when the foot’s arch is lowered or flattened out. Some people have an arch when their foot is not in contact with the ground, but when they put their foot on the ground with weight, their arch goes away.

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Pets and Infectious Diseases in Children

One way to prevent the spread of disease from your pet: Feed your pet a balanced diet. Don't give your pet raw foods or allow it to drink out of the toilet.

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Peutz-Jeghers Syndrome (PJS)

Peutz-Jeghers syndrome is an inherited syndrome which typically results in hamartomatous polyps throughout the digestive tract, lifetime cancer risk and blue/black freckling or macules that can be seen on the lips, mouth, nostrils, hands, feet and genitalia.

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PFAPA Syndrome

PFAPA is a childhood syndrome that causes repeated episodes of fever, mouth sores, sore throat, and swollen lymph nodes. PFAPA usually starts in early childhood between ages 2 and 5.

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Phalangeal Neck (Finger) Fracture

The hand is the most often injured body part in children. Finger fractures, especially phalangeal neck fractures, often happen because of a direct hit to a finger.

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Pharyngitis and Tonsillitis in Children

Pharyngitis is redness, pain, and swelling of the throat (pharynx). Tonsillitis is inflammation of the tonsils. The tonsils are a pair of tissue masses on either side of the back of the throat. They are part of the immune system, the part of the body that fights infection and other disease.

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Phenylketonuria (PKU) in Children

Phenylketonuria (PKU) is a rare metabolic disorder. Children with PKU can't process an amino acid called phenylalanine. Phenylalanine is in many common foods.

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Pheochromocytoma in Children

Pheochromocytoma is a tumor of the adrenal glands. The tumor makes hormones called epinephrine and norepinephrine. This leads to an excess of the hormones in the body. These hormones help manage heart rate and blood pressure, and they have other tasks. Too much of these hormones in the body causes problems.

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Phimosis

Phimosis is a condition of the male foreskin where the skin is tight and unable to retract back behind the head of the penis. This condition is completely normal and physiologic in most baby boys whose penis is otherwise without abnormalities.

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Phimosis and Paraphimosis in Children

Phimosis and paraphimosis are problems with the foreskin of the penis. Phimosis is when a foreskin can’t be pulled down (retracted) from the tip of the penis. Paraphimosis is when the foreskin is retracted but can’t move back up.

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Phobias in Children

A phobia is an excessive fear of a certain object or situation. It's a fear that lasts for at least 6 months. It is a type of anxiety disorder. Here's what you need to know.

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Phosphorus Restriction for Children

Detailed information on controlling phosphorus in your child's diet.

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Physical Abnormalities

Detailed information on physical abnormalities of high-risk newborns

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Physical Abuse

Physical abuse is any act that results in physical injury to a child or adolescent, even if the injury was unintentional.

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Physical Exam for a Child with Congenital Heart Disease

Detailed information on what to expect when your child has a physical exam to help find possible heart conditions, or to find out how well your child is coping with existing heart problems.

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Physical Exam of the Newborn

A complete physical exam is an important part of newborn care. Each body system is carefully checked for signs of health and normal function.

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Physical Exam: Adolescent Male

Detailed information on what teen boys can expect during a physical exam.

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Physical Needs of the Dying Child

A terminally ill child has many of the same needs as any seriously ill child, including a routine for sleep and rest, and for pain management. Here's what you should know.

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Pierre Robin Sequence

Pierre Robin Sequence is a condition that affects a baby’s mouth. It usually involves a cleft palate and a small lower jaw. This can impact breathing and feeding.

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Pilomatrixoma in Children

A pilomatrixoma is a slow-growing, hard lump found under the skin. It is most common on the face and neck, but it may be on other parts of the body. Read on to learn more.

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Pilonidal Disease

This Helping Hand™ is about pilonidal disease, which is a common skin condition that happens between the buttocks.

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Pinworms: Treatment and Prevention

Pinworms are small white worms that live in the large intestine. They are about 1/2 inch long and as thin as a thread. They can sometimes be seen in and around the child's bowel movements. The adult female pinworm lays her eggs on the skin around the anus. This causes itching and scratching.

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Piriformis Syndrome

Piriformis (pee-ruh-for-muhs) syndrome is a rare condition in the back of the hip, causing pain and sometimes loss of feeling in the back of the thigh. Pain often goes down to the bottom of the foot.

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Pityriasis Rosea

Pityriasis rosea is a common skin problem in children and young adults. It often begins with a large scaly lesion called the “herald patch.”

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Pityriasis Rosea in Children

Pityriasis rosea is a mild, common rash. Read on to learn more about diagnosis, symptoms, and treatment.

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Placenta Previa

Bleeding can happen at any time during pregnancy. Placenta previa can cause bleeding late in pregnancy. This means after about 20 weeks.

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Plantar Fasciitis

Plantar fasciitis (plan-taar fa-shee-ai-tus) occurs when there is pain and stiffness of the main fascia (a fibrous connective tissue) on the bottom of the foot. The plantar fascia connects the heel bone to the toes and gives the arch of the foot support.

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Plantar Fasciitis

Plantar fasciitis occurs when a broad band of tissue located on the bottom of the foot becomes painful and irritated.

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Plasmaphoresis

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Play

Detailed information on the stages of play for all ages

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Play Therapy for a Child in the Hospital

Play therapy is used to help children understand and cope with illness, surgery, hospitalization, treatments, and procedures.

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Plugged Milk Ducts

Some breastfeeding moms may be more likely to get plugged milk ducts than others. Read on for some quick tips on preventing and managing this condition.

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Pneumococcal Infection in Children

Pneumococcus bacteria can cause serious illness in children, including pneumonia, infection in the blood, and meningitis.

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Pneumomediastinum

In this Helping Hand™, we discuss the causes and treatment pneumomediastinum, which is a condition that happens when air escapes from the lungs, airways, or esophagus into the mediastinum.

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Pneumonia

Pneumonia is a lung infection that is usually caused by a virus or bacteria. This makes the air sacs in the lungs fill with fluid (phlegm or mucus). Walking pneumonia is a non-medical word that describes a mild case of bacterial pneumonia. Pneumonia caused by bacteria is treated with an antibiotic.

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Pneumonia in Children

Pneumonia is an infection in the lungs. It can be mild or serious. Pneumonia is generally more common in children younger than 5 years old.

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Pneumothorax in Children

A pneumothorax is an air leak in the lungs. This is a rare condition that most often occurs in the first 24 to 36 hours after birth.

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Poison Ivy Rash in Children

Poison ivy rash is an allergic reaction to poison ivy. Poison ivy is very a common plant in the U.S. It is similar to two other plants called poison oak and poison sumac. The plants cause allergic dermatitis.

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Poison Ivy, Poison Oak and Poison Sumac: Treatment and Prevention

Poison Ivy, Poison Oak and Poison Sumac are plants that can cause a rash after contact with the sap of the plant.

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Poisons and Children

Detailed information on poisoning, preventing poisoning and how to respond in an emergency

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Polio Vaccine (Inactivated Polio Vaccine; IPV)

The poliovirus destroys the nervous system, causing paralysis. Today, polio is extremely rare in the United States because of the polio vaccine. It's still common in other countries, though, so children still need to be immunized.

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Poliomyelitis (Polio) in Children

Polio is a very contagious disease caused by a virus. The virus is most known for causing paralysis. But very few children with polio develop paralysis. Read on to learn more about this condition in children.

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Pollen and Children

Learn about pollen, which is the most common cause of hay fever (seasonal allergic rhinitis). Also learn how to reduce the effects of hay fever on your child during pollen season.

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Polycystic Kidney Disease

Detailed information on the different types of polycystic kidney disease.

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Polycystic Kidney Disease

Learn about the two different types of Polycystic Kidney Disease.

 

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Polycystic Ovary Syndrome (PCOS)

This Helping Hand™ about polycystic ovary syndrome (PCOS) explains how cysts on the ovaries can affect hormone balance, periods, and more. 

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Polycythemia Vera in Children

Polycythemia vera is a serious, but very rare blood disorder in children. Learn about causes, symptoms, diagnosis, and treatment.

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Polydactyly

Polydactyly refers to extra fingers or toes that are present at birth. Polydactyly usually is genetic. These extra digits can be made up of one or more of the following: Skin, soft tissue and bone with joint, ligament, and tendon.

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Polyps in the Digestive Tract

A polyp is an outgrowth of tissue that can extend out into the empty space within the stomach, small intestine, or colon. Colon polyps can be seen in healthy children. But when present in greater numbers, keep recurring or have bothersome features, other medical conditions that can be associated with lifetime risk should be considered. Polyps can generally be divided into two groups based on structure or appearance: hamartomas and adenomas.

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Positional Plagiocephaly (Flattened Head)

Positional plagiocephaly is a flat area on the back or on one side of your baby’s head that does not go away on its own.

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Posterior Pituitary Disorders

Detailed information on posterior pituitary disorders

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Posterior Urethral Valves

Posterior urethral valves (PUV) is when there are abnormal tissue flaps in the tube that lets urine flow from the bladder to outside the body (urethra). The tissue flaps cause a blockage that back urine up into the bladder.

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Posterior Urethral Valves in Children

Posterior urethral valves are a problem with the urethra in a boy. The valves partly block urine flow because not enough urine can get through them to leave the body. This can harm the urethra, bladder, ureters, and kidneys.

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Postmaturity in the Newborn

The normal length of pregnancy is 37 to 41 weeks. Postmaturity is a word used to describe babies born after 42 weeks. Very few babies are born at 42 weeks or later. Other terms often used to describe these late births include post-term, postmaturity, prolonged pregnancy, and postdates pregnancy.

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Postoperative Care

Detailed information on postoperative management

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Postpartum Hemorrhage

Postpartum hemorrhage is more bleeding than normal after the birth of a baby. About 1 in 100 to 5 in 100 women have postpartum hemorrhage. It is more likely with a cesarean birth. It most often happens after the placenta is delivered, but it can also happen later.

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Postterm Pregnancy

A pregnancy that lasts more than 42 weeks is called postterm. A pregnancy that is between 41 and 42 weeks is called late-term. Most women deliver between 37 and 42 weeks of pregnancy.

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Post-Thrombotic Syndrome (PTS)

Post-Thrombotic Syndrome or PTS can occur when there are changes in a blood vessel after a blood clot is formed.

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Posttraumatic Stress Disorder (PTSD) in Children

Posttraumatic stress disorder (PTSD) is a mental health problem. A child with PTSD has constant, scary thoughts and memories of a past event. The child finds the event terrifying, either physically or emotionally.

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Potassium Restriction for Children

Read on for detailed information to help your child limit or avoid high-potassium foods.

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Prader Willi Syndrome

Prader-Willi Syndrome is a rare genetic disorder.

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Precocious (Early) Puberty in Children

This Helping Hand™ is about early puberty in children. Sometimes, puberty can start earlier and before signs show.

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Precocious Puberty

Puberty that happens early is called precocious puberty. This means a child's physical signs of sexual maturity develop too soon. This includes breast growth, pubic hair, and voice changes. These are known as secondary sexual characteristics. Precocious puberty happens before age 8 in girls, and before age 9 in boys.

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Preconception Care

Detailed information on preconception care

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Pregnancy and Medical Conditions

Detailed information on pregnancy and medical conditions

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Pregnancy and Pre-existing Heart Disease

Pre-existing heart disease is a heart problem that you had before you got pregnant. This often means a heart condition that you were born with (congenital). These can include heart problems that may have been fixed. It can also include heart valve issues.

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Pregnancy Complications

Detailed information on the most common complications during pregnancy

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Pregnancy- How Your Digestion Changes

Digestion is the process of breaking down food and drink into smaller parts so that the body can use them to build and nourish cells, and to provide energy.

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Pregnancy Loss

Detailed information on pregnancy loss, including types, causes, symptoms, diagnosis, and treatment

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Pregnancy: Issues and Answers

Access basic information about what you may be feeling, your choices, and what you can expect from prenatal care.

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Prematurity

A baby born before 37 weeks of pregnancy is considered premature or born too early. Learn more about prematurity, including causes, risks, symptoms, diagnosis, and treatment.

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Premenstrual Syndrome (PMS)

Premenstrual syndrome (PMS) is a collection of behavioral and physical signs and symptoms that affects women a few days before their menses. These symptoms typically occur in a predictable pattern. Symptoms can include mood swings, anxiety, food cravings, bloating, fatigue and headaches.

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Prenatal Counseling

Detailed information on prenatal diagnosis to detect fetal abnormalities in the womb

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Preoperative Management for Children

Detailed information on preoperative management

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Preoperative Visit with Your Child's Surgeon

This is the time to ask questions: What are the expected results? What are the possible risks and complications? How long will the surgery take?

