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Sleep for health and sports performance
An overlooked recovery strategy that is vital in supporting both a student-athlete’s health and sport performance, is sleep. Student-athletes should sleep between 9 and 11 hours per night to reach their...
Project Will Study Housing Assistance During Childhood
Jeffrey Colvin’s study is titled “Childhood Housing Assistance and Adult Health: Life Course Critical Periods and Cumulative Impact.”
Childhood Vaccination Rates Drop - Wide World of Vaccines - November 2022
From 2019 to 2021, WHO and UNICEF reported the largest sustained decline in childhood vaccinations in 30 years due to missed appointments during the COVID-19 pandemic.
Matthew McLaughlin Receives Funding to Study Gabapentin Use for Neuropathic Pain Management
McLaughlin’s study, “Variability in Gabapentin Exposure,” aims to improve medication management in the pediatric rehabilitation population.
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...
STIs in Adolescents and Young Adults - Hot Topics - November 2022
Less engagement in health care services following the pandemic coupled with rising STI infection rates make this a crucial time to lean into screening, testing and treating AYA in need of these services.
Getting teens to talk
If you have a teenager in your family, chances are they are less chatty with you than when they were little. Before, they used to tell you every detail of their day whether you wanted it or not, but now...
SSTI: Abscess (Images)
For Children's Mercy providers: https://www-visualdx-com.ezproxy.cmh.edu/visualdx/diagnosis/skin+bacterial+abscess?moduleId=102&diagnosisId=51001&lang=en_US#view=text&gid=1&pid=2...
7. Treating Modifiable Risk Factors
References: Quinto, Kenneth B. Environmental tobacco smoke exposure in children aged 3-19 years with and without asthma in the United States, 1999-2010. no. 2013. US Department of Health and Human...
Obesity and Asthma
The relationship between obesity and asthma is complex and linked to biologic, physiologic, environmental factors. There is an increased prevalence of asthma in children with obesity as well as a...
Febrile Infant: Antibacterial Therapy and Empiric HSV Therapy
Initial Empirical Antibacterial Therapy for Well-Appearing Infants 7 to 60 Days Old (These are INITIAL antimicrobial recommendations and should be re-evaluated for appropriateness at 48 hours after...
Options For Obtaining Warfarin Doses With Available Strength
Appendix I - Warfarin Dosing Adjustment Using One Tablet Strength 1 mg tablet strength Total weekly dosage Sunday Monday Tuesday Wednesday Thursday Friday Saturday 5.5 mg 1 tablet 0.5 tablet 1 tablet 0.5...
Dietary Considerations
Parents should notify physician for: Significant changes in diet with foods high in Vitamin K: Kale, spinach, broccoli, cauliflower, turnip greens, chick peas, brussel sprouts, green tea, soybean oil, liver...
Multisystem Inflammatory Syndrome in Children (MIS-C): ED
An individual aged <21 years presenting with feveri, laboratory evidence of inflammationii, and evidence of clinically severe illness requiring hospitalization, with multisystem (>2) organ involvement...
Epidemiology
In most western countries, type 1 diabetes accounts for over 90% of childhood and adolescent diabetes, although less than half of individuals with type 1 diabetes are diagnosed before the age of 15 years.
Patients Undergoing a Surgical OR Endoscopy Procedure With a Presumed Risk for Adrenal Crisis
Situations in which operative steroid stress-dosing is necessary: Patient is taking steroids and exhibits Cushnoid features. Situations in which stress-dose steroids maybe necessary: Daily inhaled...
Hydration Considerations
Maintaining a high UOP with adequate hydration is the most important factor in preventing TLS. Improves renal perfusion, GFR and minimizes acidosis. This prevents precipitation of uric acid and Ca-P...
AOM – Penicillin Allergy
Mild/Moderate: Hives Single organ system Excludes side-effects such as vomiting and diarrhea Excludes family history but not individual history of penicillin allergy Severe: Drug reaction with eosinophilia...
Blisters
Children’s Mercy obtained permission to use this picture for educational purposes. These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is...
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...