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pedatrics

Rapid Review: Respiratory Distress Syndrome

Published: February 1, 2018   |   Author: Yehuda Wolf, MPA, PA-C   |   Category: Blog, Rapid Review   |   Tagged: , , ,   |   Read more

Sample question: You are called to the nursery to examine a newborn boy. He was born at 36 weeks via C section to a 32-year-old G3, P3 mother. APGAR scores were 7 and 9. After six hours, the neonate developed respiratory distress. On examination, respiratory rate is 70, with nasal flaring, expiratory grunting, intercostal retractions, decreased breath sounds, and diminished […]

Rapid Review: Transient Tachypnea of the Newborn

Published: January 25, 2018   |   Author: Yehuda Wolf, MPA, PA-C   |   Category: Blog, Rapid Review   |   Tagged: , , ,   |   Read more

Transient Tachypnea of the Newborn Patient will be a child shortly after birth Complaining of sudden onset of difficulty breathing PE will show tachypnea, nasal flaring, retractions and hypoxia CXR will show parenchymal infiltrates and fluid in the pulmonary fissures Most commonly caused by residual pulmonary fluid Treatment is supportive, self-resolving within 72 hours Comments: Most common cause of neonatal respiratory distress Sample question: A full-term male […]

Rapid Review: Coarctation of the Aorta

Published: December 28, 2017   |   Author: Yehuda Wolf, MPA, PA-C   |   Category: Blog, Rapid Review   |   Tagged: , , ,   |   Read more

Coarctation of the Aorta PE will show higher blood pressure in the arms than in the legs EKG will show LVH CXR will show notching of ribs Diagnosis is made by echo Treatment is balloon angioplasty with stent placement or surgical correction Comments: associated with Turner’s syndrome   Sample question: A 5-year-old girl with Turner syndrome is found to have systolic hypertension. Further […]

Rapid Review: Scabies

Published: November 16, 2017   |   Author: Yehuda Wolf, MPA, PA-C   |   Category: Blog, Rapid Review   |   Tagged: , , ,   |   Read more

Scabies Patient will be complaining of severe pruritus that is worse at night PE will show small papules, vesicles and burrows in the webbed spaces of the fingers and toes Diagnosis is made by microscopic visualization Most commonly caused by Sarcoptes scabiei hominis Treatment is permethrin 5% Sample question: A 15-year-old boy presents with an itchy rash on his hands and wrists. […]

Rapid Review: Pyloric Stenosis

Published: October 2, 2017   |   Author: Yehuda Wolf, MPA, PA-C   |   Category: Blog, Rapid Review   |   Tagged: , , ,   |   Read more

Pyloric Stenosis Patient will be 2 – 6 weeks old Complaining of non-bilious projectile vomiting after feeding and early satiety PE will show RUQ olive-like mass (hypertrophied pylorus) Labs will show hypochloremic hypokalemic metabolic alkalosis Diagnosis is made by ultrasound or UGI series (string sign) Treatment is surgical Sample question: A 3-week-old boy presents with two days of non-bilious projectile vomiting. Examination reveals a mass in the […]

Podcast Ep 29: Personality Disorders, Neonatal Resuscitation & More

Published: August 3, 2017   |   Author: Nachi Gupta, M.D., Ph.D., and Megha Rajpal, M.D.   |   Category: Blog, Podcasts   |   Tagged: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,   |   Read more

Success is the sum of small efforts, repeated day in and day out. -Robert J. Collier Welcome back to Episode 29! This week we are starting out with a bit of psychiatry before swinging over to the Pediatric ER for a quick neonatal resuscitation. We may even stop by the trauma bay to see what […]