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Preparing a Child for Surgery

Detailed information on preparing the child having surgery

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Preparing for Your New Baby

Detailed information on preparing for your new baby

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Preparing Siblings for Surgery

When your child goes to the hospital, brothers and sisters may feel afraid, worried, or confused. They're often afraid simply because they don't know what to expect, and they may imagine the worst. Here's what you can do to help.

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Preparing the Family

Most families soon find ways to adjust to the changes that take place after a baby is born. But it's helpful to prepare family members for what's ahead.

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Preparing the Infant for Surgery

It's important to keep your baby's routine the same before the day of surgery. Make sure you, your baby, and your family are well rested.

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Preparing the Preschooler for Surgery

One of the major fears preschoolers have is fear of the unknown. Tell your child about the surgery several days before the procedure and perhaps even visit the hospital for a tour.

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Preparing the School-Aged Child for Surgery

Have your child explain back to you what is going to happen in the hospital. School-aged children sometimes will listen carefully but not understand all that was said.

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Preparing the Teen for Surgery

Allow your teen to be part of the decision-making process. Encourage them to make a list of questions to ask the healthcare providers.

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Preparing the Toddler for Surgery

Read books to your toddler about going to the hospital. Keep any explanations simple and be careful with the words you use.

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Prepubertal Vaginal Bleeding

There are several different reasons why a pediatric patient may experience vaginal bleeding. It is important to notify your health care provider if you notice your child is having vaginal bleeding.

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Preschool (4 to 5 Years)

Detailed information on preschool-aged children, ages 4 to 5 years

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Preschool and School-Aged Problems of the Teeth and Mouth

Detailed information on preschool and school-aged problems of the teeth and mouth

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Preschool Play

A preschooler needs space in which to run and explore. Take them on trips to the playground, park, or beach. Encourage them to play with other children.

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Preschooler Nutrition

Preschool children are still developing their eating habits and need encouragement to eat healthy meals and snacks.

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Preterm Labor

Preterm labor is labor that starts before 37 completed weeks of pregnancy. Labor is when the uterus regularly tightens and the cervix starts to thin and open. This lets the baby (fetus) enter the birth canal.

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Preterm Premature Rupture of Membranes (PPROM)

Preterm premature rupture of the membranes (PPROM) is a pregnancy complication. In this condition, the sac (amniotic membrane) surrounding your baby breaks (ruptures) before week 37 of pregnancy. Once the sac breaks, you have an increased risk for infection. You also have a higher chance of having your baby born early.

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Preventing Burn Injuries in Children

Here are safety tips: Periodically, check electrical plugs and cords for dirt or fraying. When cooking with hot oil, keep your child a safe distance from the stove. Teach your child to stay away from lighters and matches.

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Preventing Burn Scars and Contractures in Children

Most second- and third-degree burns cause scarring. Physical therapists will work with your child to prevent or reduce scarring.

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Preventing Eye Injuries in Children

Children should wear protective eyewear during sports and recreational activities. In the classroom, they should wear eye protection when doing lab experiments.

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Preventing Falls

Falls are the most common cause of injury visits to the emergency room for young children. Falls cause more open wounds, fractures, and brain injuries than any other cause. Read on to learn about safety steps you can take to prevent a fall for your child.

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Preventing MRSA in Athletes

MRSA most often causes minor skin infections in young athletes. But if untreated, the bacteria may invade the bloodstream and become a life-threatening infection. Read on to learn more.

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Preventing Sports Injury in Children

Detailed information on sports safety for kids, including safety gear and equipment

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Prevention of Infectious Disease

Detailed information on prevention of infectious diseases

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Prevention of Oral Problems

Detailed information on the prevention of oral diseases and dental problems

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Primary Ciliary Dyskinesia (PCD)

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Primary Immune Deficiencies

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Primary Ovarian Insufficiency (POI)

Primary ovarian insufficiency (POI) is a condition in which a woman’s ovaries do not make enough follicles or the follicles do not function properly. Because of this, there are not enough hormones produced and women stop having menses (their “period”) before the age of 40.

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Problems Affecting the Coronary Arteries and Blood Vessels

Detailed information on problems affecting the coronary arteries and blood vessels of children

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Problems Affecting the Lower Digestive Tract

Detailed information on problems affecting the lower digestive tract of children

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Problems Affecting the Upper Digestive Tract

Detailed information on problems affecting the upper digestive tract of children

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Problems in Prenatal Development of the Digestive Tract

Detailed information on problems in prenatal development of the digestive tract

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Problems in Puberty

Detailed information on problems in puberty, including precocious puberty, gonadotropin-independent precocious puberty, and delayed puberty

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Problems Involving Heart Rhythm

Detailed information on problems involving heart rhythm

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Protecting Your Child with Vaccines

Vaccines are an important part of a healthy life for your child. Learn why they are beneficial, how they work, whether they are safe, and which ones your child needs.

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Protein Losing Enteropathy (PLE)

Protein losing enteropathy (PLE) explains the condition when the body loses important proteins because they are leaking into the intestines.

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Protein Restriction for Children

Detailed information on limiting protein in your child's diet, when your child has kidney failure.

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Prune Belly Syndrome

Prune belly syndrome (PBS) is a rare condition that affects about 1 in every 50,000 children. Children are born with it. The condition affects belly (abdominal) muscles, bladder and urinary tract, as well as testicles in males. PBS is often found during pregnancy.

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Prune Belly Syndrome in Children

A child with prune belly syndrome often can't fully empty their bladder. This can cause serious bladder, ureter, and kidney problems.

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Pseudotumor Cerebri (PCT)

Pseudotumor cerebri (PTC) is also known as idiopathic intracranial hypertension (IIH). It is a disease that causes increased pressure in the brain.

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Psoriasis

Psoriasis (sore-EYE-uh-sis) is a common skin problem that looks like pink or red areas of skin topped with white or silvery scaly patches.

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Psoriatic Arthritis in Children

Psoriatic arthritis is a rare form of arthritis or joint inflammation that affects skin and joints. Read on to learn about this condition in children.

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Psychiatric Treatment Team

Team members may include a child and adolescent psychiatrist, a psychologist, a social worker, and a psychiatric nurse. Read on to learn more.

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Psychogenic Non-Epileptic Events

This Helping Hand™ reviews what psychogenic non-epileptic events (PNEE) are, as well as signs, diagnosis, and treatment options.

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Psychological Complications of Chronic Illness

Adolescence is a stressful time of life even for physically healthy teens. Chronic illness further complicates adolescent development. Read on to learn more.

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Psychosis

Psychosis in children is rare but severe. Psychosis is a collection of significant symptoms that can impact thoughts, behaviors and emotions.

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Psychosocial Needs of the Dying Child

The child with a terminal illness has the same need for love, emotional support, and normal activities as any person facing death.

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Puberty: Adolescent Female

Girls experience puberty as a sequence of events, and their pubertal changes usually begin before boys of the same age. The first pubertal change in girls usually is breast development.

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Puberty: Teen Boy

During puberty, a teen boy will grow taller and heavier, and hormones will lead to sexual maturity. Read on to learn what to expect.

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Pulmonary Arterial Hypertension (PAH)

Pulmonary hypertension is a rare lung disease in which the blood pressure in the pulmonary arteries are high.

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Pulmonary Atresia

Pulmonary atresia is a heart defect in children that affects blood flow to the lungs. It can be treated with surgery or catheterization

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Pulmonary Embolism

A pulmonary embolism is a blood clot that travels to the blood vessels in the lungs. You may hear a pulmonary embolism referred to as a “PE.”

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Pulmonary Hypertension

Pediatric pulmonary hypertension (PH) is a disease that affects the blood vessels in the lungs. These vessels, called the pulmonary arteries, carry blood to the lungs from the right side of the heart. The high blood pressure causes the pulmonary arteries to narrow.

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Pulmonary Interstitial Emphysema

Pulmonary interstitial emphysema (PIE) is when air gets trapped in the tissue outside the tubes and air sacs of the lungs. It affects newborn babies. PIE is fairly common in neonatal intensive care units (NICUs).

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Pulmonary Stenosis

Pulmonary stenosis is a heart defect in children that makes it harder for blood to flow. It can be treated with surgery or catheterization.

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Puncture Wounds in Children

A puncture wound is a deep wound made by a sharp object. This type of wound may become infected easily because dirt and germs are carried deep into the tissues.

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Pyelectasis and Pelviectasis

Pyelectasis, or pelviectasis, is when urine gathers in the center of the kidney, called the pelvis. This makes the kidney larger than normal. This condition can affect one or both kidneys.

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Pyelonephritis

Pyelonephritis is the medical term for a kidney infection. The most common cause of acute kidney infections in children is a bacterial urinary tract infection (UTI) that has spread from the bladder to the kidneys. Repeat acute kidney infections can lead to the need for a kidney transplant.

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Pyloric Stenosis

Pyloric stenosis is a problem that causes forceful vomiting. It affects babies from birth to 6 months of age. It can lead to dehydration. This condition is the second most common reason why newborns have surgery.

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Pyloric Stenosis

Pyloric stenosis is common in infants. It affects babies from birth to a few months of age. It is caused by the thickening of the muscle between the stomach and the small intestine.

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Pyloric Stenosis

Pyloric stenosis is a problem that affects babies between birth and 6 months of age. In pyloric stenosis, the muscles in the lower part of the stomach enlarge, narrowing the opening of the pylorus and eventually preventing food from moving from the stomach to the intestine.

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Pyogenic Granuloma

A pyogenic granuloma (pie uh JENN ik gran yuh LOH muh) or PG is a vascular (blood vessel) growth. It usually appears after an area of skin that has been injured.

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Rabies in Children

Rabies is a viral infection that attacks the nervous system. Learn about the causes, symptoms, treatment, and more.

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Radiation Exposure from X-rays in Children

X-rays are a kind of imaging test that provides your healthcare provider with information about structures inside the body. These tests expose children to low doses of radiation.

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Ranula

A ranula is a fluid collection or cyst that forms in the mouth under the tongue. It is filled with saliva that has leaked out of a damaged salivary gland. If a ranula stays in the mouth underneath the tongue it is called a simple ranula. If it grows down into the neck it is called a plunging ranula.

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Rashes Caused by Viruses

Detailed information on viral exanthems (rashes)

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RBC Count

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Recognizing Urologic or Gynecologic Problems

Vaginal bleeding and discharge are a normal part of a teen girl's menstrual cycle. If your daughter notices anything different or unusual, talk with your teen's healthcare provider.

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Recovery Room/Post-Anesthesia Care Unit

Once surgery is done, your child will be brought to the recovery room, also called the post-anesthesia care unit (PACU).

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Recurrent Respiratory Papillomatosis (RRP)

RRP is caused by the Human Papilloma Virus (HPV), which is a highly prevalent virus.

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Red Cell Disorders

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Refractive Errors in Children

The most common refractive errors in children are nearsightedness, farsightedness, and astigmatism.

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Relationship Development

The teen years bring a focus on social interactions and friendships. This includes same-gender friends, same-gender groups of friends, and cross-gender groups of friends. In addition, sexual maturity triggers teens' interest in dating and sexual relationships.

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Renal Failure

Detailed information on renal failure, including symptoms, diagnosis, treatment, and diet

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Renal Failure in Children

Renal failure refers to temporary or permanent damage to the kidneys that results in loss of normal kidney function. There are two different types of renal failure—acute and chronic.

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Respiratory Disorders in the Newborn

Detailed information on respiratory disorders in high-risk newborns

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Respiratory Distress

This Helping Hand™ is about respiratory distress illnesses in children. These illnesses cause breathing problems. Call 911 or take your child to the closest emergency room if you think they're having trouble breathing.

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Respiratory Distress Syndrome (RDS)

Respiratory distress syndrome (RDS) is a common problem in premature babies. It causes babies to need extra oxygen and help with breathing.

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Respiratory Distress Syndrome: Newborn

Respiratory distress syndrome, also known as RDS, is caused by not having enough surfactant in the lungs. It is the most common lung disease in premature infants and it occurs because the baby’s lungs are not fully developed. Babies with RDS need extra oxygen and surfactant as well as medicine.

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Respiratory Syncytial Virus (RSV) in Children

RSV is a viral illness that causes symptoms such as trouble breathing. It’s the most common cause of inflammation of the small airways in the lungs (bronchiolitis) and pneumonia in babies.

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Restless Leg Disorders in Kids with ADHD

Research suggests children with ADHD are more likely to have sleep disorders. These include insomnia, daytime sleepiness, and restless leg disorders.

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Retinoblastoma

Retinoblastoma is a cancer of the retina. This type of cancer is usually found in children younger than 3 years of age.

