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Kyphosis
What is kyphosis? When the trunk is viewed from the side, the back of the upper chest area has a normal rounded appearance called kyphosis. When this curve becomes excessive, it is referred to as...
Antihypertensive(s) and/or Lifestyle Modifications
Severe BP elevation means a BP consistently ≥ 99th percentile. Consult Nephrology if ≥ 2 doeses in 24 hours required to normalize BP.
Patella Tendonitis
USNWR Ortho Media Block Tendons are like ropes which connect muscles to bone. The patellar tendon connects the kneecap (the patella) to the shinbone (the tibia). Patellar tendonitis is the condition that...
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...
Failure as a gift
Webster Dictionary defines failure as “lack of success” or “falling short.” As well-known comedian, Ellen De Generes stated, “When you take risks you learn that there will be times when you succeed and...
2019
Get updates Subscribe Now Have a parenting hack to share? Or a topic you'd like to see? Suggest Top Posts Topics Archive Have questions about a specific condition or symptom? Click Here Parent-ish 2019...
Wide World of Vaccines May 2022
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...
Wide World of Vaccines August 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...
Bioethics: Addressing the Burdens That Newborn Screening Imposes on Underserved Communities
Newborn screening (NBS) began in the 1960s with testing for phenylketonuria (PKU), which, when identified and treated early, significantly reduces morbidity. While NBS is rightly viewed as a public health...
Allergic Bronchopulmonary Aspergillosis (ABPA)
Allergic bronchopulmonary aspergillosis (ABPA) is an allergic reaction within airways occurring almost exclusively in patients with asthma or cystic fibrosis. Less commonly reported in patients with...
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...
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...
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...
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...
Myelomeningocele: Antibiotics
UTI prophylaxis if any hydronephrosis on renal US: Amoxicillin 20 mg/kg/dose enterally once a day. Cephalexin 20 mg/kg/day either once or divided twice a day. If patient is NPO the IV equivalents are...
Shock
Shock is defined as use of vasoactive agents such as: -Epinephrine/norepinephrine, dopamine, dobutamine, milrinone, nitroprusside.
High Dose Systemic Thrombolysis
tPA 0.1-0.6 mg/kg/hr x6 hrs Adult dosing for pts >16 yrs and > 60 kg: Alteplase 100 mg over 2 hrs IV (if no concurrent anticoagulation therapy). These pathways do not establish a standard of care to...
Automatic Reflex Aerobic Eye Culture Recommendations
The Conjunctivitis Team along with the Red Book and the Children's Mercy Department of Infectious Diseases recommends eye culture in the low risk group for GC, Chlamydia, and HSV. This recommendation is...
Constipation: RED FLAGS for Underlying Disease Causing Constipation
RED FLAGS to consider: Meconium not passed in first 48 hours as a newborn. Family history of Hirschsprung disease. Blood in the stools with fever. Failure to thrive (chronically low weight for height).