Anthony A Zehetner

Children's Hospital at Westmead · Department of Adolescent Medicine and Eating Disorders

p> Leaders remain as visible, influential and controversial in today’s society and media as ever. Twenty-first century doctors are called to be inherent leaders, dependent and determined by their surrounding team of staff, organizational hierarchy and health care system structure. This paper examines today’s clinician as leader: through differing l...

p> An allegorical vignette describing the pathway of diagnosis and treatment of controversial societal disorders which may exist in children, using Attention-Deficit Hyperactivity Disorder (ADHD) as an example and template. The child’s perspective is described as well as potential pitfalls of the “therapeutic” process beyond simple clinical modalit...

Aim: To evaluate Teenlink, a wide-ranging medical and psychological health service addressing the needs of children and adolescents in substance-using families, who are at increased risk of developmental and psychosocial problems. Methods: Retrospective record review of 124 children, from 92 families seen over a 13 year period. Results: Polysu...

Pubertal gynaecomastia affects up to 70% of male adolescents, with the highest prevalence occurring at 14 years of age. While spontaneous regression occurs in 90% of cases within three years, until then, symptoms of mastodynia and psychological distress are prevalent in some patients prior to surgical treatment. Tamoxifen, a selective oestrogen rec...

Aim: The aim of this study is to review the operation of a specialist adolescent drug and alcohol consultation liaison service in a tertiary paediatric hospital. Method: A retrospective review of patient records was conducted to identify patient characteristics and assess service utilisation. Results: Two hundred adolescents were referred over...

Iron supplementation reduces the frequency and severity of breath-holding attacks (BHAs), particularly in children with iron deficiency. The issue of iron supplementation is less clear for Westernized children with BHAs who present to an outpatient community clinic and are not iron-deficient. This is the first reported case series of iron-replete c...

Iron may reduce the frequency and severity of breath-holding attacks (or spells) in children but more research is needed to determine the extent of this effect. Breath-holding attacks are a common disabling phenomenon during early childhood. They are distinct from seizures and it is common for them to spontaneously resolve by the time the child rea...

Does iron therapy affect the frequency of breath-holding attacks in children?j pc_1790 357..360 Clinical scenario A two-year-old girl presents with repetitive episodes of facial cyanosis with occasional collapse. The episodes last for less than a minute and occur up to three times a day. She makes a rapid recovery after each episode and her mother...