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Retinoblastoma in Children

Retinoblastoma is a rare cancer of the retina of the eye. The retina is in the back of the eye. It’s the part of the eye that receives light. Retinoblastoma is the most common tumor affecting the eye in children. It almost always occurs in children less than 5 years old.

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Retinopathy of Prematurity (ROP)

This Helping Hand™ is about retinopathy of prematurity (ROP). ROP is an eye problem that babies born early (premature) are at high risk for.

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Rett Syndrome

Rett syndrome affects the way the brain develops. This rare condition causes children to lose language and motor skills starting around age 6 to 18 months.

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Rett Syndrome in Children

Rett syndrome is a rare genetic developmental and neurological disorder. It almost always affects girls.

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Returning Home After a Burn Injury

Detailed information for helping your child if he/she has difficulty adjusting following a burn injury

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Reye Syndrome in Children

Reye syndrome is a rare but very serious illness that causes brain swelling and liver damage. It can also affect all the body’s organs.

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Rh Disease

Rh disease occurs during pregnancy. It happens when the Rh factors in the birth parent's and baby’s blood don’t match. It may also happen if the birth parent and baby have different blood types.

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Rhabdomyosarcoma

This Helping Hand™ explains Rhabdomyosarcoma (RMS) which is a soft-tissue cancer that can start in muscle cells from many different areas of the body.

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Rhabdomyosarcoma in Children

Rhabdomyosarcoma is a type of cancer. It starts in cells that should grow into skeletal muscle cells. Skeletal muscles control voluntary muscle movements. These are movements we can control. This rare cancer is most common in children under age 10.

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Rheumatic Fever

Rheumatic fever is a complex disease that affects the joints, skin, heart, blood vessels, and brain. It occurs mainly in children between the ages of 5 to 15.

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Rheumatic Heart Disease in Children

Rheumatic heart disease is a condition that causes permanent damage to the heart valves.

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Ringworm in Children

Ringworm is a type of skin infection cause by a fungus. Learn about details such as causes, symptoms, diagnosis, and treatment.

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Ringworm of the Body (Tinea Corporis)

Ringworm, also known as tinea corporis) is a contagious infection of the skin caused by a fungus. The infection starts as a rash with tiny red pimples. The pimples slowly spread and form a round or oval ring. A single patch of ringworm can be treated with an over-the-counter antifungal cream.

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Ringworm of the Scalp (Tinea Capitis)

Tinea capitis (TIN-ee-uh CAP-i-tis) is an infection of the scalp which is caused by a fungus. It is also called ringworm.

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Risk Factors for Pregnancy

Detailed information on identifying potential risks of a pregnancy as an important part of preconception care

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Rocky Mountain Spotted Fever (RMSF) in Children

Rocky Mountain spotted fever (RMSF) is a bacterial infection. It’s spread by the bite of an infected tick. Learn details about symptoms, diagnosis, and treatment.

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Roseola

Roseola (ROSE–ee-OH-lah) is a common childhood illness caused by a virus. It usually affects children age 6 months to 3 years but can occur in children somewhat younger or older.

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Roseola in Children

Roseola is a contagious viral illness. It causes a high fever and then a rash that develops as the fever goes away.

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Rotator Cuff Tendonitis

Rotator Cuff Tendonitis is inflammation of the rotator cuff muscles tendons surrounding the shoulder joint.

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Rotavirus

Rotavirus (ROE-tuh-vie-russ) is a contagious illness caused by a virus.

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Rotavirus Infection in Children

Rotavirus is a contagious virus that causes nausea and diarrhea. It is the leading cause of severe infectious diarrhea in children.

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Roundworm Infection in Children

Roundworm infection is a type of parasitic illness. This is an illness in which an organism lives inside the body of another creature. The worms live and grow inside the body and may cause symptoms.

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RSV Infection (Respiratory Syncytial Virus)

Respiratory syncytial virus (RSV) is most common from fall to spring. Symptoms of RSV include sneezing, stuffy or runny nose, sore throat and fever. For healthy babies, it is like getting a cold and can be treated at home. In some infants, RSV can be very serious and may require a hospital stay.

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Rubella

Rubella, also known as German measles, is an illness caused by a virus.

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Rubella in Children

Rubella is a viral illness that causes a mild fever and a skin rash. It is also called German measles, but is not caused by the same virus that causes measles (rubeola).

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Rumination Syndrome

Rumination syndrome is a condition involving involuntary regurgitation of food.

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Sacrococcygeal Teratoma (SCT)

Sacrococcygeal teratoma (SCT) is a tumor that forms on a fetus’ tailbone, also called the coccyx. The tumors are usually not cancerous (benign) but can be life-threatening if not treated. SCT is rare, occurring in about 1 in 35,000-40,000 births. They are more common in males than females.

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Sacroiliac (SI) Joint Dysfunction

The sacroiliac (SI) joint connects the hip and pelvis with the lower spine. SI joint dysfunction is a condition with pain experienced anywhere in the lower back, hips, buttocks and sometimes lower legs. 

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Sacroiliitis

Sacroiliitis is the swelling (inflammation) of either one or both of the sacroiliac (SI) joints. 

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Safer Sex Guidelines for Teens

The only safe sex is no sex, most healthcare providers say. But certain precautions and safe behaviors can reduce a person's risk of contracting a sexually transmitted infection.

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Safety and Injury Prevention for Teens

Detailed information on safety and injury prevention for teens

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Safety for You and Your Child

You can help your child by being prepared and preventing injuries from happening. It is important to take charge of your child's health and follow a program designed to help you and your family stay healthy and safe.

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Sarcoma

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Sarcomas of Bone

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Scabies

Scabies is a skin condition caused by a mite.

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Scabies in Children

Scabies is an infestation of tiny bugs called mites on the skin. It causes a small red rash and intense itching. This infection is very contagious. It often spreads from child to child while children are sleeping together in the same bed or have close personal contact.

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Scaphoid Fracture

The scaphoid is one of 8 carpal bones located in the wrist. A scaphoid fracture is a break of the scaphoid bone.

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Scaphoid Fractures

The wrist is made up of eight bones. The wrist bone below the base of the thumb is known as the scaphoid bone. A fracture (break) of this bone can happen when a person falls onto the outstretched hand.

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Scarlet Fever in Children

Scarlet fever is an infectious disease that causes a rash. It is caused by the same kind of bacteria that cause strep throat.

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Scheuermann's Disease

Scheuermann’s disease is a condition of the mid-back related to the shape of the vertebrae and the curve of the spinal column. Normally, vertebrae are about the same size and rectangular-shaped. With Scheuermann’s disease, the vertebrae become wedge-shaped and a person’s posture may change. 

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Schizophrenia in Children

Schizophrenia is a serious mental illness. It is a long-lasting and disabling problem of the brain. A child with this disorder has unusual behavior and strange feelings.

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Schmorl's Nodes

A Schmorl’s node is a bulge (protrusion) of the jelly-like contents of the vertebral disc into the growth cartilage of bone (vertebra) above or below the disc. 

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School Refusal

There are many reasons why a child would feel anxious and not want to go to school. Read on to learn more about school refusal.

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School-Age (6 to 12 Years)

Detailed information on the school-aged child, ages 6 to 12 years

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School-Based Occupational Therapy

School-based occupational therapy is a type of help given to children at school to help them be more successful.

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Scleroderma in Children

Scleroderma is an ongoing (chronic) disease that causes abnormal growth of connective tissue. It can affect the joints, skin, and internal organs. It is degenerative and gets worse over time.

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Scoliosis

Scoliosis is a condition where there is an abnormal curve of the spine. Most cases are idiopathic, meaning there is no known cause. However, some cases are related to neurological conditions or seen in children with birth defects.

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Scoliosis

Scoliosis (skoe-lee-OH-sis) is a deformity of the spine which results in a rotation and curve of the spine.

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Scoliosis in Children

Scoliosis is a deformity of the backbone (spine). It's when the spine has a side-to-side curve. The curve of the spine measures 10° or more.

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Screen Time and Children

Many children watch too much digital media, which includes TV, the internet, and smart devices. Learn why too much screen time is not good for kids--and how to set limits and establish good viewing habits.

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Scrotal Swelling in Children

Scrotal swelling is a common problem in baby boys and young boys. It can have many causes. These are often divided into painless and painful scrotal swelling.

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Sealants

Dental sealants are thin, plastic films painted on the chewing surfaces of the molars and premolars. They are highly effective in preventing tooth decay.

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Second Trimester Prenatal Screening Tests

Screening is usually performed by taking a sample of the mother's blood between the 15th and 20th weeks of pregnancy (16th to 18th is ideal).

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Second-Degree Burn in Children

A burn is damage to tissues of the body caused by contact with things such as heat, radiation, or chemicals. A second-degree burn affects the outer layer of skin (epidermis) and part of the inner layer of skin (dermis).

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Seizure Care

Activity in the brain is controlled by electrical impulses. If these electrical signals are not sent in the right order or at the proper rate, seizures can occur.

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Seizures - Generalized

Seizures occur when nerve cells in the brain send out sudden, excessive, uncontrolled electrical signals. Generalized seizures occur when nerve cells in both sides of the brain are involved at the same time

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Seizures and Epilepsy in Children

A seizure occurs when part(s) of the brain receives a burst of abnormal electrical signals that temporarily interrupts normal electrical brain function.

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Seizures: Focal (Partial)

Seizures occur when nerve cells in the brain send out sudden, excessive, uncontrolled electrical signals. The way the child acts during a focal seizure depends on the area of the brain that is affected. There are two types of partial seizures: simple partial seizures and complex partial seizures.

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Seizures: Infantile Spasms

Infantile spasms are seizures that often cause a delay in development. This means that your child may not have the same skills or behave the way other infants do at the same age. It is important to start treatment as soon as possible.

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Seizures: Premature Infant

When electrical impulses are sudden, excessive, and out of control, a seizure can occur.

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Selective Dorsal Rhizotomy for Cerebral Palsy in Children

Selective dorsal rhizotomy (SDR) is a type of spine surgery that’s done to reduce muscle tightness and spasms in the legs of children with cerebral palsy.

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Selective Mutism

Selective mutism is a rare condition in which a child can’t speak in certain settings but can speak fine in others. It can cause problems with school and social situations.

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Separation Anxiety

Separation anxiety usually begins around 6 months of age. Babies may suddenly be afraid of familiar people, such as babysitters or grandparents.

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Separation Anxiety Disorder in Children

Learn details about separation anxiety disorder in children, including causes, symptoms, diagnosis, and treatment.

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Sepsis in the Newborn

Newborn sepsis is a severe infection in an infant younger than 28 days old. The infection is in your baby’s blood. But it may affect any body system or the whole body.

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Septic Arthritis (Infectious Arthritis) in Children

Septic arthritis is an infection in the joint fluid (synovial fluid) and joint tissues. Read more about this condition in children.

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Septoplasty for Children

Septoplasty is surgery to fix a septum. The septum is the wall that divides your child's nose into two sides. It is made of soft cartilage and bone and is covered with a mucous membrane. A deviated septum is when the septum is not in the middle.

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Sesamoid Stress Fracture

A sesamoid stress fracture is an overuse injury of the sesamoid bones in the foot. Sesamoid bones are bones that develop in the tendons. 

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Setting Screen Time Limits for Children and Teens

Experts advise that kids and teens take breaks from screens so they have plenty of time for other healthy activities . Luckily, there are plenty of ways you can help your child take some time off from a device.

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Sever Disease in Children

Sever disease occurs when a tendon in 1 or both of your child's heels becomes injured and inflamed.

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Severe Acute Respiratory Syndrome (SARS) in Children

Severe acute respiratory syndrome (SARS) is a viral illness. It is very contagious and can spread quickly. It can cause mild illness, severe illness, or death.

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Severe Combined Immune Deficiency

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Severe Combined Immunodeficiency (SCID) in Children

SCID is a very rare disease that can be deadly. It causes a child to have a very weak immune system. Read on to learn about causes, symptoms, diagnosis, and treatment.

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Sever's Disease

Sever’s disease is a painful condition of the heel that occurs in growing children. It happens when the tendon that attaches to the back of the heel pulls on the growth plate of the bone of the heel.

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Sexual Abuse

Sexual abuse is any act of a sexual nature upon a child.

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Sexually Transmitted Diseases in Adolescents

A detailed look at STIs and teens, from protection and treatment to different types of STIs.

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Sexually Transmitted Infections (STIs)

Sexually transmitted infections can be spread when a person is exposed to blood, skin, semen, vaginal fluids, or other bodily fluids that have a virus, bacteria, or parasite during sexual contact. 

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Seymour Fractures

Seymour (SEE moor) fractures are usually the result of a crush injury. This often happens during sports, such as when a ball hits the end of the finger. The joint nearest the end of the finger is hurt as well as the nail.

