Pediatric Focus
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This blog is a tool for communicating with the clinicians at Children's Healthcare of Atlanta. It documents clinical questions arising from Emory resident reports at Children's Healthcare of Atlanta. The mission is to support the educational activities of the resident report by directing residents to evidence and background information in response to clinical questions raised during..
Pediatric Focus
2y ago
Rothner AD. Migraine Variants in Children. Pediatr Ann. 2018 Feb 1;47(2):e50-e54. doi: 10.3928/19382359-20180126-02. PMID: 29446794. “Complicated migraine includes syndromes with episodic, neurologic dysfunction that precede, accompany, or follow headache or occur in isolation without any accompanying head pain. These patients ..read more
Pediatric Focus
2y ago
Halstead ME, Walter KD, Moffatt K; COUNCIL ON SPORTS MEDICINE AND FITNESS. Sport-Related Concussion in Children and Adolescents. Pediatrics. 2018 Dec;142(6):e20183074. doi: 10.1542/peds.2018-3074. Epub 2018 Nov 12. PMID: 30420472. Free full-text access. “Our recommendations are as follows: Neurocognitive testing after ..read more
Pediatric Focus
2y ago
Zheng C, Liu S, Feng J, Zhao X. Prognostic Value of Inflammation Biomarkers for Survival of Patients with Neuroblastoma. Cancer Manag Res. 2020 Apr 1;12:2415-2425. doi: 10.2147/CMAR.S245622. PMID: 32280277; PMCID: PMC7132027. Free full-text access. “The association between inflammation and cancer ..read more
Pediatric Focus
2y ago
Presented by Zachary West, MD (PGY-2) Clinical Question: What causes delays in pediatric stroke diagnosis? How can we improve? Article Reviewed: Rafay MF, Pontigon AM, Chiang J, Adams M, Jarvis DA, Silver F, Macgregor D, Deveber GA. Delay to ..read more
Pediatric Focus
2y ago
Screening and Management of Bleeding Disorders in Adolescents With Heavy Menstrual Bleeding: ACOG COMMITTEE OPINION, Number 785. Obstet Gynecol. 2019 Sep;134(3):e71-e83. doi: 10.1097/AOG.0000000000003411. PMID: 31441825. “The American College of Obstetricians and Gynecologists makes the following recommendations and conclusions regarding bleeding ..read more
Pediatric Focus
2y ago
Chitnis, T., Ness, J., Krupp, L., Waubant, E., Hunt, T., Olsen, C. S., Rodriguez, M., Lotze, T., Gorman, M., Benson, L., Belman, A., Weinstock-Guttman, B., Aaen, G., Graves, J., Patterson, M., Rose, J. W., & Casper, T. C. (2016). Clinical ..read more
Pediatric Focus
2y ago
Prutsky, G. J., & Kamat, D. (2021). Corticosteroids May Be Indicated in Children with Severe COVID-19 Disease. Pediatric annals, 50(7), e270–e271. https://doi.org/10.3928/19382359-20210701-01 “Glucocorticoids have been shown to decrease mortality in adult patients with COVID-19 requiring supplemental oxygen or ventilatory support. The use ..read more
Pediatric Focus
2y ago
Presented by Kaamilah Wilson, MD (PGY-1) Clinical Question: What is the optimal observation period for well-appearing febrile infants 0-60 days ? Article Reviewed: Aronson, P. L., Wang, M. E., Nigrovic, L. E., Shah, S. S., Desai, S., Pruitt, C ..read more
Pediatric Focus
2y ago
Presented by Megan Fellows, MD, MPH (PGY-3) Clinical Question: Long-term consequences of febrile status epilepticus Review of Febrile Seizure: Simple Generalized, < 15 minutes, do not recur in 24-hour period MC generalized TC Complex Focal, prolonged, often recur within ..read more
Pediatric Focus
2y ago
Presented by Vanessa Nguyen, DO (PGY-2) Clinical Question: What lab work-up is necessary to diagnose Staphylococcal Scalded Skin Syndrome? Per UpToDate: “The diagnosis of SSSS usually can be made based upon the history and physical findings. Bacterial cultures of sites ..read more