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Growing Up with Vaccines: What Should Parents Know?

Portofino Pediatrics, supports without exception and without revision the Vaccine Schedule of  ACIP recommended by CDC,  AAP, NIH, WHO

Portofino Pediatrics, apoya sin excepcion o revision el Programa de Vacunacion de ACIP recomendado por CDC, AAP, NIH, WHO

 

Vaccine Schedule 0-6 years

Vaccine Schedule 7-18 years

Programa de Vacunacion 0-6 años

Programa de Vacunacion 7-18 años

 

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Posts for category: Pediatric Care

By Portofino Pediatrics Associates
March 20, 2019
Category: Pediatric Care
The harder your children play, the harder they might fall. During childhood, fractures and broken bones are common for children playing or participating in sports. While falls are a common part of childhood,
Detecting a Broken Bone your pediatrician in shares important information to help you understand if your child has a broken bone. 
 
If your child breaks a bone, the classic signs might include swelling and deformity. However, if a break isn’t displaced, it may be harder to tell if the bone is broken or fractured. Some telltale signs that a bone is broken are:
  • You or your child hears a snap or grinding noise as the injury occurs
  • Your child experiences swelling, bruising or tenderness to the injured area
  • It is painful for your child to move it, touch it or press on it
  • The injured part looks deformed

What Happens Next?

If you suspect that your child has a broken bone, it is important that you seek medical care immediately. All breaks, whether mild or severe, require medical assistance. Keep in mind these quick first aid tips:
  • Call 911 - If your child has an 'open break' where the bone has punctured the skin, if they are unresponsive, if there is bleeding or if there have been any injuries to the spine, neck or head, call 911. Remember, better safe than sorry! If you do call 911, do not let the child eat or drink anything, as surgery may be required.
  • Stop the Bleeding - Use a sterile bandage or cloth and compression to stop or slow any bleeding.
  • Apply Ice - Particularly if the broken bone has remained under the skin, treat the swelling and pain with ice wrapped in a towel. As usual, remember to never place ice directly on the skin.
  • Don't Move the Bone - It may be tempting to try to set the bone yourself to put your child out of pain, particularly if the bone has broken through the skin, do not do this! You risk injuring your child further. Leave the bone in the position it is in.
Contact your pediatrician to learn more about broken bones, and how you can better understand the signs and symptoms so your child can receive the care they need right away. 
By Portofino Pediatrics Associates
January 17, 2019
Category: Pediatric Care
Tags: Newborn   Newborn Care  

There is a lot of care and work that goes into raising a newborn, and your pediatrician is here to help right from the beginning. Your pediatrician typically sees your newborn for their very first appointment within a few days of being discharged from the hospital. Your pediatrician is here for you to ask any questions or address any concerns you may have about your newborn and caring for your newborn. Some of the topics that your pediatrician may discuss in that first visit are:

Feeding- Your pediatrician will watch your baby’s feeding habits during this period and make sure that their growth is right on schedule. During the first six months of your newborn’s life, you’ll feed them formula or breastmilk. Breastfed babies tend to eat more frequently than babies who are fed formula.

Sleep- Every baby has different sleep schedules and needs. Most newborns tend to sleep sixteen to seventeen hours a day, but only sleep a few hours at a time. Sleep cycles don’t tend to normalize until your baby is about six months old. The American Academy of Pediatrics recommends that healthy infants should sleep on their backs until they are able to roll over on their own.

Bathing- Infants do not usually require daily bathing, as long as the diaper area is thoroughly cleaned during changes, because daily bathing dry out their skin. Instead, it’s recommended to sponge bathe areas as needed.

Umbilical Cord Care- An infant’s umbilical cord should eventually dry up and fall off on its own by the time your baby is two weeks old. Until then, make sure to keep the area clean and dry by using sponge baths instead of submerging your baby in the tub. Small drops of blood are normal around the time that the umbilical cord is supposed to fall off. If you notice any active bleeding, foul-smelling yellowish discharge, or red skin around the stump, contact your pediatrician.

Your newborn should see their pediatrician at 2 weeks, 2 months, 4 months, 6 months, 9 months, 12 months, and regularly throughout their life. Call your pediatrician for any questions on newborn care today!

By Portofino Pediatrics Associates
October 01, 2018
Category: Pediatric Care
Tags: Child Care   Sports Physical   Sports  

Your child is eager to start the school year so they can participate in sports. That’s great news! Keeping your child active is an important part of a healthy lifestyle and sports can be a great experience for many children; however, it’s also important that your child’s pediatrician performs a yearly sports physical to make sure that they are ready for physical activity.

A sports physical is necessary for every child regardless of their current health. In fact, some schools make it mandatory for children to get an annual sports physical before they participate in any school sports. Regardless of whether this physical is mandatory or not, it’s highly advised that all children get a sports physical once a year.

