“It Hit Me After the Trip”: Recognizing Chikungunya in Clinical Practice
“It all started a few days after I got back from my trip.”
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      “It all started a few days after I got back from my trip.”
          There’s always a new trick up Big Tobacco’s sleeve. First it was flavored cigarettes, then e-cigs that looked like USB drives. Now? It’s minty little pouches that slide quietly between lip and gum—no smoke, no spit, no smell, no shame. Just a smooth jolt of nicotine.
          If you’ve ever stared at a 13-year-old’s immunization record, wondering whether that Tdap vaccine at age 10 means they still need another now, you’re not alone. Tdap—short for tetanus, diphtheria, and acellular pertussis—is part of both routine and catch-up immunization schedules. And as with all things immunization-related, the details matter.
          Ah, otitis media—the classic ear infection in the middle ear. It may be a bread and butter diagnosis in the pediatric clinic, but its management can be nuanced. Do you treat it now or wait it out? What’s the go-to antibiotic? And when is it time to loop in the ENT? Let’s cut through the noise with a back-to-basics review, plus a few pearls that might just change your approach.
          ADHD is one of the most common neurodevelopmental conditions we see in practice, and yet, despite its prevalence, its diagnosis and management still generate tons of questions from both clinicians and families.
          When it comes to managing critically ill children, recognizing and treating shock is one of the most essential—and high-stakes—skills a pediatrician can master.
          With pediatric suicide rates on the rise, early and effective screening is crucial. Among adolescents aged 12-18, nearly 1 in 5experiences suicidal ideation—and primary care providers are often the first point of contact. Since many young people don't openly discuss their struggles, proactive screening can uncover hidden risks and create opportunities for timely intervention.
          As clinicians, empowering patients with practical allergen control tips can make a significant difference in their quality of life. From dust mites to pollen, it all starts at home. A targeted approach is best—if you have allergy testing results and know specific triggers, that’s where you should start!
          When it comes to understanding the dos and don’ts of human milk storage, we’ve got you covered. Think of this as your go-to resource for keeping that liquid gold fresh and making life a little easier for parents with busy days (and tired nights)!
          The American Academy of Pediatrics (AAP) recommends exclusive breastfeeding for about six months, continuing breastfeeding for two years or longer as mutually desired by parent and infant. But with increasing diagnoses of tongue-tie (ankyloglossia) in recent years, conversations among pediatricians, lactation specialists, and parents have ramped up. So, what’s the deal with tongue-tie, and when does it really matter?
          Much like the classic "Schoolhouse Rock" episode, "I'm Just a Bill," we're here to explore how a vaccine goes from a brilliant idea to a lifesaving shot. In this discussion on Peds RAP, Sol and Dr. Paul Offit kicked things off with a playful nod to "I'm Just a Bill," reminding us of the catchy tune that taught us about legislative processes. But this time around, it's all about vaccines!
          Insect bites and stings are a common nuisance during warm summer months when people spend more time outdoors attracting insects with their body heat, sweat, and odor . While most bites and stings are harmless, it’s important to recognize the potential for severe medical conditions. Here’s a breakdown of common insects and what you might expect from their bites or stings.