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Raynaud's Phenomenon
What is Raynaud’s phenomenon? Raynaud’s phenomenon (also known as Raynaud’s Disease) describes the condition where exposure to cold or stress may decrease the blood flow to the skin. This decrease in...
Juvenile Vasculitis
What is vasculitis? Resources Vasculitis is a term for a group of rare diseases that cause inflammation of the blood vessels (arteries and veins). The different types of vasculitis vary in severity from...
Broken Leg and Shattered Kneecap: Martez’s Story
An accident broke Martez Hall’s right femur and shattered his left kneecap. After surgery at Children’s Mercy Kansas City, he’s spent months in therapy with the goal to get back to the game he...
Bronchiolitis
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Atopic Dermatitis: Infected - Eczema Coxsackium
Rapid spreading of painful vesicles quickly turning into erosions. Typically in areas of previous eczema involvement. Often follows seasonal presentations. Associated features: Perioral...
Autism and/or Developmental Delay Care Process Model
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...
Asthma Control Tests
Questionnaires used at CM to assess asthma control Test for Respiratory and Asthma Control in Kids (TRACK) Test for Respiratory and Asthma Control in Kids (TRACK) for under 5 years of age AND has a history...
8. Treating Co-Morbid Conditions
Common co-morbid conditions that complicate the care of asthma include are reviewed here. These should be assessed as they may worsen asthma severity and complicate control of asthma. Allergic...
Evidence-Based Strategies for Common Clinical Questions September 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...
State-of-the-Art Pediatrics September 2021
On March 29, 2019, Children’s Mercy hosted a remarkable series of lectures and presentations about immigrants, refugees and caring for children at the U.S.-Mexico border. The first presentation was at...
Bivalent COVID-19 Boosters - Wide World of Vaccines - September 2022
On Aug. 31 the United States Food and Drug Administration amended the emergency use authorization of the Moderna COVID-19 and the Pfizer-BioNTech COVID-19 vaccines to authorize bivalent formulations for...
Wide World of Vaccines May 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...
What's the Diagnosis? May 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 - November 2022
A 2-year-old female presents with a one-week history of fever up to 39.3 C, cough, malaise and decreased oral intake. She is fussy and tired on exam, but not toxic appearing. The family denies history of...
What's the Diagnosis? July 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...
Family Education
When there is a concern that a child may be at risk for sepsis, it is important to start communicating with the family. Here are some talking points to share with parents/caregivers: Our staff is going to...
Patient STI Education
To minimize transmission and reinfection, patients should abstain from sexual intercourse until they and their partners have been treated (i.e., until completion of a 7-day regimen or for 7 days after...
Recommended Partner Notification
Recommend that the patient notify sexual partners by: Partner notification card OR TellYourPartner.org Health Department involvement: Can assist with partner notification for Gonorrhea and Chlamydia upon...
Discharge
Can the patient be discharged? After each medication intervention the patient should be assessed to determine if the patient meets the following discharge criteria: Headache pain score ≤3 or decrease...
Acetaminophen
For children who rate their pain as mild (<3), and do not meet the exclusion criteria of the Analgesia Standing Order, either acetaminophen or ibuprofen may be administered. Acetaminophen is preferred if...