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Shellfish Allergy Diet for Children

Detailed information on a shellfish food allergy, including how to read a label for a shellfish-free diet and how to safely eat at a restaurant.

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Shin Splints

Shin splints are a painful condition that affects the front and/or sides of the lower leg.

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Shingles

Shingles is an infection caused by the same virus that causes chickenpox.

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Shingles (Herpes Zoster) in Children

Shingles (herpes zoster) is a painful skin rash. It’s caused by the varicella-zoster virus (VZV). This is the same virus that causes chickenpox.

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Short Bowel Syndrome

Short bowel syndrome is exactly what the name sounds like - a condition in which the bowel is too short generally due to surgical resection.

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Short Bowel Syndrome in Children

Short bowel syndrome is when the body has trouble absorbing nutrients from food because of a problem with the small intestine. It often happens to children who have had a large part of their small intestine removed. This complex condition can be life-threatening in some babies and children.

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Shoulder Injuries

The shoulder is made up of three bones: the scapula (shoulder blade), the humerus (upper arm bone), and the clavicle (collarbone). The head (or top) of the humerus rests in a socket of the scapula called the glenoid. A soft rim of tissue called the labrum lines this socket.

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Shoulder Sprain

A shoulder sprain is a stretching or tearing of the Acromioclavicular (AC) ligament. This is located where your collar bone and shoulder meet, often called the AC joint.

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Shprintzen Sydrome

Shprintzen Sydrome is also known as 22q11.2 deletion syndrome.

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Sialorrhea (Drooling)

Sialorrhea, also known as hypersalivation or drooling, means excessive saliva flow. Anterior sialorrhea is when patients have forward spillage of saliva from their mouths onto their faces and clothes. Posterior sialorrhea is when patients have spillage of saliva from their mouths down their airways.

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Sickle Cell Disease

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Sickle Cell Disease (SCD) and Acute Chest Syndrome (ACS)

Sickle cell disease is an inherited blood disorder. Acute chest syndrome is a group of symptoms that occurs when sickled cells clump together in the lungs.

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Sickle Cell Disease and Spleen Crisis

Sickle cells can block the blood vessels leading out of the spleen. When this happens, blood stays in the spleen instead of flowing through it. This causes the spleen to get bigger, and the blood counts to fall.

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Sickle Cell Disease in Children

Sickle cell disease is an inherited blood disorder that is present at birth. Children with SCD make an abnormal type of hemoglobin. This is the protein in red blood cells that carries oxygen to all parts of the body.

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Sickle Cell Trait

A person with sickle cell trait inherits one gene to make normal hemoglobin and another gene to make some sickle cell hemoglobin. Hemoglobin is the part of the red blood cell that carries oxygen to different parts of the body. Sickle cell trait is not a disease and will never turn into a disease.

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Signs of Problems in Speech, Language, and Hearing Development:

Detailed information on speech, language, and hearing problems during development

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Signs of Respiratory Distress in Children

Learn about the signs of respiratory distress in children.

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Single Gene Defects

Detailed information on single gene defects and patterns of inheritance

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Sinusitis

Sinusitis is a general term that indicates inflammation in the sinuses.

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Sinusitis in Children

Sinusitis is an infection of the sinuses. These infections usually happen after a cold or with allergies. Here's what you need to know.

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Skin Cancer in Children

Skin cancer is a type of cancer that grows in the cells of the skin. It can spread to and damage nearby tissue and spread to other parts of the body. Skin cancer is rare in children.

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Skin Color Changes

The color of a baby's skin can often help identify possible problems in another area of the body. Here are some skin color changes to be aware of.

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Skin Injury in Children

Detailed information on skin injuries, including blisters, burns, sunburn, and bites

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Skull Base Rhabdomyosarcoma in Children

Rhabdomyosarcoma is a type of cancer. It starts in cells that grow into skeletal muscle cells. The cells are called rhabdomyoblasts. Skeletal muscles are the muscles that move the body. The cancer is most common in children younger than age 10.

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Sleep

Detailed information on healthy sleep habits of children, including information on nightmares and night terrors

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Sleep Apnea

A sprain is an injury to a ligament, or band of tough, elastic-like tissue that connects bone to bone and holds a joint in place. 

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Sleep Terrors and Sleepwalking

Sleep terrors and sleepwalking are related disorders of sleep that usually go away by the teen years. Sleep terrors are not the same as nightmares. Nightmares are bad dreams the child often clearly remembers the next day. 

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Slipped Capital Femoral Epiphysis

Slipped Capital Femoral Epiphysis (SCFE) is defined as the femoral neck and femoral shaft (top portions of the femur) moving either posteriorly (back), anteriorly (forward) or laterally (to the side) away from the femoral epiphysis and acetabulum (the ball portion of the femur). A SCFE can be either unilateral (one side) or bilateral (both sides).

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Slipped Capital Femoral Epiphysis (SCFE)

Slipped Capital Femoral Epiphysis (SCFE) is a hip disorder that involves the epiphysis (eh PIFF I siss). This is the growing portion or ball on the top part of the femur (thigh bone).

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Slipped Capital Femoral Epiphysis (SCFE)

Slipped Capital Femoral Epiphysis is a hip injury that involves the growth plate (physis) of the thigh (femur) bone. This injury occurs when the neck of the femur (metaphysis) moves in relation to the ball on the top part of the femur (epiphysis).

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Slipped Capital Femoral Epiphysis in Children

Slipped capital femoral epiphysis (SCFE) is a condition of the hip joint that affects children. In SCFE, the ball of the thighbone (femoral head) slips off the neck of the thighbone.

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Small Cuts and Scrapes

Wash the cut area well with soap and water, but do not scrub the wound. A dirty cut or scrape that is not thoroughly cleaned can cause scarring.

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Small for Gestational Age

Small for gestational age is a term used to describe babies that are smaller than normal for the number of weeks of pregnancy. These babies have birth weight below the 10th percentile. This means they are smaller than many other babies of the same gestational age.

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Smoking

Ninety percent of new smokers are children and teenagers. In many cases, they are replacing the smokers who quit or died prematurely from a smoking-related disease.

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Snakebites in Children

Both venomous and nonvenomous snakes can bite. It's important to treat all snakebites as if they are venomous. Here's what you need to know.

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Snapping Hip Syndrome

Snapping hip syndrome is caused by tendons snapping over bony bumps (prominences) in the hip.

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Snapping Hip Syndrome

Snapping hip syndrome is a condition in which you may sense something catching or hear a popping sound or click in your hip when your hip joint moves. If you put your hand over the hip area, you might feel or even see the snap happen when walking, running, bending or getting up from a sitting position.

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Sodium and Fluid Restriction for Children with Kidney Failure

Detailed information on controlling sodium in your child's diet.

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Soft Tissue Sarcomas

Soft tissue sarcomas start as painless lumps or swellings, but they are cancerous tumors. They occur most commonly in the arms, legs, chest and abdomen in children.

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Sore Nipples

Read on to learn about possible causes and treatment for sore nipples when breastfeeding.

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Sore Throat (Viral)

If your child has a sore throat with any of these symptoms, it is likely due to a virus.

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Soy Allergy Diet for Children

When your child has a soy allergy, they can't have any foods containing soy. Read on for detailed information on how to manage a soy-free diet. This includes how to read food labels, other possible sources of soy, and tips when eating out.

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Spasticity

Spasticity is a muscle control disorder that involves tight or stiff muscles and an inability to control those muscles. Spasticity affects about 80 percent of people with cerebral palsy and can make normal movement, speech and walking difficult. It can also affect people with traumatic brain injury.

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Speech Sound Disorders in Children

A speech sound disorder means that a child has trouble saying certain sounds and words past the expected age. This can make it hard to understand what a child is trying to say. Read on to learn about causes, risks, and treatments for these disorders.

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Spina Bifida and Myelomeningocele

Spina bifida is a type of neural tube defect, which is a problem with the spinal cord or the structures that cover it.

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Spinal Cord Tumor

Spinal cord tumors are growths that develop within the spinal canal or the bones of the spine. They can cause pain, loss of sensation, and muscle weakness. Treatment options include surgery, radiation therapy, and chemotherapy.

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Spinal Injury

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Spinal Muscular Atrophy

Spinal muscular atrophies (SMA) are a group of genetic (passed down by parents) diseases that affect motor neurons (nerve cells) in the spinal cord, causing the weakening of voluntary muscles (muscles that you control).

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Spinal Muscular Atrophy in Children

Spinal muscular atrophy (SMA) is a disease of the nerves and muscles caused by certain genes. It causes muscle wasting and weakness.

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Spinal Tap (Lumbar Puncture) for Children

A spinal tap (lumbar puncture) is a test that checks the health of the cerebrospinal fluid (CSF). CSF is a fluid that surrounds the brain and spinal cord. The test also measures the pressure in the spinal canal.

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Spinous Process Apophysitis

Spinous process apophysitis is an injury to an apophysis in the low back.

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Spleen Injury

This Helping Hand™ covers spleen injuries. Due to where the spleen is in the body and its size, it can get injured easily. Learn what to expect if your child has a spleen injury.

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Splinters

A splinter is a sharp sliver of wood, glass, or other debris that is lodged underneath the skin. Removal of small, superficial splinters can usually be done at home. Read on to learn how.

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Spondylolisthesis

Spondylolisthesis is the slippage of one or more of the bones of the spine (vertebra) from its correct position. There are many causes for the slippage, but most cases are due to overuse.

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Spondylolysis

Spondylolysis is a stress fracture of the vertebrae (back bones). The fracture does not involve the main weight-bearing part, or body of the vertebrae.

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Spondylolysthesis/Spondylolysis

Spondylolysthesis and Spondylolysis are common causes of low back pain in adolescents.

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Spontaneous Pneumothorax

This Helping Hand™ covers a spontaneous pneumothorax, which usually happens when a weak part of the lung is leaking air. These areas are like blisters on the lungs, called blebs. They can burst and leak air into the pleural space.

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Sports and Children with Special Needs

Children with special needs are sometimes not encouraged to exercise, because their parents or guardians fear they'll be injured. But physical activity is as important for children with special needs as it is for any child.

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Sports Hernia

A sports hernia is a soft tissue injury in the groin area. It often occurs during sports that require repeated kicking or quick change of direction.

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Sports Injuries and Children

Detailed information on sports injuries in children, including overuse injuries, sprains, strains, and heat-related illnesses

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Sports Medicine: Adductor Muscle Strain

Adductors are a group of muscles that go from the pelvic bone down to the inner thigh and knee. An adductor strain is an injury to one of these muscles.

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Sports Medicine: Ankle Dislocation or Subluxation

The ankle joint is made up of two lower leg bones and a foot bone. A dislocation is an injury to a joint causing the bones to no longer meet together correctly. In the ankle, this can occur when the talus no longer is in position with the tibia and fibula. A subluxation is a partial dislocation.

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Sports Medicine: Anterior Ankle Impingement

Anterior ankle impingement is pain and pinching of bone, soft tissue or scar tissue at the front of the ankle. This can happen after a new or old injury.

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Sports Medicine: Anterior Tibialis Tendonitis

Anterior tibialis tendonitis is an injury of the anterior tibialis tendon in the front of the ankle where it meets the foot. The tendon is important in pulling the foot up (dorsiflexion), lifting the foot off the ground while running, and in turning the foot inward (inversion).

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Sports Medicine: Apophysitis of the 5th Metatarsal Iselin’s Disease

Iselin’s disease is pain and swelling of the growth plate (apophysis) of the 5th metatarsal. 

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Sports Medicine: Cervical Strain and Sprain

A cervical strain or sprain is an injury to the muscles or ligaments in the back of the neck.

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Sports Medicine: Degenerative Disc Disease

Degenerative disc disease is the slow breakdown of one or more intervertebral discs.

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Sports Medicine: Deltoid Ligament Sprain

The deltoid ligament is a triangle-shaped ligament on the inner ankle which is stronger and more compact than the outer ligaments. Deltoid injuries are very rare and most happen with eversion or along with a high ankle sprain.

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Sports Medicine: Herniated Disc

A herniated disc is a condition that affects the spine. A disc has a tough outside shell and jelly-like center. A herniated disc occurs when the jelly-like contents of the disc leak out.

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Sports Medicine: High Ankle Sprain

A high ankle sprain is the stretching and/or tearing of the ligaments that connect the shin bones just above the ankle. High ankle sprains are less common than other ankle sprains and typically more severe.

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Sports Medicine: Kyphosis and Lordosis

Kyphosis and lordosis refer to the natural curves of the spine in the mid-back and low back. Sometimes these curves can be larger than normal which can lead to pain.

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Sports Medicine: Low Back Strain/Sprain

The low back is a complex structure of bone and muscle that is supported by cartilage, tendons, ligaments, and fed by a network of blood vessels and nerves. Certain motions, such as bending, twisting or lifting, can sometimes lead to a low back strain or sprain.

