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Medical Info

Please browse these sites for even more pediatric information:

Rafael A. de Haro, MD
Erin Marshall, MD
Nina Cheng-Lo, PNP
Maureen Havrilla, PNP

Wyoming Springs Pediatrics
7200 Wyoming Springs, Suite 200
Round Rock, Texas 78681

Phone: 512-244-5959
Fax: 512-244-1156

We accept most insurance plans, please contact us for specifics.

Medical Info


How to Determine if Your Child Has a Fever


†Limitation: Ear (tympanic membrane) and temporal artery (TA) temperatures are not reliable before 6 months of age. Use this guideline if fever is your child's only symptom. Click here to read more detailed information about fever


A cough is the sound made when the cough reflex suddenly forces air and secretions from the lungs. A coughing spasm is over 5 minutes of continuous coughing. Most are part of a cold, a viral infection of the large airway (viral bronchitis. ) Other common causes include croup, bronchiolitis, asthma, allergic cough, whooping cough.  Click here to read more detailed information about coughs.


Rash - Localized and Cause Unknown

Rash on one part of the body (localized or clustered)
  • Red or pink rash
  • Small spots, large spots or solid red skin
Main cause: skin contact with some irritant.

Rash - Widespread and Cause Unknown
  • Rash over most of the body (widespread or generalized)
  • Occasionally just on hands, feet and buttocks - but both sides of body
  • Red or pink rash
  • Small spots, large spots or solid red skin
Main cause: a 2- or 3-day rash occurring with a viral illness.
Viral rashes usually have symmetrical pink spots on the trunk.  Click here to read more detailed information about rash.


Vomiting is the forceful emptying (throwing up) of a large portion of the stomach's contents through the mouth. Nausea and abdominal discomfort usually precede each bout of vomiting.  Click here to read more detailed information about vomiting.

Diarrhea is frequent watery or very loose stools that can be caused by viruses, bacteria or parasites.  Click here to read more detailed information about diarrhea.


General Appearance of Newborns

We’ve all seen the rarely complicated TV and movie births that show the delivering mom ridiculously pulled together – makeup neat and not a hair out of place. After a few minor pushes and groans, out pops baby (who is incidentally in reality several months old) nice and clean and neat.

If you’ve given birth or been present during a delivery, you know exactly how mom and baby really look. Baby emerges bluish, covered in blood and cottage cheesy goop and perhaps a little or a lot worse for wear. So the fact that your newborn doesn’t resemble the “Hollywood” norm shouldn’t surprise you. Learn more about colic, sleeping habits and more.  Click here to read more detailed information about your newborn.

Parenting Education

Stick to your guns! As parents, you’ll have many new and wonderful experiences with your little ones. From infancy through adolescence, you may often find yourself at a loss on how to handle some of the most exasperating experiences you encounter. Bedtime, potty training and healthy eating are but a few topics that we find many of our parents appreciate general guidance on. These articles are an excerpt from the book Positive Discipline A-Z by Jane Nelsen, Lynn Lott and H. Stephen Glenn. If you are interested in learning more about the book or authors, please visit

If you think you are having a medical emergency, call 911 or the number for the local emergency ambulance service NOW!  And when in doubt, call your doctor NOW or go to the closest emergency department. Click here for full disclaimer information.

Article Information Courtesy of Dr. Barton D. Schmitt
Barton Schmitt, M.D. is professor of pediatrics at the University of Colorado School of Medicine. He is Medical Director of the After-Hours Call Center at The Children's Hospital of Denver that covers calls for over 320 pediatricians and 100 family physicians throughout Colorado and Wyoming. He is the author of books/information sheets for parents, and telephone triage books/software for physicians.