Most physicians entering the field of pediatric cardiology are drawn to it by an interest in the wide variety of congenital heart defects which present at various ages. Most congenital heart disease will be evident in early life, presenting with cyanosis, heart murmur, congestive heart failure or shock. Textbooks in pediatric cardiology are filled overwhelmingly with chapters on the various congenital heart lesions which are encountered, both rare and common. However, practicing pediatric cardiologists will be quick to point out that a significant number of referrals to any practice do not involve congenital heart problems. Reviewing our own statistics at the Children’s Hospital of Michigan Cardiology Center for the past two years (2010-2012) reveals that outpatient visits for new patient consultations examined by age groups are: less than 1 year of age – 11%; 1-5 years – 23%; 6-10 years – 21%; 11-18 years – 45%. Retrospective data collected from billing codes, as in this brief survey, may imprecise. However, it does provide a snapshot of the usual referral problems encountered by pediatric cardiologists. In our practice, the most common overall reason for referral in all ages was "heart murmur", constituting 26% of total referrals. Second were rhythm and rhythm related problems (inclusive of palpitations, abnormal ECG and diagnosed premature beats) constituted 19% of the total. In the age group of interest for this book of 11-18 years, the most common presenting issues were rhythm related (23%) and chest pain (23%), followed by syncope or dizziness (19%) and heart murmur (12%). Congenital heart disease diagnoses encountered in the 11 to 18 year age group comprised only 6.5% of referrals within that age group. It is likely that many of these were not new diagnoses (with a few exceptions), but rather represented transfers to our practice. Our own outpatient clinical experience reveals that the majority of outpatients referred by pediatricians for pediatric cardiology evaluation are between the ages of 11 and 18. The majority of these new referrals are not for congenital heart disease. Our intent for this edition of Pediatric Clinics of North America is to describe the types of problems which seem to be of concern to the pediatric community within this age group and to describe strategies for evaluation.

Together with Consulting Editor, Dr. Bonita Stanton, the Guest editors of this issue, from the University of Colorado School of Medicine, have secured expert authors to provide updated clinical review articles in the area of pediatric cardiology. Specific topics include: Evaluation of Cardiac Murmur and chest pain; Palpitations and Syncope; Update on Management of Kawasaki Disease; Rheumatic Heart Disease; Myocarditis/Pericarditis; Update on Infective Endocarditis; Update on Pediatric Heart Failure; Update on Pediatric Pulmonary Hypertension; Update on Preventative Cardiology; Common Left to Right Shunt Lesions; Outcomes in Hypoplastic Left Heart Syndrome; Outcomes in Adult Congenital Heart Disease (Neurocognitive Issues and Transition); Innovations in Pediatric Cardiology; The Next Frontier in Pediatric Cardiology: Artificial Intelligence. Readers will come away with the latest clinical coverage of diagnosis and treatment for pediatric cardiology issues.

This issue of Primary Care: Clinics in Office Practice, devoted to Adolescent Medicine, is edited by Drs. William B. Shore, Francesco Leanza, and Nicole Chaisson. Articles in this issue include: Health Care Maintenance for Adolescents; Adolescent Growth and Development; Puberty; Current Concepts of Psychosocial Development; Body Image and Health: Eating Disorders and Obesity; Working with Families with Adolescents; Care for Adolescents with Developmental Delay; Sports Medicine; Sports Injuries; Teens and Technology; Care of Incarcerated Youth; Mental Illness in Adolescence; Substance Use/Abuse; Current Approach to Contraception and Pregnancy; Oral/Hormonal Contraception; Sexually Transmitted Infections; Teen Sexuality and GLBT Youth; and Bullying and Violence Prevention.

Pediatric and Adolescent Psychopharmacology is reviewed in this issue of Pediatric Clinics, guest edited by Drs. Dilip Patel, Donald Greydanus, and Cynthia Feucht. Authorities in the field have come together to pen articles on Therapy in the Age of Pharmacology: Point-Counterpoint, Principles of Pharmacology and Neurotransmission, Complementary and Alternative Medicine in Pediatric Mental Health, Psychopharmacology of Anxiety Disorders, Psychopharmacologic Control of Aggression and Violence, Autistic Spectrum Disorders, Attention Deficit Hyperactivity Disorder, Psychopharmacology of Anorexia and Bulimia Nervosa, Psychopharmacology of Obesity, Psychopharmacology of Depression, Psychopharmacology of Pediatric Bipolar Disorders, Cognitive-Adaptive Disabilities, Psychopharmacology of Schizophrenia, Management of Psychotic States Induced by Medical Conditions, Substance Use and Abuse, Psychopharmacology of Tic Disorders, and Pharmacology of Sleep Disorders.

Recommended in the Brandon/Hill selected list of print books and journals for the small medical library - April 2003 Updated throughout, the Sixth Edition of Moss and Adams' Heart Disease in Infants, Children, and Adolescents: Including the Fetus and Young Adult continues to be the primary cardiology text for those who care for infants, children, adolescents, young adults, and fetuses with heart disease. The most comprehensive text in the field, the text covers basic science theory through clinical practice of cardiovascular disease in the young with information being updated to reflect the la.

