Citations

The difficulty of diagnosing pneumonia by chest x-ray in children less than 4 years of age was studied by comparing the chest roentgenograms of 34 healthy children with the chest roentgen ograms of 34 children previously diagnosed as having pneumonia. Review of these films without knowledge of the previous interpretation and without clinical information disclosed variations regarding the roentgenographic confirmation of pneumonia in 24 percent of the cases and variations regarding the location of the lesion in about 50 percent of the cases.

Current information relating to the clinical significance of proteinuria in children through adolescence was reviewed. Proteinuria may be transient, orthostatic, or fixed. The data indicate that only fixed proteinuria—that is, proteinuria on multiple urine examinations without pos tural exaggeration—may indicate serious glomerular disease. The patient should be followed with periodic but infrequent examinations, avoiding unnecessary, complicated, and hazardous investigations.

The best nutrition for the full-term, healthy newborn remains breast milk, lovingly provided by the mother. Every effort should be made to educate, reemphasize, and reassure the mothers of our patients about this most natural way of infant feeding. Yet, when the situation demands it, properly adjusted cow's milk preparations are a very acceptable substitute. Cow's milk also becomes a part of the diet when the infant is weaned from the breast.