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Bronchiolitis Feeding
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Migraine Therapy in the ED
Guideline inclusion criteria: Children up to 18 years of age. Physical exam normal. History consistent with primary headache. Guideline exclusion criteria: Abnormal physical exam normal. History...
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.
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...
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...
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...
Epidermolysis Bullosa Simplex: Jaciel’s Story
Jaciel Lemus was born with epidermolysis bullosa simplex, a condition that causes the skin to be very fragile and blister easily. He was treated at the Children's Mercy Level IV NICU.
Fetal Cardiology: Levi's Story
Being in the right place – at the right time When a fetal echocardiogram reveals a critical heart defect—and the baby has to undergo life-saving cardiac surgery only eight days after birth—you don’t expect...
Visual Diagnosis: Eye Movement
A 4-year-old male is brought to the emergency department by his mother for further evaluation of ear pain and headache.
Outbreaks, Alerts and Hot Topics: Typhoid Update
Typhoid fever remains a significant concern worldwide, primarily in low- and middle-income countries. Antibiotic resistance and poor sanitation contribute to higher rates, though vaccine distribution in...
Pulse Oximetry and Skin Pigmentation
This article examines the evidence surrounding the role of skin pigmentation and other factors in the accuracy of pulse oximetry as a diagnostic tool.
Pharyngitis Images
For Children's Mercy providers: Streptococcal pharyngitis image 1 (tonsils with palatal petechiae) Streptococcal pharyngitis image 2 (palatal petechiae) Streptococcal pharyngitis image 3 (tonsillar...
Language Assistance Vietnamese
Children’s Mercy tuân thủ luật dân quyền hiện hành của Liên bang và không phân biệt đối xử dựa trên chủng tộc, màu da, nguồn gốc quốc gia, độ tuổi, khuyết tật, hoặc...
Language Assistance Hmong
Children’s Mercy ua raws cov kev cailij choj yuam siv ntawm Tsom Fwv Nrub Nrab Teb Chaw hais txog pej xeem cov cai (Federal civil rights laws) thiab tsis ciav-cais leejtwg vim nws hom neeg, nqaij tawv, lub...
Troubleshooting Neurosurgical Shunt for Infection
For algorithms related to this topic, please visit our complete list of Clinical Practice Guidelines and Care Process Models. BUTTON: 10/2022 See all algorithms Troubleshooting Neurosurgical Shunt for...
Woodson County
Center for Independent Living Southeast Kansas Independent Living (620) 625-2818 Developmental Disability Organization Tri-Valley Developmental Services, Inc. (620) 431-7401 Department of Children and...
Leavenworth County
Center for Independent Living The Whole Person (913) 871-4188 Developmental Disability Organization Riverside Resources, Inc. (913) 651-6810 Department of Children and Families DCF Office Location for...