Momwithastethoscope's Weblog

September 28, 2009

Loving Pediatric Medicine – the anti-rant

Filed under: Office,pediatrics,positive medicine — momwithastethoscope @ 7:02 am
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Reason Number 28:  Rashes

My new partner makes me chuckle every time she reaches for Hurwitz‘s Clinical Pediatric Dermatologytextbook or Krowchuk’s Pediatric Dermatology.  With ardent effort, she tries to match reality with textbook – no small task.   Since skin is the largest, most visible organ, rashes are bread and butter pediatrics, and no two are ever alike.   Despite the intensity of pediatric training, outpatient dermatology training takes a backseat to other maladies.  New pediatricians usually get their training on the job, and with experience become proficient in treating this common complaint.

Dermatology fascinates me for six reasons:

1.  Disease is visible to the naked eye or touch – no microscope, lab test, CT scan needed

2.  Parents can determine whether the malady is getting better from observation.

3.  Treating skin disease also treats self-esteem in some cases. Example:  acne vulgaris

4.  I love the language of dermatology – molluscum, papulosquamous, acanthosis nigricans

5.  Pediatric rashes can be clues to other disease

6.  Each new rash is a chance to learn another variation on dermatology.

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