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Sports Medicine: Osgood Schlatter Disease

Osgood-Schlatter disease is an inflammation (swelling) of the growth plate of the leg just below the knee at the tibial tubercle (the bump below the kneecap).

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Sports Medicine: Patellofemoral Pain Syndrome (PFS)

Patellofemoral Pain Syndrome is pain in the knee due to increased pressure between the kneecap and the thigh bone. Usually a result of poor alignment or sudden growth spurts, this pain may also come from an injury to the knee.

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Sports Medicine: Posterior Tibialis Tendonitis

Posterior tibialis tendonitis is an injury of the posterior tibialis tendon in the back of the inner ankle.

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Sports Medicine: Salter-Harris Fracture-Type I of Distal Fibula

A Salter-Harris type 1 fracture is the mildest type of fracture that can occur to a growth plate.

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Sports Medicine: Sever's Disease

Sever’s disease is a painful condition of the heel that occurs in growing children.

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Sports Medicine: Shoulder Impingement Syndrome

Impingement syndrome is pain in the shoulder caused by pinching of the rotator cuff muscles beneath the edge of the shoulder blade (acromion).

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Sports Safety for Children

Because they are still growing, children are more susceptible to sports injuries. Half of those injuries could be prevented with proper safety gear, safer playing environments, and established safety rules.

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Sports Safety for Teens

Detailed information on sports safety

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Sports Safety—Identifying High-Risk Situations

Playing sports has many benefits for a child. But the correct safety measures need to be taken. Read on to learn more.

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Sprains

There are three types of sprains, which range from mild (Grade I) to severe (Grade III).

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Sprains and Strains in Children

Sprains and strains are types of injuries. A sprain is an injury to a ligament while a strain is an injury to a muscle or tendon.

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Stages of Play

Children go through distinct stages of play as they grow. Each stage is critically important to the development of the next.

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Staphylococcus - Scalded Skin Syndrome (SSSS)

Staphylococcus-Scalded Skin Syndrome is a skin infection caused by a bacteria called Staphylococcus aureus. This infection produces a toxin that can affect skin all over the body.

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Stomach and Duodenal Ulcers in Children

Read on for details about stomach and duodenal ulcers in children. Learn about causes, risk factors, symptoms, diagnosis, and treatment.

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Storing Your Breastmilk

A helpful look at practical and health considerations when storing your breastmilk.

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Straddle Injury/Genital Trauma

A straddle injury (genital trauma) occurs when a female hits the vulva or perineum (external female genitalia) on an object and the force generated by the weight of her body causes an injury. This can occur during a fall or accident.

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Strains

A strain is an injury to a muscle or tendon, the tough fibrous tissues that connects muscle to bone.

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Strep Throat (Bacterial)

Most sore throats are caused by viruses. Strep throat is a contagious sore throat that comes on suddenly and is caused by bacteria (germs) called streptococci, or strep for short. Antibiotic medicine must be given as soon as possible to prevent the strep germs from spreading in the body.

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Stress Fracture

A fracture is a broken bone. A stress fracture is a complete or incomplete break in a bone. It is caused by repetitive activity.

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Stress Fractures in Young Athletes

Stress fractures happen when muscles are too tired to take on the impact of exercise, and the bones absorb the added stress. When those bones become too strained, they develop a tiny break known as a stress fracture.

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Stridor in Children

Stridor is a noisy or high-pitched sound with breathing. It is a sign that the upper airway is partially blocked. It may involve the nose, mouth, sinuses, voice box (larynx), or windpipe (trachea).

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Strokes in Children

A stroke happens when the blood flow in or near the brain is suddenly blocked or cut off. It can cause permanent injury to the part of the brain that is not getting blood. Sometimes a stroke can lead to bleeding in the brain.

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Structural Abnormalities- Deletions (Cri-du-Chat Syndrome) and Duplications (Pallister-Killian Syndrome)

Detailed information on structural abnormalities, including chromosome deletions and duplications.

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Stuttering in Children

Stuttering is a speech problem. The normal flow of speech is disrupted. A child who stutters repeats or prolongs sounds, syllables, or words. Stuttering is different from repeating words when learning to speak. Stuttering may make it difficult for a child to communicate with others.

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Styes in Children

A stye is a sore red bump on the edge of the eyelid. Styes are one of the most common eye problems in children. Here's what you should know.

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Subglottic Stenosis

Subglottic stenosis is a narrowing of the airway in the part of the voice box below the vocal cords (glottis). There are two kinds of subglottic stenosis: congenital subglottic stenosis and acquired subglottic stenosis.

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Submucous Cleft Palate

A submucous cleft palate (SMCP) results from a lack of normal fusion of the muscles within the soft palate as the baby is developing in utero. Frequent middle ear infections, nasal speech and early feeding difficulties may be the first indicators that a child has a submucous cleft palate.

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Substance Exposure

Detailed information on substance exposure of newborns

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Substance Use Disorders

When a person loses control and misuses a substance like alcohol or drugs, it can become a harmful habit. This is called substance use disorder.

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Sudden Cardiac Arrest

Sudden Cardiac Arrest (SCA) not only affects young athletes, but can affect healthy children and adolescents who do not participate in organized athletic activity.

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Suicidal Behaviors

Suicidal thoughts and behaviors can affect children and teenagers. Most children and adolescents who attempt suicide show warning signs. It is vital that families are aware of these signs and discuss concerns, ideally prior to a life-threatening mental health crisis.

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Sunburn and Children

Protect your child from the sun. Up to 80% of total lifetime sun exposure occurs in the first 18 years of life.

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Superficial Injuries of the Face and Head- Overview

During a child's day, minor injuries may happen during play and sports activities. The face and head are especially at risk for cuts and scrapes.

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Superficial Injuries to the Face and Head

Children are more likely to end up with a cut or scrape on the head or face. One reason is that children's sense of balance isn't completely adjusted.

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Support Groups

Detailed information on finding a support group for parents affected by a birth defect.

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Supporting Your Child with a Mental Health Condition

Mental health conditions don’t discriminate. They can affect anyone at any age—and when your child is the one diagnosed, it can bring up a lot of emotions.

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Supracondylar Humerus Fracture

When your child’s humerus bone is fractured near the elbow area, just above the joint it is called a supracondylar humerus fracture.

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Supraventricular Tachycardia

Supraventricular tachycardia, also called SVT, is a very fast heart rhythm that does not follow the regular pathway from the atria to the ventricles.

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Surgical Overview

Detailed information on surgery in children

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Swallowing Disorders

A swallowing disorder can result in aspiration or food “going down the wrong pipe.” Aspiration can place a child at a higher risk for respiratory/pulmonary issues.

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Swimmer’s Ear in Children

Swimmer’s ear (otitis externa) is an inflammation of the external ear canal. Swimmer’s ear is caused by bacteria or fungi. Water that stays in the ear canal during swimming, for instance, may let bacteria and fungi grow.

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Symptomatic Conditions of Allergy in Children

Detailed information on symptomatic conditions of allergy, including asthma, atopic dermatitis, contact dermatitis, rhinitis, and urticaria

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Symptoms of Cystic Fibrosis

A detailed look at cystic fibrosis symptoms.

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Symptoms of Possible Eye Problems in Children

Symptoms of eye problems in children include crossed eyes, redness in the eyes, squinting, and excessive tearing.

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Syncope in Children

Syncope is the medical word that means fainting. Some people faint often. Most children who faint do not have heart problems or brain problems.

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Syndactyly

Syndactyly is a congenital condition in which the fingers or toes are webbed or joined together. Simple syndactyly occurs when the fingers are connected by skin only. Complex and complicated syndactyly involve both bone and skin connections between the fingers.

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Syndrome of Inappropriate Antidiuretic Hormone Secretion in Children

SIADH is when the body makes too much antidiuretic hormone (ADH). This is a hormone that normally helps the kidneys conserve the correct amount of water in the body. SIADH causes the body to retain water. This lowers the level of sodium in the blood. SIADH is rare. It most often happens to children who are in the hospital.

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Syphilis

Syphilis (SIF-i-lis) is a sexually transmitted infection (STI). Anyone who is sexually active has a chance of getting syphilis.

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Taking a Baby's Temperature

Most doctors advise taking a baby's temperature rectally, by placing a thermometer in the baby's anus. Learn more about this and other ways to take a baby's temperature and when to call a doctor.

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Taking Your Baby Home from the NICU

Your baby is finally ready to come home. Turn your nervous energy into positive action. Make a checklist for what you and your baby need before leaving the hospital so that you can create a safe home environment. Here's a list of items to get you started.

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Talking to Your Child About Gun Violence at School

Your child may come right out and ask you questions about gun violence. While it may catch you off guard, this is an opportunity to let them express their feelings.

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Tarsal Coalition

Tarsal coalition occurs when there is an abnormal connection between the bones in the back of the foot (tarsal bones). There may be no symptoms, but often some develop in the early teens or as a young adult.

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Teen Drivers

Information on teen driving, including safety tips.

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Teens and Diabetes Mellitus

Detailed information on special considerations for teens with diabetes.

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Teething

A baby's first tooth often appears between 5 and 7 months of age. Some babies get their first tooth a little earlier and others a little later. Here's what you need to know.

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Temper Tantrums

Temper tantrums are a normal part of childhood development. They often happen only with a parent. They are a way for the child to communicate their feelings. Read on to learn more.

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Tennis Elbow

Lateral epicondylitis (Tennis Elbow) is a painful inflammation of the bony bump on the outside of your elbow.

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Tennis Elbow in Children

Tennis elbow happens when the muscles and tendons in the elbow area are torn or damaged. Read on to learn what to do if your child has tennis elbow.

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Tenosynovial Giant Cell Tumors

There are three kinds of tenosynovial giant cell tumors (TGCTs). One type grows in the tissue that lines the joints (synovium). The second kind grows in the area that cushions the joints and tendons (bursa). The third type grows in the lining around the tendons (tendon sheath).

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Teratogens

Detailed information on teratogens and non-teratogenic agents

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Testicular Cancer

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Testicular Torsion in Children

Testicular torsion is a painful twisting of the testicles and spermatic cord. Torsion causes blood to not flow to the testicles. This can damage them. Treatment needs to be done right away to prevent long-lasting (permanent) injury to the testicles.

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Testing for Birth Defects

Detailed information on testing for birth defects

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Tests for a Newborn Baby in Intensive Care

Babies in the newborn intensive care unit (NICU) undergo regular testing so they get the important care they need. Here are several common lab tests. Ask your baby's healthcare provider about them.

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Tetanus in Children

Tetanus is a severe illness of the central nervous system caused by bacteria. Learn about the causes, risk factors, symptoms, treatment, prevention, and more.

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Tetralogy of Fallot (TOF)

Tetralogy of Fallot is a congenital heart defect that is made up of 4 problems and results in not enough blood flow to the lungs.

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Thalassemia

Detailed information on thalassemias, including alpha thalassemia, beta thalassemia (Cooley's anemia)

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Thawing Breast Milk

Helpful tips for thawing and using frozen breastmilk.

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The Benefits of Mother's Own Milk

Premature babies who get breastmilk develop better eyesight. They also often do better on intelligence tests as they grow older.

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The Craniofacial Team

Detailed information on craniofacial abnormalities and the craniofacial treatment team.

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The Day of Surgery

Read on for helpful information about what to expect before and after your child's surgery.

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The Dying Process

Understanding the physical and mental changes the body goes through as death happens, may help ease some fears and misconceptions about death.

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The Genetics of Cystic Fibrosis

Detailed information on the genetics involved in cystic fibrosis.

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The Growing Child

Detailed information on the growth and development of a child

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The Growing Child- Teenager (13 to 18 Years)

The teen years are a time of growth spurts, puberty changes, and emotional and social development. Here's what you need to know.

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The Growing Child: 1 to 3 Months

A helpful look at common developmental milestones in young babies.

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The Growing Child: 10 to 12 Months

Read on to learn about the common developmental milestones for babies ages 10 to 12 months.

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The Growing Child: 1-Year-Olds

Your child is a toddler now and very active! They can climb stairs while holding on and play with push and pull toys.

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The Growing Child: 2-Year-Olds

Read on to learn details about common physical, speech, and other developmental milestones your child may reach at this age.

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The Growing Child: 3-Year-Olds

Most 3-year-olds have lost the rounded tummy of a toddler. Your child can use a spoon well and can wash and dry their hands.

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The Growing Child: 4 to 6 Months

This age is very social, and babies begin moving in much more purposeful ways.

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The Growing Child: 7 to 9 Months

Read on to learn about common physical, speech, and other developmental milestones to expect when your baby is this age.

