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Visual Diagnosis: Pleural Fluid
A 14-year-old teenage boy presented with a one-day history of right ear pain and neck pain and stiffness.
Outbreaks, Alerts and Hot Topics: Foodborne Illness
Summer is the peak season for foodborne illness, which can especially impact vulnerable populations like children.
Vaccine Update: Chikungunya Vaccine Trials
Recent reports show promising data on a phase 3 trial for a single-injection live-attenuated vaccine candidate to combat chikungunya virus.
Heat-Related Illness: Evidence Based Strategies
Annually, over 4,000 visits to United States emergency departments occur for Heat-Related Illness (HRI), 63.1% in June, July and August. Nearly half of those suffering HRI are pediatric patients.
Food Guidelines
Do not discuss calories with patient Only parents or staff to choose food off meal plan No modifications to meal plan(s) - unless approved by the eating disorder team No outside food or drinks Remove all...
Admission Criteria
Eating Disorders Admission Criteria (The following evidence based criteria is used in medical decision making when considering admission to CMKC) Heart Rate/EKG < 50 bpm while awake, < 45 bpm while...
Bioethics: The Role of the Clinical Ethicist
When complex ethical situations arise in clinical practice, often in high-stakes situations with uncertainty, clinical ethics consultation may be helpful to patients, families, surrogates and clinicians.
Heart Murmurs: Evidence Based Strategies
An estimated 50%-80% of children will have a cardiac murmur at some point in their life, but less than 1% of these murmurs will correlate with serious congenital or acquired heart disease.
Don't Forget About MenB
MenB vaccines have the lowest administration rates of the vaccines available for adolescents in the United States.
Link Newsletter - June 2023
Our June issue features the latest news and updates on pediatric care from Children's Mercy clinicians. We want to hear from you! Do you have ideas, questions or suggestions for future articles in The...
Treatment Options
Hormonal Forms of Treatment Progesterone only method: Norethindrone Acetate 10 mg daily; does not act as contraception; goal is amenorrhea while taking Estrogen & Progesterone method: Sprintec...
Concussion Management and Follow-Up
Management and Follow-Up...
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...
Neisseria gonorrhoeae (GC) Eye Culture Results 2023
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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...
Swab Affected Eye(s) For Gonorrhea, HSV, and Chlamydia 2023
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Dacrocystitis 2023
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Nasolacrimal Duct Obstruction 2023
Nasolacrimal duct obstruction is a relatively common congenital abnormality in the neonatal population with a reported incidence ranging from 6 to 20%. Unlike infectious conjunctivitis, nasolacrimal...
Bronchiolitis Feeding
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Albuterol
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