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Constipation
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...
Vaccine Update: The Impact of War on Global Vaccination Rates
War and conflict impact a staggering number of children. A total of 473 million children, or 1 in 6 globally, reside in a region impacted by conflict.1 These areas include Afghanistan, Democratic Republic...
Travel History Considerations
History of the Present Illness Symptoms: primary and associated Time of symptom or illness onset (days) in relation to specific potential exposures, return date, and date of consultation Geographic location...
Fever-Causing Diseases with Geographic Area and Incubation Periods
Diseases Geographic Area Usual Incubation Period Incubation Period (Range) Bartonellosis South America - - Chikungunya Caribbean, Central America, South America, South-Central...
Spine Stabilization Guidance
In patients with spinal cord injury, with or without radiographic abnormality, maintaining restriction of spinal motion is imperative to preserve and protect the spinal cord. The following segments include...
Autonomic Dysreflexia Signs/Symptoms and Treatment
What to Look For (Signs & Symptoms): Hypertension (higher than the individual’s baseline) Bradycardia or tachycardia Tachypnea Red or flushed face Sweating above the level of injury Severe...
Adulting 101: Teaching kids about money
Talking to kids about money can be tricky. But learning how money works is important and it’s best to start early. When kids understand saving, spending and earning, they’re more ready for real...
Appendicitis
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 subject...
Myelomeningocele
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 subject...
Penicillin Allergy Testing Clinic
Antibiotics in the penicillin family, such as Penicillin VK, Amoxicillin and Augmentin, are often the preferred treatments for many common childhood infections. They tend to have fewer side effects and...
Dr. Tomi Pastinen and Dr. Elin Grundberg Receive Nearly $3.3 million NIH Grant to Study Rare Imprinting Diseases
The study will fill the gap of the understudied area of imprinting diseases by adding new detailed information on human genome variation. An imprinting disease can occur when a gene behaves differently...
Family meetings: A simple way to stay connected
Life gets busy. Between school, sports, work and everything else, it’s easy for families to feel out of sync. That’s where family meetings come in! We talked to a few families in our community to learn how...
Port-A-Cath Prep
What is a port? A port is a tube used to give your body important medicine and to remove small amounts of blood if you need a blood test. It looks like a button with a soft, squishy center. Some kids...
Asthma Exacerbation
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 subject...
Hemophagocytic Lymphohistiocytosis (HLH): Byron’s Story
Byron came to Children’s Mercy with a slight fever. He left with a rare disease diagnosis and a new immune system. Close collaboration between teams led to Byron’s inherited hemophagocytic...
Exclusion Criteria for Observed Oral Dose
If patient or healthcare setting meet any of the exclusion criteria below, patient should be referred to Allergy Clinic for further evaluation: Patient/family does not give permission Patient is <12...
Severe Delayed Reactions Resource Page
Acute Generalized Exanthematous Pustulosis (AGEP) VisualDx Images in Children (CMH users) AGEP is a severe cutaneous adverse reaction that appears rapidly, often within 2-3 days of exposure. The reaction...
Severe Delayed Reactions
Severe cutaneous adverse drug reaction (SCARS) Stevens-Johnson Syndrome (SJS) Toxic epidermal necrolysis (TEN) Drug reaction with eosinophilia and systemic symptoms (DRESS) Acute generalized exanthematouc...
Cerner Instructions for Documenting/Removing Allergies
If patient is assessed as "no increased risk" (i.e., history is not consistent with a true medication allergy): Cancel allergy in Cerner* Document reason and family member with whom it was...
Alternative Antibiotics for Patients with Penicillin Allergy
Note: While guidance is provided regarding available alternatives, specific choice of antibiotic should be based on clinical judgement and previous history of antibiotic use. These pathways do not...