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The Growing Child: Newborn

A helpful look at what to expect with your newborn—from your baby's growth and reflexes to crying and emotional development.

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The Growing Child: Preschool (4 to 5 Years)

Children at this age start to understand concepts and can compare abstract ideas. Read on to learn what to expect.

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The Growing Child: School-Age (6 to 12 Years)

Although friendships become more important at this age, children are still fond of their parents and like being part of a family. Read on to learn more.

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The Heart

Detailed information on the anatomy of the heart and heart transplantation in children

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The Hospital Surgical Setting

Many surgeries performed on children are done as an outpatient. With minor surgeries, your child will return to the outpatient surgery center after spending the needed time in the recovery room.

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The Immune System

Detailed information on the immune system and how it works.

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The Kidneys

Detailed anatomical description of the kidneys

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The Liver

Detailed anatomical description of the liver and liver transplantation in children

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The Lungs

Detailed anatomical description of the lungs and lung transplantation in children

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The Neonatal Intensive Care Unit (NICU)

NICUs provide specialized care for the tiniest patients. NICUs may also have intermediate or continuing care areas for babies who are not as sick but do need specialized nursing care.

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The New Mother: Taking Care of Yourself After Birth

You will need plenty of rest, good nutrition, and help during the first few weeks after your baby is born.

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The Operating Room

Your child will need to know that people in the operating room will be wearing surgical clothes to help prevent germs from infecting the surgical incision.

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The Pediatric Sports Medicine Specialist

A pediatric sports medicine specialist is a healthcare provider who helps children with injuries caused during sports or athletic activities.

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The Pediatrics Orthopedic Team

Detailed information on each member of the pediatric orthopedic treatment team.

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The Respiratory System in Babies

A look at the respiratory system, and lung development in babies.

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The Surgical Team for Children

Most surgical teams include a surgeon, an anesthesiologist, a nurse anesthetist, and an operating room nurse. The number of team members differs depending on the type of surgery performed.

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Thermal Burns

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Thermal Injuries

Detailed information on thermal injuries in children

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Thigh and Hip Strains

A strain of the thigh/hip is a stretching or tearing of a muscle and is commonly referred to as a “pulled muscle.”

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Third-Degree Burn in Children

A burn is damage to tissues of the body caused by contact with things such as heat, radiation, or chemicals. A third-degree burn damages the outer layer of skin (epidermis) and the inner layer of skin (dermis). A child with a third-degree burn needs immediate medical care.

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Thrombocytopenia in the Newborn

Thrombocytopenia means that a newborn baby has too few platelets in their blood. Platelets are blood cells that help the blood clot. They are made in the bone marrow.

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Thrombophilia

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Thrush (Oral Candida Infection) in Children

Thrush is a mouth infection that is common in babies and children. Symptoms include white or yellow velvety patches in the mouth. Thrush is caused by a type of fungus called Candida.

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Thrush and Yeast Infections

Thrush is an infection caused by a fungus called candida. Thrush can affect a child's mouth or diaper area. Oral thrush begins as flat white spots and come together to form patches. These spots are often mistaken for "milk patches." Candida in the diaper area can cause a red rash with tiny blisters.

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Thumb-sucking

Thumb-sucking is normal in infants and young children. It shouldn't cause any permanent problems if your child stops by age 5.

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Thyroglossal Duct Cyst

A thyroglossal duct cyst is typically noticed as an area of fullness or a lump in the midline of the neck, usually just above the voice box.

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Thyroglossal Duct Cyst in Children

A thyroglossal duct cyst is a pocket in the front part of the neck that is filled with fluid. A child is born with this cyst.

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Thyroid Conditions

Detailed information on thyroid conditions and pregnancy

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Tibial Spine Fracture

Tibial spine fracture is a break at the top of the tibia bone in the lower leg near the knee.

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Tibial Stress Fracture

The tibia (shin bone) is the larger, and major weight bearing bone, of the two lower leg bones. A tibial stress fracture is a complete or incomplete break that develops over time, usually as a result of repeated activity.

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Tibial Torsion in Children

Tibial torsion is an inward twisting of the shinbones. These bones are located between the knee and the ankle. Tibial torsion causes a child's feet to turn inward.

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Tick Bite Diseases

Ticks feed on human blood. Most tick bites are harmless, but some species can cause serious diseases.

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Tick Bites

Ticks attach themselves to the scalp, behind the ear, in the armpit and groin, and also between fingers and toes. Find out what to do if you find a tick on your child.

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Tilt Table Test for Children

The tilt table test is done to find the cause of fainting (syncope). Tilt table testing is done with a special table or bed that changes a child's position from lying to standing. Their blood pressure and heart rate are checked while they're in the different positions.

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Time-Out

Time-out is a type of discipline that is used to stop bad behavior in a child. It takes the child out of the situation and gives them time to calm down.

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Tinea Pedis

This Helping Hand™ is about athlete's foot (tinea pedis) a common foot infection caused by a fungus. 

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Tinea Versicolor

Tinea versicolor (TIN ee uh VUHR sih kuhl er) is a common rash caused by the overgrowth of microscopic yeast on the skin's surface. The rash looks like small, scaly spots.

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Tinea Versicolor in Children

Tinea versicolor is a fungal skin infection. It’s caused by yeast on the skin. It occurs most often in teens and young adults. But it can happen at any time.

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Toddler

Detailed information on toddler health

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Toddler Nutrition

Read on to learn about healthy food choices, activity tips, and helpful feeding information for your toddler.

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Toddler Play

Read on for helpful tips to encourage play for your child.

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Toddler Problems of the Teeth and Mouth

Detailed information on toddler problems of the teeth and mouth

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Toddler's Fracture

A toddler’s fracture is a common fracture in the tibia bone (large bone in the lower leg) of children usually younger than 6 years old. It is most common in children in the early years of walking.

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Toilet Training

Read on to learn more about toilet training, from signs your child is ready to helpful tips for potty training success.

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Tongue Tie

Tongue tie, or ankyloglossia, is a condition in which your child’s tongue is tethered to the floor of the mouth by a band (lingual frenulum). While up to 10 percent of children can have some degree of tongue tie, not all children with tongue tie require intervention.

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Tongue-Tie (Ankyloglossia) in Children

Tongue-tie (ankyloglossia) is a problem with the tongue that is present from birth. It causes speech and eating problems in some children.

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Tonsillectomy and Adenoidectomy for Children

A tonsillectomy may be recommended if your child has throat infections that keep coming back. Adenoidectomy is recommended if your child has a lot of trouble breathing through the nose. Often the tonsils and adenoids are removed at the same time.

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Tonsillitis

Tonsillitis refers to inflammation or infection of the tonsils. Treatment of tonsillitis typically requires a course of antibiotics.

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Tooth Decay in Children

Tooth decay is the breakdown of tooth enamel. Enamel is the hard outer surface of a tooth. Tooth decay can lead to cavities.

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Toothache (Pulpitis) in Children

A toothache means that the pulp inside a tooth is inflamed and infected. The pulp is the soft part inside the tooth that has blood vessels and nerves.

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Topic Index - Adolescent Medicine

Detailed information on adolescent medicine, including growth and development, cognitive development, relationship development, health and injury problems, and safety

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Topic Index - Allergy, Asthma, and Immunology

Detailed information on allergy, asthma, and immunology

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Topic Index - Burns

Detailed information on burns, including anatomy, classification, treatment, and prevention

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Topic Index - Cardiovascular Disorders

Detailed information on cardiovascular diseases in children

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Topic Index - Care of the Terminally Ill Child

Detailed information on care of the terminally ill child

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Topic Index - Child and Adolescent Mental Health

Detailed information on child and adolescent mental health disorders

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Topic Index - Common Childhood Injuries and Poisonings

Detailed information on the common poisonings and injuries of children

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Topic Index - Craniofacial Anomalies

Detailed information on craniofacial anomalies, including Cleft Lip, Cleft Palate, Craniosynostosis, Deformational Plagiocephaly, Hemifacial Microsomia, Vascular Malformations, and Hemangiomas

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Topic Index - Dental and Oral Health

Detailed information on dental and oral health in children

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Topic Index - Dermatology for Children

Detailed information on dermatology and children

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Topic Index - Diabetes and Other Endocrine and Metabolic Disorders

Detailed information on diabetes and other endocrine and metabolic disorders that affect children

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Topic Index - Digestive and Liver Disorders

Detailed information on digestive disorders in children

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Topic Index - Ear, Nose, and Throat

Detailed information on ear, nose, and throat disorders in children

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Topic Index - Eye Care for Children

Detailed information on eye disorders in children

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Topic Index - Genitourinary and Kidney Disorders

Detailed information on genitourinary and kidney disorders in children

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Topic Index - Growth and Development

Detailed information on proper health maintenance for a child

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Topic Index - Hematology and Blood Disorders in Children

Detailed information on blood disorders, including Anemia, Aplastic Anemia, Hemolytic Anemia, Iron Deficiency Anemia, Megaloblastic Anemia, Sickle Cell Anemia, Thalassemia, Alpha Thalassemia, Beta Thalassemia (Cooley's Anemia)

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Topic Index - High-Risk Newborn

Detailed information on high-risk newborns

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Topic Index - High-Risk Pregnancy

Detailed information on high-risk pregnancy

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Topic Index - Infectious Diseases in Children

Detailed information on infectious diseases in children

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Topic Index - Medical Genetics

Detailed information on medical genetics, including chromosome abnormalities, single gene defects, multifactorial inheritance, teratogens, and non-traditional inheritance

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Topic Index - Neurological Disorders

Detailed information on neurological disorders in children

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Topic Index - Normal Newborn

Detailed information on newborn care

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Topic Index - Oncology

Detailed information on cancer in children

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Topic Index - Orthopedics

Detailed information on orthopaedic disorders in children

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Topic Index - Pediatric Arthritis and Other Rheumatic Diseases

Detailed information on pediatric arthritis and other rheumatic diseases

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Topic Index - Respiratory Disorders in Children

Detailed information on the most common types of respiratory disorders, including symptoms, prevention, diagnostic, and treatment information

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Topic Index - Safety and Injury Prevention

Detailed information on safety and injury prevention of children

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Topic Index - The Child Having Surgery

Detailed information on surgery in children

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Topic Index - Transplantation

Detailed information on transplantation in children

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Total Anomalous Pulmonary Venous Return (TAPVR)

Total anomalous pulmonary venous return (TAPVR) is a condition where the blood vessels in the lungs, called the pulmonary veins, are not attached to the heart in the right place. Because of this, the body can’t get enough oxygen.

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Tourette Disorder in Children

Tourette disorder (TD) is a neurological disorder that causes repeated tics. Tics are sudden, uncontrolled vocal sounds or muscle jerks. Symptoms of TD often begin between ages 5 and 10. They usually start with mild, simple tics of the face, head, or arms.

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Toxic Epidermal Necrolysis in Children

Toxic epidermal necrolysis is a life-threatening skin disorder. It causes skin blistering and peeling. Read on to learn more about this condition.

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Toy Safety

Detailed information on toy safety and injury prevention in children

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Toy Safety—Identifying High-Risk Situations

Small toys or toys with small removal parts are not appropriate for children ages 3 and younger.

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Toy Safety—Prevention

Most toys today are safe. But injuries still happen. Read this article for helpful tips on preventing toy-related injuries.

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Tracheoesophageal Fistula and Esophageal Atresia

Tracheoesophageal fistula is a connection between the esophagus and the trachea. The esophagus is the tube that connects the throat to the stomach. The trachea is the tube that connects the throat to the windpipe and lungs. Normally, the esophagus and trachea are 2 tubes that are not connected. This issue is also called TE fistula or TEF. It can happen in one or more places.

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Tracheomalacia

In this Helping Hand™document, we discuss tracheomalacia, which is when the walls of a child’s windpipe (trachea) collapse. If the collapsed part of the windpipe goes past the area where it branches off into the two lungs, it is called bronchomalacia. This causes noisy or difficult breathing.

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Tracheomalacia (Primary and Secondary)

Tracheomalacia is characterized by collapse of the walls of the windpipe (trachea). If the collapse is due to weakness of the cartilage in the tracheal wall, it is called primary tracheomalacia. If it's due to compression by a structure outside of the windpipe, it is called secondary tracheomalacia.

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Transesophageal Echocardiography for Children

Echocardiography is an imaging test. It uses sound waves to make detailed moving pictures of the heart. It shows the size and shape of the heart, as well as the heart chambers and valves. Transesophageal echocardiography (TEE) uses a device, called a transducer, that is placed in the esophagus.

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Transient Tachypnea of the Newborn

Transient tachypnea of the newborn is a breathing problem that affects babies during the first hours of life. Transient means it is short-lived. Tachypnea means fast breathing rate. The problem often goes away on its own in about 3 days.

