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In today's episode we dive in to the topic of toxicity and the most common overdoses in pediatric medicine. Our guest is Sam Wang, MD, returning from earlier this season when we covered the topic of Marijuana as Medicine (S2:E14).

Dr. Wang is a Pediatric Emergency Medicine Physician and Medical Toxicologist at Children’s Hospital Colorado and the University of Colorado School of Medicine. 

 Let us know what you thought of today's episode: Tweet Dr. Brent (@AlisonBrentMD) or write to us, chartingpediatrics@childrenscolorado.org 

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Charting Pediatrics by Children's Hospital Colorado - 1w ago

The practice of pediatric pain management has developed significantly in the last decade with the use and validation of pain assessment tools specific to pediatric patients, yielding evidence-based pain management guidelines in children of all ages.

Still, pharmacological intervention options coupled with practicing safe prescribing can be overwhelming in the primary care setting.  In today’s episode we are joined by Tom Majcher, DO, to discuss a practical approach to outpatient pain management in pediatrics and the prevalence of conditions associated with acute and chronic pain.

Dr. Majcher is Chair of Anesthesiology at Children’s Hospital Colorado and Professor of Anesthesiology at the University of Colorado School of Medicine.

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Charting Pediatrics by Children's Hospital Colorado - 2w ago

A real public health problem has snuck up on us as pediatricians - vaping and e-cigarettes use. On today’s episode, we will unpack the facts about e-cigarettes and vaping, provide you with practical tools to counsel your patients and families and talk about upcoming advocacy and policy work pertaining to e-cigarettes. Our guests today are Jennifer Woods, MD, Medical Director of the Adolescent Medicine Clinic at Children’s Hospital Colorado and associate professor of pediatrics at the University of Colorado School of Medicine; and Heather Hoch, MD pediatric pulmonologist at Children’s Hospital Colorado and assistant professor the CU School of Medicine.

From today's episode:

Feedback on this episode or suggestions for a future topic? Write to us at chartingpediatrics@childrenscolorado.org - we love hearing from our listeners!

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In this episode, we discuss abnormal pediatric head growth, shape and treatment options with Todd Hankinson, MD. Dr. Hankinson is a Pediatric Neurosurgeon at Children’s Hospital Colorado and Associate Professor of Neurosurgery at the University of Colorado School of Medicine.

 

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Charting Pediatrics by Children's Hospital Colorado - 1M ago

Today’s guests are Dr. Lori Prok and Pediatric Nurse Practitioner, Julieann Tibbetts, here to discuss the most common clinical presentations, causes, and treatment of Atopic Eczema. Dr. Prok is a Pediatric Dermatologist at Children’s Colorado and Associate Professor of Dermatology at the University of Colorado School of Medicine. Julieann is a Pediatric Nurse Practitioner in the Dermatology Department at Children’s Colorado and Senior Instructor of Dermatology at the University of Colorado School of Medicine.

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Today’s guests are Dr. Jens Goebel and Dr. Robert Fuhlbrigge, here to discuss Henoch-Schönlein purpura (HSP). Dr. Goebel is the Section Head of Nephrology at Children’s Colorado and Professor of Pediatrics at the University of Colorado School of Medicine. Dr. Fuhlbrigge is Section Head of Rheumatology at Children’s Colorado and Professor of Pediatrics also at the University of Colorado School of Medicine.

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Charting Pediatrics by Children's Hospital Colorado - 1M ago

In today’s episode, we’re examining a case that started in a primary care pediatrician’s office and ended in the Children’s Hospital Colorado Aerodigestive Program.

 Joining us are the three physicians involved in the patient’s care examine: Larissa Applegate, MD, a pediatrician at Pediatrics West in Wheat Ridge, Colorado; RyanCaltagirone, MD, a pediatricemergency room physician at Children’s Colorado; and Sven Streubel, MD, an otolaryngologist with Children's Colorado.

 In this episode:

  • Our three guests examine their roles in the patient’s care and share their key takeaways to inform other medical professionals
  • The origins of the case and how the patient, baby Rachel, first presented in the hospital
  • Steps taken once Rachel’s respiratory struggles were evident and next steps to get her to the Emergency Department
  • Importance of clear communication between departments and with patient families in complex, multidisciplinary cases
  • Approaching a patient who presents with laryngomalacia from an ENT perspective
  • Using a bedside scope to determine the severity of the laryngomalacia
  • The various elements of Rachel’s multidisciplinary care, including: admission procedure, observation of feedings, continued oxygen support and plan for next steps
  • Most common medical treatment plan for patients with laryngomalacia
  • Designing a long-term management plan for a child with laryngomalacia that supports the patient as well as their family
  • Accounting for comorbidities that come along with laryngomalacia
  • Update from patient and key takeaways from the case
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Treating STDs in adolescent patients can be a challenge for today’s busy pediatrician. Eliza Buyers, MDof the Pediatric and Adolescent Gynecologyteam at Children’s Colorado returns to our pediatric podcast to provide practical tools for preventing and treating sexually transmitted infections in teens.

 

In this episode:

  • Why STD rates are higher in adolescents and young adults
  • How PCPs can address teen reproductive health challenges
  • Why we need to consider age as the primary risk factor for STDs
  • Examining the issue of STD rates as a health disparity
  • Importance of conducting universal screening in sexually active adolescents
  • Expedited partner therapy (EPT) and its importance
  • Recommended STD and HIV screening periods for different populations
  • Screening guidelines for STD examinations in the absence of symptoms.
  • Approaching one-to-one time with teen patients
  • Importance of promoting condom use to prevent STDs in teens
  • When to consider screening for less common STDs
  • Why it’s crucial to know confidential screening clinics you can send your patients

 

STD management resources:

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Today’s episode is a round table with all three hosts, here to discuss provider self-care and compassion fatigue.

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Charting Pediatrics by Children's Hospital Colorado - 2M ago

Approximately 6 to 7 percent of children presenting with respiratory symptoms have acute sinusitis. In today’s episode we are going to talk to Steven Hamilton, MD about the causes, diagnosis, treatment and safe antibiotic prescribing practices for the management of sinusitis in pediatric patients.

Dr. Hamilton is a pediatric otolaryngologist from our Colorado Springs-based faculty and is an assistant professor of otolaryngology at the University of Colorado School of Medicine.

Let us know what you thought about today's episode or suggest a future topic - Send Dr. Nicklas a tweet, @DanielNicklasMD or send us an . 

Children's Hospital Colorado, Colorado Springs is set to open in late Spring 2019. Read more about our new hospital!

AAP Clinical Practice Guideline for this Diagnosis and Management of Acute Bacterial Sinusitis in Children Aged 1 to 18 Years

 

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