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Evidence-Based Strategies for Common Clinical Questions April 2021
As was discussed in last month’s LINK column on evidence-based practice, children are disproportionately affected by secondhand smoke, and this exposure is detrimental to children’s health. The Surgeon...
Wide World of Vaccines October 2021
I recently watched an episode of 20/20 featuring children who developed OCD, outbursts and tantrums, seizures, catatonia, and paranoia following a diagnosis of streptococcal pharyngitis. Some of the...
Evidence Based Strategies for Common Clinical Questions March 2022
As was discussed in last month’s LINK column on evidence-based practice, children are disproportionately affected by secondhand smoke, and this exposure is detrimental to children’s health. The Surgeon...
What's the Diagnosis? September 2021
A previously healthy, 12-month-old female presents with a rash. Parents first noticed red papules and vesicles on her trunk two days ago which have now spread in a clustered pattern to her face, back and...
What's the Diagnosis? February 2021
A previously healthy, 12-month-old female presents with a rash. Parents first noticed red papules and vesicles on her trunk two days ago which have now spread in a clustered pattern to her face, back and...
Blisters
Children’s Mercy obtained permission to use this picture for educational purposes. These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is...
Contact Pathology and Laboratory Medicine
Please use this form for any laboratory-related questions: Get collection information, our laboratory sends results to the ordering provider, please contact the provider for results, and please allow 3-5...
Invasive Group A Streptococcus
The Centers for Disease Control and Prevention is currently investigating an increase in invasive group A streptococcal (iGAS) infections in children in the U.S. and several European countries.
Pneumococcal Vaccines
Use of PCV 15 (pneumococcal 15-valent conjugate vaccine) as an alternative to PCV 13 (pneumococcal 13-valent conjugate vaccine) is anticipated to further reduce pneumococcal disease incidence in children...
Obesity Guidelines
Children's Mercy doctor Sarah Hampl is the lead author on a new set of clinical practice guidelines on childhood obesity.
Poliomyelitis - Hot Topics - September 2022
Cases of poliovirus type 2 have been detected in wastewater samples from Rockland and Orange Counties in New York. Despite ongoing efforts at eradication, sustained and increased immunization coverage is...
Hepatitis - Outbreaks July 2022
The World Health Organization is tracking severe acute hepatitis cases of unknown etiology in pediatric patients worldwide. This outbreak was first identified in April 2022.
Epidemiology
In most western countries, type 1 diabetes accounts for over 90% of childhood and adolescent diabetes, although less than half of individuals with type 1 diabetes are diagnosed before the age of 15 years.
Atopic Dermatitis: Infected - Group A Strep
Strep Pyogenes (Most common Group A Strep): Glazed, bright red appearance especially in skin folds suggests Group A strep. Patients may also experience yellow drainage. When appearing within...
Acute Chest Syndrome: Is the Patient Exhibiting Signs Necessitating PICU Care?
Admission to PICU or Hem/Onc service depends on clinical status. If status indicates a more severe course, a PICU admission is warranted: Multilobar disease without pleural effusion Increased work of...
SSTI: Abscess (Images)
For Children's Mercy providers: https://www-visualdx-com.ezproxy.cmh.edu/visualdx/diagnosis/skin+bacterial+abscess?moduleId=102&diagnosisId=51001&lang=en_US#view=text&gid=1&pid=2...
Conferences
Core curriculum didactics Academic half days occurring each Y week by cohort Protected (pager free) educational time Curriculum focused on covering MedStudy Third year includes a week of board review...
Patients Undergoing a Surgical OR Endoscopy Procedure With a Presumed Risk for Adrenal Crisis
Situations in which operative steroid stress-dosing is necessary: Patient is taking steroids and exhibits Cushnoid features. Situations in which stress-dose steroids maybe necessary: Daily inhaled...
Perioperative Steroid Stress Dosing
Clinical Pathways promote evidence based, safe, and high-value care for patients by providing clinical recommendations and standard processes. They are developed by multidisciplinary committees of subject...