For the first time, Pediatric Clinics is devoting one issue to two clinically focused topics: Pediatric Palliative Care and Pediatric Hospital Medicine. Dr. Ottolini has organized her section to focus on a variety of issues of relevant to all pediatricians, but which pose special challenge to the Pediatric Hospitalists. As pediatric care has advanced, children who would not have survived infancy are growing into young adults with complex chronic diseases and dependence upon technology. They frequently require hospitalization to address exacerbation of underlying disease processes and procedures to improve their quality of life. The articles are devoted to patient care challenges of troubleshooting malfunctioning technology, co-managing medically complex patients pre and post-op with surgical colleagues, and the Hospitalist’s evolving role in performing procedures and sedation in this population of vulnerable patients. Also discussed rare strategies to maximize communication with parents, patients and primary care providers during hospitalization, especially for medically complex patients. Dr. Ullrich and Dr. Wolfe Pediatric have worked to bring relevant articles on palliative care to the pediatrician. While life-threatening conditions in childhood are rare, children with LTC account for a high proportion of pediatric hospital care, and about one half of such children die in the inpatient setting. The number of hospital-based pediatric palliative care programs has increased dramatically over the past decade to meet the palliative care needs of hospitalized children including symptom management, facilitation of communication, decision-making and advance care planning support, and coordination of care. Given these considerations, it is evident that the topics of pediatric palliative care and hospital medicine are fitting counterparts for this comprehensive issue.

This issue of Pediatric Clinics, guest edited by Drs. Dilip Patel and Donald Greydanus, examines the topic of Adolescents and Sports. Authorities in the field have come together to pen articles on Pre-participation evaluation, Cardiovascular evaluation of young athletes, Medical conditions and sport participation, Management of the adolescent athlete with type 1 diabetes mellitus, Musculoskeletal conditions and sports participation, Stress fractures: Diagnosis and management, Computer-based neuropsychological evaluation of concussion, The female athlete, Doping: From drugs and supplements to genetics, Analgesics and anti-inflammatory medications in sports, Nutritional considerations for adolescent athletes, Resistance training guidelines for adolescents, Application of osteopathic manual medicine to treat sports injuries, and Physically and cognitively challenged athletes.

With consultation of Dr. Bonita Stanton, Dr. James Chan has assembled a comprehensive list of articles that update the topic of kidney disorders in children. He has secured expert authors from around the world to contribute clinical reviews on the following topics: Urinary tract infection; Hematuria and proteinuria; Metabolic syndrome in childhood obesity; Hypertension; Post-infectious glomerulonephritis; Nephrotic syndrome and glomerular disease; Lupus nephritis; IgA nephropathy and anaphylactoid purpura nephropathy; Tubulointerstitial nephritis; Bartter syndrome and Gitelman syndrome; Renal tubular acidosis; Fanconi syndrome; Dent disease; Hypophosphatemic rickets; Syndrome inappropriate ADH secretion (SIADH); Nephrogenic diabetes insipidus; Hemolytic uremic syndrome and other acute kidney injuries; Chronic kidney disease and dietary measures to slow progression; and Long-term outcome of renal transplantation. Readers will come away with the most current clinical information they need to inform decisions to improve outcomes in pediatric patients.

In this issue of Pediatric Clinics, Guest Editors Roger W. Apple, Cheryl A. Dickson, and Maria Demma Cabral bring their considerable expertise to the topic of Integrated Behavioral Health in Pediatric Practice. Top experts in the field cover key topics such as the need for IBH in pediatric primary care, IBH in pediatric residency clinics, the past and current role of pediatric psychologists in IBH within medical subspecialties, and more. - Provides concise and comprehensive coverage of the issues physicians face every day. - Presents the latest information on a timely, focused topic under the leadership of experienced editors in the field. - Contains 15 relevant, practice-oriented topics including definitions and contexts; history of pediatrics and the development of IBH; common behavioral concerns; BHC roles and responsibilities; and more.

In this issue of Pediatric Clinics of North America, guest editors Drs. Roger W. Apple and Ethel G. Clemente bring their considerable expertise to the topic of Role of Psychologists in Pediatric Subspecialties. Top experts in the field highlight the interdisciplinary nature of primary care of children where psychology is a factor, placing emphasis the clinical topics, disease states, or medical specialties where mental health has a significant impact on the outcome and successful treatment of clinical issues in children. This issue offers a unique focus on collaboration between the psychologist and pediatrician to optimize outcomes. - Contains 16 practice-oriented topics including helping physicians collaborate with psychologists; psychologists' experiences in pediatric hematology-oncology; the role of psychologists in child abuse pediatrics; the critical role of psychologists in pediatric gastroenterology; the role of psychologists in pediatric sports medicine practice; and more. - Provides in-depth clinical reviews on the role of psychologists in pediatric subspecialties, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.