{"title":"Narrative Medicine in Pediatric Training: Learning Empathy in Uncertain Times.","authors":"Maryanne Chrisant","doi":"10.1542/pir.2025-006925","DOIUrl":"https://doi.org/10.1542/pir.2025-006925","url":null,"abstract":"","PeriodicalId":20007,"journal":{"name":"Pediatrics in review","volume":"47 9","pages":"483-488"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christian A Martinez, Pamela Castillo, Annette L Medina, Lina M Felipez
{"title":"Peptic Ulcer Disease in Pediatrics: A Comprehensive Review.","authors":"Christian A Martinez, Pamela Castillo, Annette L Medina, Lina M Felipez","doi":"10.1542/pir.2025-006894","DOIUrl":"https://doi.org/10.1542/pir.2025-006894","url":null,"abstract":"<p><p>Peptic ulcer disease (PUD) in children, while less prevalent than in adults, poses significant diagnostic and therapeutic challenges because of age-specific presentations and pathophysiology. This review addresses the epidemiology, etiologies, clinical manifestations, and management strategies of pediatric PUD, with particular emphasis on Helicobacter pylori-associated and non-H pylori ulcers. The review outlines the limitations of applying adult-based \"test-and-treat\" strategies to children and underscores the importance of guideline-directed endoscopic evaluation and targeted therapy. The review also explores emerging antibiotic resistance patterns, appropriate use of acid therapy, and follow-up protocols to confirm H pylori eradication. Distinct pediatric considerations, including age-appropriate diagnostics, medication dosing, and caregiver education, are discussed. Additionally, the review presents updated guidance from the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition and European Society for Paediatric Gastroenterology Hepatology and Nutrition to aid clinicians in tailoring care. By synthesizing recent advances and best practices, this review aims to enhance recognition, reduce inappropriate testing, and improve outcomes in children affected by PUD.</p>","PeriodicalId":20007,"journal":{"name":"Pediatrics in review","volume":"47 9","pages":"512-523"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prolonged Severe Headache in a Teenager.","authors":"Maximiliane Trapp, Samantha T Kennedy","doi":"10.1542/pir.2025-007014","DOIUrl":"https://doi.org/10.1542/pir.2025-007014","url":null,"abstract":"","PeriodicalId":20007,"journal":{"name":"Pediatrics in review","volume":"47 9","pages":"528-531"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Critical Importance of Pediatric Clinical Trials in the Ambulatory Care Setting.","authors":"Danielle Vigil, Koran I Sherman, Jessie R Maxwell","doi":"10.1542/pir.2025-006816","DOIUrl":"https://doi.org/10.1542/pir.2025-006816","url":null,"abstract":"","PeriodicalId":20007,"journal":{"name":"Pediatrics in review","volume":"47 9","pages":"540-542"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kylene DeSmith, Elizabeth McGinn, Brian Jackson, Michele Loi
{"title":"A 5-Year-Old Boy With Hypoxemia, Thrombocytopenia, and Leukocytosis.","authors":"Kylene DeSmith, Elizabeth McGinn, Brian Jackson, Michele Loi","doi":"10.1542/pir.2025-006877","DOIUrl":"https://doi.org/10.1542/pir.2025-006877","url":null,"abstract":"","PeriodicalId":20007,"journal":{"name":"Pediatrics in review","volume":"47 9","pages":"532-536"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Oral Aversion, Growth Faltering, and Hepatomegaly in a 4-Month-Old Girl.","authors":"Kyrie Shomaker, Alice Basinger","doi":"10.1542/pir.2025-007103","DOIUrl":"https://doi.org/10.1542/pir.2025-007103","url":null,"abstract":"","PeriodicalId":20007,"journal":{"name":"Pediatrics in review","volume":"47 9","pages":"524-527"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emily Kivlehan, Uchenna Ewulonu Pelzer, Sophie Leib, Brian D Wishart
{"title":"Beyond Survival: Outpatient Treatment for Functional Recovery After Brain Injury.","authors":"Emily Kivlehan, Uchenna Ewulonu Pelzer, Sophie Leib, Brian D Wishart","doi":"10.1542/pir.2024-006735","DOIUrl":"https://doi.org/10.1542/pir.2024-006735","url":null,"abstract":"<p><p>Acquired brain injuries (ABIs), including hypoxic-ischemic and traumatic injuries, are leading causes of long-term disability in children. While acute treatment has advanced, many survivors face persistent cognitive, emotional, and physical challenges that require coordinated outpatient care. This review aims to equip pediatric providers with the knowledge and tools necessary to provide longitudinal, comprehensive, and family-centered outpatient care for children recovering from ABIs. This review begins with the definitions, etiologies, and prognostic factors associated with pediatric brain injury, followed by key components of outpatient assessment, including symptom monitoring, appropriate use of diagnostic tools, and identification of early warning signs for complications. This review then highlights common neuropsychological impacts-such as deficits in memory, attention, and executive functioning-as well as emotional and behavioral concerns including anxiety, depression, and social withdrawal. Musculoskeletal complications and tone abnormalities are discussed alongside strategies for outpatient treatment. The roles of physical, occupational, and speech therapy are explored, with emphasis on collaborative, goal-directed care that extends into school and community settings. Finally, ongoing gaps in outpatient care are identified and examined, particularly in terms of access and continuity of services.</p>","PeriodicalId":20007,"journal":{"name":"Pediatrics in review","volume":"47 9","pages":"489-500"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}