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Bronchiolitis Management
This article reviews evidence surrounding the role of pulse oximetry and implications of hypoxemia in the setting of bronchiolitis.
Visual Diagnosis
A 2-year-old boy is brought to the emergency department by his mother for six days of fever with a maximum temperature of 103 F. See if you can select the best alternative to amoxicillin suspension for...
Distal Radius Fracture - Surgical Indications
Initial evaluation for suspected wrist fracture: History and Physical Exam Radiographs of the wrist AND forearm Signs and Symptoms concerning for wrist fracture include one or more of the following: History...
Distal Radius Fracture
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...
Genital Ulcers (Painful, Aphthous) in Females
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...
Doxycycline for treatment of chlamydia
Changing treatment recommendations for Chlamydia trachomatis from single dose azithromycin to 7 days of treatment with doxycycline has opened the door of adherence concerns for young adult and adolescent...
Clubfoot
The Ponseti method of clubfoot management has become the standard of care worldwide. One of the important distinctions of his method was a series of weekly casting followed by a prolonged bracing phase...
Measles Outbreaks
In 2021, an estimated record high of 24.7 million children worldwide missed their first dose of measles-containing vaccine, with another 14.7 million missing their second.3 Officials are now calling measles...
Intracranial Infections
Pediatric brain abscesses, epidural empyemas and subdural empyemas are rare, serious infections always requiring hospitalization. They often occur as sequelae of less life-threatening infections of the...
Vulvar Aphthous
Non-sexually acquired genital ulceration (NSGU) refers to complex aphthous ulcers in genital areas. NSGU occurs more commonly in young women. NSGU may be preceded by flu-like symptoms and is possibly...
Visual Diagnosis
A 2-year-old boy is brought to the emergency department by his mother for six days of fever with a maximum temperature of 103 F. See if you can select the best alternative to amoxicillin suspension for...
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...
Hyperbilirubinemia - Evidence Based Strategies - December 2022
Jaundice affects over 80% of newborns. The American Academy of Pediatrics (AAP) provides a comprehensive clinical practice guideline (CPG) for the diagnosis and management of neonatal hyperbilirubinemia.
Local Processes for Patients Lost to Follow-Up:
First check for Confidential Information Form in the Patient Information Form (found in orders or ad hoc form) If a test returns positive on a discharged patient and attempts to contact them are...
Amoxicillin Allergies - Wise Use of Antibiotics - December 2022
Less than 1% of the population has a true allergy to beta-lactam antibiotics such as penicillin and amoxicillin. Clinicians can ask clarifying questions and refer for allergy testing, if necessary, to...
Hope Is Pragmatic - Pediatric Bioethics - December 2022
Clinicians welcome hope by inviting conversation about the caring community and resources a family will need now that their child will live with the impact of disease or trauma.
RSV Vaccine Development - Wide World of Vaccines - December 2022
While vaccines for RSV are in the works, they can't come soon enough for our vulnerable populations during this extremely difficult respiratory virus season.
Great Surge in Respiratory Illnesses - Hot Topics - December 2022
The U.S. is experiencing very high levels of influenza-like illnesses, including influenza, RSV and COVID-19.
Patient STI Education
To minimize transmission and reinfection, patients should abstain from sexual intercourse until they and their partners have been treated (i.e., until completion of a 7-day regimen or for 7 days after...
Refer or Manage a Patient
Learn how to refer patients, access My Patient Connections, request a consult and find a Children's Mercy provider. In addition, we welcome your feedback and want to hear your thoughts and concerns as well...