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PGY 1 and PGY2 Alumni
Former PGY1 Pharmacy Residents: 2024-2025 Brady Gholson, PharmD Ali Goldensoph, PharmD Berkley Peiker, PharmD 2023-2024 Cami Bizal, PharmD Hayley Kendrick, PharmD Catherine Morton, PharmD 2022-2023 Jenna...
Faculty and Residents Pediatric Dentistry Residency
Our team features full- and part-time pediatric dental faculty members, including one orthodontist. We also have dental specialists in Periodontics, Endodontics and Oral Pathology with hospital privileges...
Liver Transplant: Marissa's Story
Marissa's rare liver tumor meant she needed chemotherapy and a transplant. Now she's thriving and healthy thanks to the Children's Mercy medical team.
Atopic Dermatitis: Noninfected and Infected - Topical Steroids
Classification of Topical Steroids Most Potent - Class I, Least Potent - Class VII *High potency Class I: Super-potent: Clobetasol 0.05% ointment, cream, solution, and foam. Class II: High...
Atopic Dermatitis: Infected - Eczema Herpeticum
Symptoms: widespread skin involvement, pain, fever. Rapidly spreading lesions. Likely history of exposure to HSV. Pustules or vesicles rapidly changing into painful erosions. Occasionally vesicles or...
ADHD Assessment: Options for Assessing Functional Impairment
Options for assessing functional impairment: History Vanderbilt items: Parent Scale Questions (48-55)* Teacher Scale Questions (36-43)* Impairment Rating Scale *Children’s Mercy providers may access these...
Bronchiolitis Synopsis
These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use...
Azithromycin
Rationale, current evidence, and consensus statement: The 2015 Red Book and the 2015 CDC Treatment Guidelines for STD's recommends that young infants with C. trachomafis conjunctivitis may be treated with...
Recommendations for Inclusion or Exclusion from Daycare/School
There is no evidence based support for exclusion or isolation of children with bacterial or viral conjunctivitis. Arguments in support of isolation include reports of epidemic outbreaks in enclosed...
Febrile Infant: Observing Closely at Home
Infant may be managed at home if parent and clinician agree that the following are present: reliable phone and transportation, parent willingness to observe and communicate changes in condition, and...
Metoclopramine With or Without diphenhydrAMINE
In the pediatric patient diagnosed with refractory migraine, is metoclopramide an effective treatment? Plain language summary from the office of evidence based practice: Based on very low quality evidence...
Genotyping
CYP2C9 and VKORC1 genotype results may provide directional guidance for warfarin dosing in pediatric patients. Clinical genotyping is available through the CMH Laboratory. Approximately 50% of the...
Patient is Suspected to Have TLS
Patients may present with metabolic derangements along (laboratory TLS) or both laboratory and clinical sequalae. Laboratory TLS (LTLS): Level above or below normal limits for age for 2 or more of the...
Typical Laboratory Findings in Sickle Cell Disease
Genotype Hb* (g/dL)† HbS* (%) HbA* (%) HbA2* (%) HbF *(%) HbC* (%) SS 6–9 >90 0 <3.5 <10 0 Sβ0-thalassemia 7–9 >80 0 >3.5 <20 0 Sβ+-thalassemia 9–12 >60 10–30 >3.5 <20...
AOM – Otitis Externa
Otitis externa (“swimmer’s ear”) is inflammation of the external ear canal leading to severe otalgia and tenderness to palpation. Erythema, edema, drainage, and pruritis may be present. It is often preceded...
AOM – Role for Oral Cephalosporins
The AOM guidelines from the American Academy of Pediatrics include enteral second and third generation cephalosporins, including cefdinir and cefpodoxime, as alternative agents for initial treatment of...
Abdominal Pain: Metronidazole
Do not take on an empty stomach Even a small amount of food will decrease the chances of getting nausea with the medication Avoid alcohol while taking the medication, as this can cause vomiting Be sure...
FDA Approved Long-Acting Reversible Contraception
These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use...
Anaphylaxis – Tryptase
Tryptase levels may be elevated in the setting of anaphylaxis. However, this lab is not rapidly available and is not useful in the immediate management of the patient. It may be useful in case of recurrent...
High Flow Nasal Cannula Holiday
This algorithm is part of the Children's Mercy High Humidity/High Flow Nasal Cannula Administration policy. Refer to policy for more information. These pathways do not establish a standard of care...