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....
View ArticleFocus 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...
View ArticleSickle 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...
View ArticleEczema
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...
View ArticleNewborn And Infant Neuro Exam
From: Inter-Tribal Council of Michigan From: Dr Shankar Dey From: Dr Tala
View ArticleBenign 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]....
View ArticlePathologic 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...
View ArticleFocus 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:...
View ArticleAnimal 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....
View ArticleThe 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...
View ArticlePalms 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...
View ArticlePediatric 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....
View ArticleEnvironmental 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...
View ArticlePush-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...
View ArticleHemolytic 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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