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Translocation Down Syndrome

Detailed information on translocation Down syndrome

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Transposition of the Great Arteries (TGA)

Transposition of the Great Arteries is a heart condition where arteries switch places and oxygenated blood goes back to lungs, not body. It can be treated with surgery and catheterization.

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Trauma

Detailed information on neurological trauma in children

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Treatment for a Child's Allergy to Dust or Pollen

Detailed information on avoidance of allergens and treatment for allergy, including immunotherapy (allergy shots) and medicine.

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Treatment for Cystic Fibrosis

A look at treatment options for cystic fibrosis.

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Treatment for Dog and Cat Bites and Scratches

When your child is bitten or scratched by an animal, remain calm and reassure your child that you can help. Here's what you need to know.

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Treatment for Human Bites

Human bite wounds are more likely to become infected than dog or cat bites. A healthcare provider should check any human bite that breaks the skin.

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Treatment for Skin Cancer in Children

Skin cancer in children can be treated in several ways. The best choice for your child depends on the size, place, and stage of the cancer, along with other factors.

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Tree Nut Allergy Diet for Children

Tree nuts include almonds, pecans, and walnuts. Tree nuts are also found in many food products. Here's what you need to know.

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Trichomonas

Trichomonas is a sexually transmitted infection (STI). Anyone who is sexually active has a chance of getting trichomonas.

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Trichomonas: Expedited Partner Therapy

If partner was diagnosed with trichomonas, a sexually transmitted infection (STI), you may also be infected and should be treated. This infection is serious but can be cured with antibiotics.

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Trichomoniasis (Trich) in Teens

Trichomoniasis is a common sexually transmitted infection (STI). It can cause vaginal redness and swelling in teen girls. In teen boys it can cause painful urination.

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Tricuspid Atresia

Tricuspid atresia (TA) is a heart defect present at birth (congenital). It occurs when the tricuspid valve doesn’t form right during fetal heart development. This happens during the first 8 weeks of pregnancy.

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Tricuspid Atresia

Tricuspid atresia (TA) is a heart defect present at birth (congenital). It occurs when the tricuspid valve doesn’t form right during fetal heart development. This happens during the first 8 weeks of pregnancy. Read on to learn details about this condition.

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Tricuspid Atresia

Tricuspid atresia, also sometimes called hypoplastic right heart, is a heart defect where the valve between the heart’s right atrium and right ventricle doesn’t form. Most babies with tricuspid atresia will need many heart surgeries over their lifetime. 

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Trinucleotide Repeats: Fragile X Syndrome

Detailed information on trinucleotide repeats, including fragile X syndrome.

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Trisomy 13 and Trisomy 18 in Children

Trisomy 13 and trisomy 18 are genetic disorders. They include a combination of birth defects. This includes severe learning problems and health problems that affect nearly every organ in the body.

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Trisomy 21

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Truncus Arteriosus

Truncus arteriosus is a rare heart defect where only one large blood vessel forms instead of two. It can be treated with surgery.

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Tuberculosis (TB) in Children

Tuberculosis (TB) is an ongoing (chronic) infection caused by bacteria. It usually infects the lungs. But the kidneys, spine, and brain may also be affected.

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Turf Toe

Turf toe is an injury to the capsule and ligaments of the joint at the base of the big (first) toe. Pain is usually worst on the bottom of the foot.

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Turner Syndrome

Turner Syndrome is a rare genetic disorder that affects females. It is caused by a partial or complete loss of an X chromosome.

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Turner Syndrome (Genetic Disorder)

Turner syndrome is a genetic disorder that affects people born female.

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Turner Syndrome (Monosomy X) in Children

A detailed look at Turner syndrome, a genetic disorder that occurs in girls.

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Twin Reversed Arterial Perfusion (TRAP) Sequence

Twin reversed arterial perfusion (TRAP) sequence is a rare condition that affects pregnancies with identical twins who share a placenta. TRAP occurs when one of the twins, called the acardiac twin, lacks a functioning heart and gets blood from the other twin, called the pump twin.

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Twin-to-Twin Transfusion Syndrome

Identical twins who share one placenta may be at risk for Twin-to-Twin Transfusion Syndrome (TTTS). The single placenta contains blood vessels going from one baby to the other. In TTTS, blood from the smaller donor twin is transferred to the larger recipient twin, causing an uneven exchange of blood.

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Tympanic Membrane Perforation

Tympanic membrane perforation can be suspected with a history of ear trauma, ear tubes, frequent ear drainage or hearing loss. 

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Tympanometry

Learn more about tympanometry.

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Tympanostomy Tubes for Children

Ear tubes are small tubes that are placed in your child’s eardrum by an ear, nose, and throat surgeon. The tubes help to drain the fluid out of the middle ear. Read on to learn more.

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Type 1 Diabetes

Type 1 diabetes, formerly known as juvenile diabetes, is a chronic condition that occurs when your body makes little to no insulin. Insulin is a hormone that is made in the pancreas and keeps blood glucose (sugar) at a normal level.

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Type 1 Diabetes Mellitus in Children

Diabetes is a condition in which the body can't make enough insulin, or can't use insulin normally. Type 1 diabetes is an autoimmune disorder. The body's immune system damages the cells in the pancreas that make insulin. Insulin is a hormone. It helps sugar (glucose) in the blood get into cells of the body to be used as fuel. When glucose can’t enter the cells, it builds up in the blood. This is called high blood sugar (hyperglycemia).

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Type 2 Diabetes

Type 2 diabetes is a chronic condition that occurs when your body makes insulin but does not know how to use it well. This is called insulin resistance. Insulin is a hormone that is made in the pancreas that helps glucose (sugar) get into cells and make energy. Currently, diabetes has no cure.

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Type 2 Diabetes in Children

Diabetes is a condition in which the body can't make enough insulin, or can't use insulin normally. Type 2 diabetes is a metabolic disorder. Insulin is a hormone. It helps sugar (glucose) in the blood get into cells of the body to be used as fuel. When glucose can’t enter the cells, it builds up in the blood. This is called high blood sugar (hyperglycemia). High blood sugar can cause problems all over the body.

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Types of Allergens

Detailed information on allergy triggers and symptom control

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Types of Anesthesia for Children

During surgery, your child will be given some form of anesthesia - medicine given to relieve pain and sensation.

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Types of Chromosome Abnormalities

Detailed information on the different types of chromosome abnormality

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Types of Hearing Tests for Babies and Children

A look at the different types of hearing tests used for babies and children.

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Types of Surgery for Children

Surgery doesn't always mean large incisions. Minimally invasive surgery is often used today. This uses small cuts, and allows a child to recover faster and with less pain.

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Types of Visual Screening Tests for Babies and Children

Many types of vision tests can be used to check your child's ability to see. Some of them can be used at any age, and some are used based on your child's age and understanding.

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Ulcerative Colitis in Children

Detailed information about ulcerative colitis, an inflammatory bowel disease (IBD).

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Ulnar Collateral Ligament (UCL) Injury

The ulnar collateral ligament (UCL) is located on the inside of the elbow. Ligaments are tissues that hold the bones together. The upper arm bone (humerus) is attached to a bone in the forearm (ulna) by the UCL (Picture 1). This ligament can be injured by being stretched or torn.

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Ultrafast CT Scan for Children

An ultrafast computed tomography (CT) scan is an imaging test that uses X-rays and a computer to look at your child’s heart. It gives the healthcare provider many details about your child’s heart that other imaging tests can’t.

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Umbilical Hernia

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Understanding Informed Consent

You will be asked to sign an informed consent form. It states in detail that you understand the risks and benefits of your child's surgery.

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Understanding Words for a Child's Skin Condition

A helpful look at some of the terms a healthcare provider may use to describe your child's skin condition.

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Understanding Your Child's Lymphatic System

Detailed information on the lymphatic system.

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Undescended Testes in Children

Undescended testes is when one or both of the male testes have not passed down into the scrotal sac. This is a condition seen in some newborn baby boys.

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Undescended Testicle

Testicles are formed prior to birth in the abdomen below the kidneys, and progressively descend during pregnancy from the abdomen through the groin into the scrotum. An undescended testicle is a testis that fails to descend into the scrotum.

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Unicameral Bone Cyst

Although unicameral bone cysts are benign, active unicameral bone cysts can cause bones to weaken or fracture.

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Uniparental Disomy: Prader-Willi Syndrome, Angelman Syndrome

Detailed information on uniparental disomy.

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Upper GI Bleeding

Upper GI bleeding occurs when irritation and ulcers of the lining of the esophagus, stomach, or duodenum result in bleeding. When this occurs, the child will vomit bright red blood, or dark looking flecks or clots that look like “coffee grounds”.

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Upper Respiratory Disorders

Detailed information on the most common types of upper respiratory infections, including common cold, influenza, pharyngitis, tonsillitis, and sinusitis

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Upper Respiratory Infections (Colds)

The common cold is a respiratory infection caused by a virus (germ). Rhinoviruses are the most common cause. Viruses are spread by breathing in air droplets of the infected person who coughs, sneezes or even laughs less than 6 feet from your child. The virus can also be spread by touching something that the infected person has sneezed, coughed or drooled on.

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Ureterocele and Ureteral Duplication in Children

A ureterocele is when part of a ureter right near the bladder becomes larger and bulges. This happens because the ureter's opening into the bladder is too small and blocks urine flow.

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Ureteropelvic Junction Obstruction (UPJ Obstruction)

Ureteropelvic junction obstruction is a blockage between the ureter and an area in the kidneys called the pelvis.

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Urinary Incontinence (Enuresis) in Children

When wetting happens in a child who is old enough to control their bladder, it’s known as enuresis. Here's what you need to know.

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Urinary Tract and Kidney Infections in Pregnancy

A urinary tract infection (UTI) is a very common health complication of pregnancy. Untreated, a UTI can cause serious problems in pregnancy.

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Urinary Tract Infection (UTI) in Children

A urinary tract infection (UTI) is inflammation of part of the system that takes urine out of the body. It's caused by bacteria.

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Urinary Tract Infection (UTIs)

Urinary Tract Infections (UTIs) are typically caused by a bacterial infection in the urethra and bladder. Left untreated, a UTI can spread beyond the bladder and travel into the ureters and kidneys, where it becomes an acute kidney infection (pyelonephritis).

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Urinary Tract Infection: Prevention

This Helping Hand™ discusses how to prevent a urinary tract infection (UTI). I also includes special information for children born female.

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Urticaria (Hives) in Children

Hives is a sudden outbreak of red, itchy, and swollen areas on the skin. It often happens as an allergic reaction from eating certain foods or taking certain medicines. Here's what you should know.

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Uterine Didelphys

Uterine didelphys is a disorder present before birth in which a female develops two uteruses instead of one. Treatment could be needed if symptoms occur such as unusual pressure or cramping pain before or during a menstrual period or an abnormally high amount of bleeding during a menstrual period.

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VACTERL Association

VACTERL association is a complex condition that affects up to seven areas of the body. It appears differently in everyone, but at least three areas of the body must be impacted for this diagnosis.

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Vaginal Anomalies

Vaginal anomalies are disorders that involve abnormally formed or absent vaginas. These include: vaginal agenesis, imperforate hymen, septate hymen, transverse vaginal septum and transverse vaginal septum. These occur in about 5% of females with an anorectal malformation/imperforate anus.

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Vaginal Atresia

Vaginal atresia is a condition a child is born with. The vagina might not be formed completely, meaning it is closed or absent. Treatment includes dilators or surgery.

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Vaginal Discharge

This Helping Hand™ addresses vaginal discharge, a common and normal occurrence for women. Typically, normal vaginal discharge is thin, mucus-like, and can be clear, white, or slightly yellow. It usually has no unpleasant odor and does not cause itching or irritation.

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Vaginal Discharge

It is normal for women to have some vaginal discharge. The presence of vaginal discharge alone does not mean there is an infection. Signs of an infection include vaginal itching, burning or irritation, and unpleasant odor.

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Vaginal Stenosis

Vaginal stenosis is a condition where the vagina becomes narrower and shorter. It can make it hurt to have sex or use tampons.

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Vaginal Yeast Infection

A vaginal yeast infection occurs when you have an overgrowth of candida or yeast in the vagina. The fungus candida albicans is the most common organism that causes vaginal yeast infections.

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Varicoceles

A varicocele is a mass of swollen blood vessels in the spermatic cord – the structure in the scrotum that connects the testicles to the body. Varicoceles are generally harmless and painless and do not require treatment. Physicians will recommend surgery if it appears the varicocele will impact testicle growth and future fertility.

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Varicoceles in Children

A varicocele is when veins in the scrotum have become large and swollen (dilated). The condition is like varicose veins that occur in the legs. Here's what you need to know.

