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Pediatric Vital Signs: Hits and Misses

Selected References Respiratory Rate Ramgopal S et al. Differences in Prehospital Patient Assessments for Pediatric Versus Adult Patients. J Pediatr. 2018 Aug;199:200-205.e6. Sepanski RJ et al....

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Focus On: Pyloric Stenosis

Myth: “No olive, no problem”    Reality: Rare finding, since we diagnose earlier Pyloric stenosis occurs in young infants because the pyloric sphincter hypertrophies, causing near-complete obstruction...

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Sickle Cell Complications

General Approach – all patients Pain-coping behaviors in children and adults with sickle cell disease are not typical. Often they use distraction (e.g. eating, watching TV, using smart phone). For the...

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Eczema

From: Chong J H. Atopic dermatitis in children: when topical steroid treatment “does not work” BMJ 2021; 372 :n297 doi:10.1136/bmj.n297 From: Devaraj NK, Aneesa AR, Abdul Hadi AM, Shaira N. Topical...

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Newborn And Infant Neuro Exam

From: Inter-Tribal Council of Michigan From: Dr Shankar Dey From: Dr Tala

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Benign Murmurs in Children

Selected References Hardison JE. The Cervical Venous Hum: A Help and a Hindrance. N Engl J Med 1975; 292:1239-1240 Mejia E, Dhuper S. Innocent Murmur. [Updated 2021 Sep 8]. In: StatPearls [Internet]....

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Pathologic Murmurs in Children

Selected References Donofrio MT, Engle MA, O’Loughlin JE, Snyder MS, Levin AR, Ehlers KH, Gold J. Congenital aortic regurgitation: natural history and management. J Am Coll Cardiol. 1992...

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Focus On: Maneuvers for Murmurs

Selected References O’Keefe E, Singh P. Physiology, Cardiac Preload. [Updated 2021 Oct 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from:...

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Animal Bites in Children

Selected References Bigliardi P, Langer S, Cruz JJ, Kim SW, Nair H, Srisawasdi G. An Asian Perspective on Povidone Iodine in Wound Healing. Dermatology. 2017;233(2-3):223-233. doi: 10.1159/000479150....

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The Febrile Infant

The world of febrile infants has changed. Let’s work through the latest guidelines to optimize our care. Pantell RH et al. SUBCOMMITTEE ON FEBRILE INFANTS; Clinical Practice Guideline: Evaluation and...

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Palms and Soles

“The Thinker’s Rash…” MAKES A MRC “Makes a Mark” Measles Arthritis Kawasaki Endocarditis Syphilis Allergy/Atopy Meningococcemia Rickettsia Coxsackie Measles Koplik spots appear in the mouth before the...

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Pediatric Myths

Selected References Bjorklund KA, Rice DM, Amalfi AN. Pediatric Digital Necrosis Secondary to Dressing Application: A Case Series. Hand (N Y). 2018 Jul;13(4):NP14-NP16. doi: 10.1177/1558944718772387....

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Environmental Injuries in Children

General Principles Larger Body Surface Area to Mass Ratio These two objects have the same surface area, but cylinder contains more volume (mass) Higher Metabolic Rate Immature Blood-Brain Barrier Thin...

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Push-Dose Epi

Push-dose epinephrine, or low-dose bolus epinephrine, can be given safely in adults and children. In children, consider for severe anaphylaxis or asthma resistant to IM administration, or for...

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Hemolytic Uremic Syndrome

Selected References Pundzienė B et al. Long-term follow-up of children with typical hemolytic uremic syndrome. Medicina. 51(3); 2015. Talathi S et al. Transaminases at Presentation and Association...

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