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Penicillin Allergy Testing Clinic

Antibiotics in the penicillin family, such as Penicillin VK, Amoxicillin and Augmentin, are often the preferred treatments for many common childhood infections. They tend to have fewer side effects and...

Dr. Tomi Pastinen and Dr. Elin Grundberg Receive Nearly $3.3 million NIH Grant to Study Rare Imprinting Diseases

The study will fill the gap of the understudied area of imprinting diseases by adding new detailed information on human genome variation. An imprinting disease can occur when a gene behaves differently...

Family meetings: A simple way to stay connected

Life gets busy. Between school, sports, work and everything else, it’s easy for families to feel out of sync. That’s where family meetings come in! We talked to a few families in our community to learn how...

Children's Mercy Locations

Get information on Children's Mercy locations, including hours and what to expect from your visit. Save your spot for urgent care.

Port-A-Cath Prep

What is a port? A port is a tube used to give your body important medicine and to remove small amounts of blood if you need a blood test.  It looks like a button with a soft, squishy center. Some kids...

Hemophagocytic Lymphohistiocytosis (HLH): Byron’s Story

Byron came to Children’s Mercy with a slight fever. He left with a rare disease diagnosis and a new immune system. Close collaboration between teams led to Byron’s inherited hemophagocytic...

Parenting in the age of AI

Artificial intelligence (AI) is no longer a futuristic concept; it is a part of our daily lives. Whether it is the voice that answers your questions on a smart speaker or the app that recommends your next...

Asthma Exacerbation

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...

Exclusion Criteria for Observed Oral Dose

  If patient or healthcare setting meet any of the exclusion criteria below, patient should be referred to Allergy Clinic for further evaluation: Patient/family does not give permission Patient is <12...

Cerner Instructions for Documenting/Removing Allergies

If patient is assessed as "no increased risk" (i.e., history is not consistent with a true medication allergy): Cancel allergy in Cerner*  Document reason and family member with whom it was...

Severe Delayed Reactions Resource Page

Acute Generalized Exanthematous Pustulosis (AGEP) VisualDx Images in Children (CMH users) AGEP is a severe cutaneous adverse reaction that appears rapidly, often within 2-3 days of exposure. The reaction...

Severe Delayed Reactions

Severe cutaneous adverse drug reaction (SCARS) Stevens-Johnson Syndrome (SJS) Toxic epidermal necrolysis (TEN) Drug reaction with eosinophilia and systemic symptoms (DRESS) Acute generalized exanthematouc...

Alternative Antibiotics for Patients with Penicillin Allergy

Note: While guidance is provided regarding available alternatives, specific choice of antibiotic should be based on clinical judgement and previous history of antibiotic use.   These pathways do not...

September

Get updates Suggest a Parent-ish topic NEW! Parent-ish podcast Listen to the Parent-ish podcast Top Posts Topics Archive Have questions about a specific condition or symptom? Click Here Subscribe button Have...

Emergency preparedness tips every family should know

Most parents don’t want to consider worst case scenarios. Thinking of your family encountering a natural disaster, fire or the like is scary, but a little preparation can ease worries and help make sure...

Penicillin Adverse Drug Reaction

Clinical Pathways promote evidence-based, safe, and high-value patient care by providing clinical recommendations and standard processes. They are developed by multidisciplinary committees of subject...

Home Disimpaction/Oral Home Clean Out

Oral Home Clean-Out Minimum of 2 days Age/Weight PEG 3350 Chocolate Senna (adjunct therapy) 2-4 yrs 10-20 kg 1/2 capful (8.5 grams) 3-4 times/day in 4-6 oz of clear liquid* 0.5 Chewable (7.5 mg) BID** 5-10...

Rome IV Criteria

Rome IV Diagnostic Criteria for Functional Constipation in Children Neonate/Toddler (Benninga et al., 2016) Child/Adolescent (Hyams et al., 2016) Infants and toddlers up to 4 years: One month of at least 2...

Patient < 2 years of age

For patients < 2 years of age, polyethylene glycol and lactulose may be appropriate, but patients < 2 may require nuanced consideration for underlying pathology, outside the scope of this pathway. Tabbers...

Daily Maintenance Therapy

Tips Daily maintenance therapy is a 3 pronged approach involving medications, behavioral modifications, and diet modifications If not improving despite following clean out and maintenance recommendations...