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Vascular Malformations and Hemangiomas

The term “birthmark” may be a misnomer. These usually harmless skin discolorations can appear any time in the first few months after birth. They’re generally nothing to worry about. But, in some cases, they may need treatment. Here are the most common birthmarks and what to do if they show up on your child.

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Velocardiofacial Syndrome

Velocardiofacial Syndrome is also known as 22q11.2 deletion syndrome.

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Velopharyngeal Dysfunction (VPD)

This Helping Hand™ covers velopharyngeal dysfunction, or VPD, occurs when the soft palate cannot separate the back of the mouth from the nose during speech, swallowing, or both. VPD can be caused by structural differences in the soft palate and pharynx, or muscular causes.

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Velopharyngeal Dysfunction (VPD)

Velopharyngeal dysfunction (VPD) is the inadequate separation of the oral and nasal cavities during speech and/or swallowing. At Nationwide Children’s Hospital, our experts in the Velopharyngeal Dysfunction Program provide specialized treatment for patients with speech disorders resulting from VPD.

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Ventricular Septal Defect (VSD)

A ventricular septal defect (VSD) is a hole in the heart. It changes blood flow, making the heart work harder. It can be treated with surgery or catheterization.

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Ventriculomegaly

Ventriculomegaly is a condition in which the brain ventricles are enlarged due to build-up of cerebrospinal fluid (CSF), a fluid that protects the brain and spinal cord. The severity of ventriculomegaly depends on how enlarged the brain is. In some cases, fluid keeps building up, causing hydrocephalus.

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Vertebral Compression Fracture

A vertebral compression fracture happens when the backbone (vertebra) breaks by being squeezed.

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Vertigo

Vertigo is the medical word for the feeling of spinning. Your child may feel like the world is moving, but there is no movement. These feelings come and go.

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Very Low Birth Weight

Very low birth weight is a term used to describe babies who are born weighing less than 3 pounds, 4 ounces. It is very rare that babies are born this tiny. Only about 1 in 100 babies born in the U.S. are very low birth weight.

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Vesicoureteral Reflux (VUR)

Vesicoureteral reflux (VUR) is the abnormal backward flow of urine from the bladder to the kidneys. This backwards flow increases the child’s risk of urinary tract and kidney infections. 

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Vesicoureteral Reflux (VUR) in Children

Vesicoureteral reflux (VUR) is a condition where urine in the bladder flows in the wrong direction. It goes up into the tubes (ureters) that lead to the kidneys.

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Viral Skin Infections

Detailed information on viral skin infections, including Herpes Zoster (Shingles), Pityriasis Rosea, Warts, and Molluscum Contagiosum

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Viruses, Bacteria, and Parasites in the Digestive Tract

Detailed information on viruses, bacteria, and parasites in the digestive tract.

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Vision

Detailed information on children with vision problems

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Vision and Hearing

Detailed information on vision and hearing in newborns

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Vision Problems

Eye disorders in children are either refractive or nonrefractive errors. Refractive errors are caused by the shape of the eye. Nonrefractive errors are caused by disease.

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Visual Screening and Eye Examinations

Detailed information on visual screening tests in children

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Vitamin D Deficiency

This Helping Hand™ covers vitamin D deficiency. Vitamin D keeps our bodies healthy and builds strong bones. It does this by helping the body absorb calcium and phosphorous from foods and supplements. If your child has a vitamin D deficiency it means they do not have enough vitamin D in their body.

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Vitamin K Deficiency Bleeding (VKDB) in Newborns

Vitamin K deficiency bleeding is a problem that occurs in some newborns. It happens during the first few days of life. This condition used to be called hemorrhagic disease of the newborn.

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Vocal Fold Nodules

Vocal fold or vocal cord nodules are small, non-cancerous growths on your child’s vocal cords. They are often caused by voice abuse. Over time, your child’s repeated misuse of the vocal folds results in soft, swollen spots on each vocal fold.

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Voiding Dysfunction

If a child over the age of 4 has difficulties holding their urine (urinary incontinence) and physicians are unable to identify an anatomical or neurological cause, they may diagnose the child with voiding dysfunction.

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Volar Plate Injuries

The volar plate is a thick ligament that connects two bones in the finger. A volar plate injury is commonly called a jammed finger or sprain. This happens when the finger is bent backward too far (hyperextended). These injuries can also lead to a fracture (break) called an avulsion fracture.

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Vomiting

Vomiting (throwing up) is most often caused by a virus or stomach bug. Some serious illnesses may also cause vomiting. Vomiting caused by a virus usually lasts only a couple of days. It can often be treated at home.

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Von Willebrand Disease

Von Willebrand Disease is caused by low amounts or structural abnormalities in a protein called Von Willebrand Factor. This results in prolonged clotting and easy bleeding and bruising.

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Von Willebrand Disease (VWD)

Von Willebrand disease (VWD) is an inherited disorder that affects the blood's ability to clot.

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Vulva Abnormalities

To diagnose vulvar disorders and diseases, a doctor will take a complete medical history to find out about symptoms and how long they have been happening.

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Vulvovaginitis

Vulvovaginitis is inflammation and irritation of the genital area. This may occur in females of any age, but it most often occurs in girls who have not started puberty.

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Walking Pneumonia in Children

Walking pneumonia is a mild form of pneumonia. Children with walking pneumonia may feel very tired and run down. But they may still be able to do many of their normal daily activities.

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Warts

Warts are small, rough bumps that grow on the skin. They are caused by a virus and can spread from person to person. Learn how to prevent and treat them.

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Warts in Children

Warts on the skin are harmless growths. They are caused by a virus. Warts can spread to other parts of the body and to other people.

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Watching for Internal Sports Injury in a Child

Internal abdominal injuries from blunt trauma are serious injuries that occur when the body hits or collides with a large object. These types of injuries are most common in contact sports like football, ice hockey, soccer, and lacrosse.

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Water Safety and Teens

Teens are more likely to know how to swim. But they are still at risk for drowning. Read on for important tips to help protect your teen from drowning.

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Water Safety for Children

Preventive steps parents can take to protect their children from drowning.

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Water Safety—Prevention

A detailed look at water safety and drowning prevention tips for kids of all ages.

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WBC Count

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West Nile Fever in Children

West Nile fever is an illness caused by a virus. The virus is spread by mosquito bites. It often causes mild, flu-like symptoms.

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What Are Platelets?

If 1 of your blood vessels gets damaged, it sends out signals that are picked up by platelets. The platelets then rush to the site of damage and form a plug, or clot, to repair the damage.

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What Are Red Blood Cells?

Red blood cells play an important role in your health by carrying fresh oxygen all over the body.

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What Are Stem Cells

Stem cells are special human cells that have the ability to develop into many different cell types, from muscle cells to brain cells. In some cases, they also have the ability to repair damaged tissues.

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What Are White Blood Cells?

Think of white blood cells as your immunity cells. In a sense, they are continually at war. They flow through your bloodstream to battle viruses, bacteria, and other foreign invaders that threaten your health.

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What Is Plasma?

White blood cells, red blood cells, and platelets are essential to body function, but plasma also plays a crucial, and mostly unrecognized, job. It carries these blood components throughout the body as the fluid in which they travel.

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What Is Sports Medicine

Sports medicine healthcare providers have special training to restore function to injured patients so they can get moving again as soon as possible. They are experts on preventing illness and injury in active people.

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Wheat Allergy Diet for Children

Detailed information on wheat allergy, a type of food allergy, including how to read a label for a wheat-free diet.

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When a Baby Has Difficulty After Birth

Some babies may have difficulty at birth. These include babies who are born prematurely, have a difficult delivery, or have birth defects. Here's what you need to know.

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When to Call Your Child's Healthcare Provider

Detailed information on when to call your baby's physician

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When to Get Emergency Care for Your Child

In general, take your child to an emergency room after an injury any time you think the problem may need urgent care.

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When to Seek Genetic Counseling

Genetic counseling gives you information about health concerns that run in your family.

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When Your Baby Needs a Test, Procedure, or Surgery

Talk with your baby's healthcare provider about being present as much as possible for the test or procedure. Child development experts say it's best to keep to a minimum the amount of time your child is separated from you at this age.

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When Your Child Has Cancer: Questions to Ask the Doctor

When a child is diagnosed with cancer, parents are entitled to a clear explanation about anything related to the condition. Here are some important questions you may consider asking your child's doctor.

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When Your Teen Needs a Test, Procedure, or Surgery

During the teen years, abstract thinking begins and teens can fully understand how parts of the body function, the medical problem they have, and the reason for the test, procedure, or surgery.

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When Your Toddler or Preschooler Needs a Test, Procedure, or Surgery

Helpful tips on how to prepare your toddler or preschooler child for a surgery, test, or procedure.

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White Cell Disorders

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Whooping Cough (Pertussis) in Children

Whooping cough (pertussis) is a contagious illness. It causes intense fits (paroxysms) of coughing. It mainly affects babies and young children.

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Why Children Bite

A young child may bite out of frustration or when under stress. Biting may also be an attempt to gain power, or just a way of exploring the world. Read on to learn how to respond if your child bites, no matter what the cause.

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Why Parents Shouldn’t Use Food as Reward or Punishment

Giving sweets, chips, or soda as a reward often leads to children’s overeating foods that are high in sugar, fat, and empty calories. Worse, it interferes with kids’ natural ability to regulate their eating, and it encourages them to eat when they’re not hungry to reward themselves.

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Wilms Tumor

Wilms tumor is a cancerous tumor that starts in the cells of the kidney. It’s the most common type of kidney cancer in children.

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Wilms' Tumor

This Helping Hand™ covers Wilms' tumor, a cancerous tumor of the kidney. It is thought to be caused by abnormal genes. The tumor may occur at any age, but it is most common in children 1 to 5 years of age.

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Workouts to Help Prevent Sports Injuries

It may not always be possible to avoid injury when playing sports, especially physical contact sports. But there are things kids can do to protect themselves. Preparing before and after a game or practice session by warming up muscles and then stretching can help.

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Wrist and Hand Sprains

A sprain of the wrist and hand is a stretching or tearing of the ligaments which connect the bones together and provide stability. A wrist/hand sprain may occur from a direct blow to the area, falling on an outstretched hand, or an abrupt twist or hyperextension.

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X-Linked Agammaglobulinemia in Children

X-linked agammaglobulinemia is a rare genetic disease that causes a weakened immune system. It mainly affects boys.

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X-linked Dominant: Incontinentia Pigmenti

Detailed information on x-linked dominant inheritance.

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X-linked Recessive: Red-Green Color Blindness, Hemophilia A

Detailed information on x-linked recessive inheritance

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Your Child's Allergies: Dust Mites

Detailed information on dust mite allergens.

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Your Child's Asthma

How asthma will affect a child throughout their lifetime varies, depending on the child.

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Your Child's Asthma and Outdoor Air Pollution

Ozone and air pollution can be a trigger for your child's asthma. As with all triggers, the key is to prevent or minimize exposure as much as possible.

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Your Child's Asthma- Staying Away from Triggers

From bed coverings to air purifiers, from pets to secondhand smoke, here are ideas to keep your child's asthma triggers under control.

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Your Child's Asthma: Flare-ups

Learn about asthma flare-ups in your child, including symptoms to recognize.

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Your Child's Asthma: How Severe Is It?

A look at the 4 asthma severity levels.

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Your Child's Asthma: Nebulizer Treatments

Helpful instructions on giving your child nebulizer treatments.

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Your Child's Asthma: Peak Flow Meters, Oximeters, and Spirometers

These 3 types of tools are used to measure how well your child's asthma is under control.

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Your High-Risk Baby and Expressing Milk

The benefits of breastmilk are even higher for babies who are born high-risk. Read on for helpful information on breast pumps, methods for expressing milk, freezing extra breastmilk, and more.

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Youth Suicide

Suicide is when a teen causes his or her own death on purpose. Before trying to take his or her own life, a teen may have thoughts of wanting to die. Read on to learn how to recognize the warning signs, and how to get your teen help.

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Zika Virus

This Helping Hand™ covers Zika, a disease caused by the Zika Virus. A person becomes infected by the bite of an infected Aedes mosquito or by having unprotected sex with an infected person. Symptoms can include fever, rash and joint pain.

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Zoonoses

Zoonoses, infections that people can get from animals. Children with compromised immune systems are at higher risk for these infections. The information in this Helping Hand™ will help with safe animal and pet care.

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Helping Hands Patient Education Materials

Written and illustrated by medical, nursing and allied health professionals at Nationwide Children's Hospital, Helping Hand instructions are intended as a supplement to verbal instructions provided by a medical professional. The information is periodically reviewed and revised to reflect our current practice. However, Nationwide Children's Hospital is not responsible for any consequences resulting from the use or misuse of the information in the Helping Hands.