Your child’s sports physical will involve going through their medical history and conducting a physical examination. The physical examination is pretty self-explanatory. We will check their vitals, as well as their height and weight. We will perform a vision test and evaluate everything from their heart and respiratory system to their musculoskeletal system. The goal of a physical exam is to make sure that your child hasn’t incurred any past injuries or developed any health problems that could be exacerbated by physical activity.

A pediatrician can also answer questions and provide counseling on nutrition, healthy weight loss or gain, and habits that could help your child’s physical health. Remember to bring any questions along with you.

Besides the physical examination, we will also sit down with you and your child and ask questions about their medical history. It’s important to be as detailed as possible. If it’s the first time they are having a sports physical it’s important to bring in a list of any supplements or medications (both over-the-counter or prescription) that they are currently taking.

We will ask a series of questions to find out if there are any serious or chronic health problems that run in the family, if your child has experienced any past injuries, if they’ve ever undergone surgery or been hospitalized, if they have any allergies or if they have any current disorders or illnesses. It’s important to provide as much detailed history as possible so that our pediatric team can perform a thorough and comprehensive physical.

Don’t wait until the last minute to schedule your child’s sports physical. It’s important to get your child on the books before the summer is gone and the doctor’s schedule fills up. You don’t want your child being benched during the season because they didn’t get a sports physical. Call your pediatrician today.

By Portofino Pediatrics Associates
August 31, 2018
Category: Pediatric Care
Tags: Pediatrician   Child Care  

Finding out you’re pregnant is a wonderfully exciting and whirlwind time. There are so many decisions to make as you watch your bump grow: What color should I paint the nursery? Do I want my little one to sleep with me? What do I need to childproof around the house? Of course, one of the most important things to think about is the health of your little one throughout the course of your pregnancy and once they are born. It’s never too soon to choose a pediatrician, and taking the time to find one you trust is important not just for your baby but also for you.

Once your little one is born they will be spending a lot of time with their pediatrician, so this is why it’s crucial that you find out that provides gentle, compassionate care and really takes time with you and your baby. The first two years of your baby’s life are so very important because this marks a significant developmental time for them, so it’s essential that you have a pediatrician that will be there to monitor their progress and detect any developmental delays or health problems right away.

The first pediatric visit will occur a few days after the birth. This first visit is vital, as it allows your children’s doctor to make sure everything functions as it should. This includes everything from reflexes to alertness to their hearing. Measurements are also taken to check their height and weight and to begin recording their development. Besides performing a physical exam to check the overall health of the baby this is also a time to answer any questions you might have about feeding schedules, habits, developmental milestones, etc.

After this initial visit, you should expect to bring your little one in for visits at:

  • 1 month
  • 2 months
  • 4 months
  • 6 months
  • 9 months
  • 12 months
  • 15 months
  • 18 months
  • 24 months (2 years old)
  • 30 months
  • 3 years old

Once your child turns 3 years old they will only need to visit a pediatrician once a year, unless there are any health problems or concerns in the interim. These visits are imperative for every child as they are key to preventing certain illnesses through immunizations and physical checkups, tracking their growth and development, and also providing you with answers and support to help you properly care for your little one along the way. Call a pediatrician to schedule your child’s first appointment today.

By Portofino Pediatrics Associates
March 31, 2017
Category: Pediatric Care
Tags: Tonsillitis  

The tonsils are oval-shaped, pink masses of tissue on both sides of the throat. They are part of the body's immune system, designed to fight off bacteria and viruses that try to enter the body through the mouth. Sometimes common illnesses are too much for the tonsils to handle, and the tonsils become infected themselves. This condition is known as tonsillitis, an inflammation of the tonsils that can cause a sore throat and discomfort for your little one.

Tonsillitis is common in children, but it can occur at all ages. Many cases of tonsillitis in elementary-aged kids are caused by a viral infection, such as the common cold or flu. Bacterial infections, particularly streptococcus (strep), can also cause an infection of the tonsils.

If your child has tonsillitis, his or her main symptom will be a sore throat. It may be painful to eat, drink or swallow. Other common signs of infected tonsils include:

  • Red, tender and enlarged tonsils
  • Yellow or white coating on tonsils
  • Swollen, painful lymph nodes in the neck
  • Fever
  • Bad Breath

If your child’s symptoms suggest tonsillitis, call your pediatrician. Your child will need to visit a pediatrician to determine whether it is a bacterial or viral infection, which can usually be diagnosed with a physical exam and a throat culture.

If bacteria caused the child’s tonsillitis, then antibiotics may be prescribed to kill the infection. If a virus causes it, then the body will fight the infection on its own. Rest and drinking fluids can also help alleviate symptoms and ease pain. In some cases, if the child suffers from frequent episodes of tonsillitis or repeat infections over several years, your pediatrician may recommend a tonsillectomy, a common surgical procedure to remove the tonsils.

Because tonsillitis is contagious, kids should help protect others at school and home by washing hands frequently, not sharing cups or other personal utensils, and covering their mouth when coughing or sneezing.

Always contact your pediatrician when you have questions about your child’s symptoms and health.