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Febrile Infant: HSV Risk
HSV risk factors: Less than 46 Days Old Ill appearance (off guideline) Prematurity: <37 weeks EGA - off guideline Maternal history of genital HSV lesions Maternal fever from 48 hours before...
Dacryocystocele 2023
Dacryocystoceles are typically noted shortly after birth and appear as a bluish swelling of the skin overlying the lacrimal sac and superior displacement of the medial canthal tendons. It is recommended...
Neisseria gonorrhoeae (GC) Eye Culture Results 2023
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Suspected Neonatal Conjunctivitis 2023
Neonatal conjunctivitis, also known as ophthalmia neonatorum, should be suspected clinically among neonates (≤ 28 days of age) with both injected conjunctiva and mucopurulent discharge, or among those...
Obtain CT or rMRI and Shunt Series
If possible, it is preferable to be consistent with imaging when evaluating for ventricular changes (such as if the patient had a prior CT, then obtain CT now or if patient had a prior rMRI...
Isokinetic Testing
What is Isokinetic Testing? After a major knee injury, isokinetic testing is used to assess the strength of the quadricep and hamstring of each leg. During this type of strength test, the amount of force...
Febrile Infant: Lumbar Puncture Considerations
There is substantial evidence Inflammatory Markers (IM) are predictive of invasive blood infections including bacterial meningitis. For this age group, the number of meningitis cases in published studies...
Preparing for CT Scan
CT scan media block What is a CT scan? A computed tomography scan (CT scan) uses computers and a moving X-ray machine to take pictures of the inside of the body. CTs can make detailed pictures of organs...
Education
Children's Mercy inpatients: Direct patient education on LMWH will be provided and documented by Children's Mercy pharmacists for Children's Mercy inpatients. Education will include potential for...
Acute Chest Syndrome: Severe or Rapidly Progressing ACS
Symptoms of Severe or Rapidly Progressing Acute Chest Syndrome: Oxygen saturation below 90% despite supplemental oxygen, Increasing respiratory distress, Progressive pulmonary infiltrates, and/or Decline...
Glucocorticosteroids
In the pediatric patient diagnosed with a refractory migraine, is glucocorticosteriods an effective treatment for the prevention of migraine relapse (return to ED or provider for relapse of the same...
Magnesium Sulfate
In the pediatric patient diagnosed with a refractory migraine, what is the efficacy of intravenous magnesium sulfate to decrease migraine pain in the Emergency Department? Plain language summary from the...
Hypertension Inpatient Medication List
Common medications/substances associated with hypertension:Antipsychotics / Tricyclic Antidepressants, Amphetamines/stimulants, Caffeine, Chemotherapy, and more.
Indications For Hematology Consultation
Indications for Hematology consultation with anticoagulant therapy: Initiation of therapy for patients: Not in critical care unit Age < 30 days Baseline INR ≥ 1.2 prior to initiation of warfarin Impaired...
At-Home Care for Colorectal Conditions
The Comprehensive Colorectal Center at Children's Mercy provides patients and families with resource that may be helpful at home.
Music Therapy Internship Program
The Music Therapy Internship Program at Children's Mercy is committed to providing a quality learning experience that will enable the student to acquire the necessary knowledge and skills to be an...
Plastic and Reconstructive Surgery: Makayla's Story
Ask 9-year-old Makayla Hainline’s mother, Angie, to describe her daughter in one word, and there’s no hesitation. “Fearless,” Angie said. “She’s fearless, unless it involves a spider.” Makayla scrunches...
Patient and Family Seal of Collaboration
Patient Family Seal Button: View page in Spanish At Children’s Mercy, we place the highest priority on patient and family partnership in the care of the children in our community. Our Seal of Collaboration...
Fridley Lab
About the Lab The Fridley lab is focused on the development of novel statistical and bioinformatic methods to answer questions that arise in cancer and pediatric research. Recently, the lab has been working...
Faculty and Trainees
The staff psychologists at Children’s Mercy actively participate in the training program. Our division also houses a number of affiliated professionals (psychiatrists, developmental pediatricians, nurses...