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Fast Facts

Low molecular weight heparin (LMWH) is the anticoagulant of choice for most pediatric patients Advantages include: Minimal monitoring requirements Reduced interference of other drugs and diet Reduced...

Treatment/Plan Greater than 3 Days

If unsure at 24-48 hours, it is not necessary to obtain a trough level before 72 hours. Reassess entire patient daily for any changes that may lead down a different pathway in the algorithm.

Elevated Serum Creatinine

1) An increase of >0.5mg/dL from baseline OR 2) Greater than or equal to 50% increase in serum creatinine from baseline OR 3) Any patient with an elevated serum creatinine based on normal range for patient...

Urine Output

Urine output in mL/kg/day = (total mL of urine in 24 hours/patient weight in kg)/24...

1. Introduction to Asthma

Brief definition “Asthma is a chronic inflammatory disorder of the airways in which many cells and cellular elements play a role. In susceptible individuals, this inflammation causes recurrent episodes...

Allergic Bronchopulmonary Aspergillosis (ABPA)

Allergic bronchopulmonary aspergillosis (ABPA) is an allergic reaction within airways occurring almost exclusively in patients with asthma or cystic fibrosis. Less commonly reported in patients with...

10. Yellow Zone Therapy Options

Yellow zone therapies are hotly debated in regard to treatment. In the EPR 4, the expert panel reviewed the use of intermittent ICS and looking at three critical outcomes (exacerbations, asthma control and...

Constipation: Rome IV Child/Adolescent Criteria for Constipation

Child/Adolescent, Hyams et al. (2016) A minimum of 1 month of two or more of the following occurring at least once per week, with insufficient criteria for a diagnosis of irritable bowel: Two or fewer...

Multisystem Inflammatory Syndrome in Children (MIS-C): Inpatient

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...

Myelomeningocele: Family Teaching Resources

Spinal Differences Coordinator or Rehab nurse will provide family education and resources. Patient specific education will be completed by specialty services as needed: Urology for CIC. Neurosurgery for...

Myelomeningocele: Indications for Ventriculoperitoneal Shunting

In an effort to standardize criteria for treating hydrocephalus surgically (shunt or endoscopic procedures) the criteria used in the MoMS trial will be used:   At least two of the following: An...

Common Endocrinology Conditions

Recommendations for pediatricians regarding abnormal menstrual patterns, abnormal thyroid, growth failure and pediatric obesity.

Abnormal Thyroid

Recommendations for pediatricians regarding diagnosis, management, and when to refer to a Children's Mercy specialist.

Contact Pathology and Laboratory Medicine

Please use this form for any laboratory-related questions: Get collection information, our laboratory sends results to the ordering provider, please contact the provider for results, and please allow 3-5...

What's the Diagnosis? February 2021

A previously healthy, 12-month-old female presents with a rash. Parents first noticed red papules and vesicles on her trunk two days ago which have now spread in a clustered pattern to her face, back and...

What's the Diagnosis? September 2021

A previously healthy, 12-month-old female presents with a rash. Parents first noticed red papules and vesicles on her trunk two days ago which have now spread in a clustered pattern to her face, back and...

Wide World of Vaccines September 2021

I recently watched an episode of 20/20 featuring children who developed OCD, outbursts and tantrums, seizures, catatonia, and paranoia following a diagnosis of streptococcal pharyngitis. Some of the...

Wide World of Vaccines October 2021

I recently watched an episode of 20/20 featuring children who developed OCD, outbursts and tantrums, seizures, catatonia, and paranoia following a diagnosis of streptococcal pharyngitis. Some of the...

Gun Safety - Pediatric Bioethics - August 2022

From an ethical perspective – as a measure of safety and preventing harm – pediatricians have a duty to ask their patients and families about gun ownership and gun safety.

Evidence-Based Strategies for Common Clinical Questions April 2021

As was discussed in last month’s LINK column on evidence-based practice, children are disproportionately affected by secondhand smoke, and this exposure is detrimental to children’s health. The Surgeon...