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Outbreaks, Alerts and Hot Topics May 2021
Clinicians should be aware of recent human brucellosis cases in the United States caused by an antibiotic-resistant RB51 bovine vaccine strain and related to raw milk consumption.
Evidence Based Strategies for Common Clinical Questions May 2022
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...
What's the Diagnosis? February 2022
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...
Sumner County (KS)
Center for Independent Living Independent Living Resource Center (316) 942-6300 Developmental Disability Organization Futures Unlimited, Inc. (620) 326-8906 Department of Children and Families DCF Office...
Montgomery County
Center for Independent Living Southeast Kansas Independent Living (620) 331-1006 Developmental Disability Organization CLASS, Ltd. (620) 429-1212 Department of Children and Families DCF Office Location for...
Brown County
Center for Independent Living Three Rivers (785) 456-9915 Developmental Disability Organization Brown County Developmental Services, Inc. (785) 742-3959 Department of Children and Families (DCF) DCF Office...
Marion County
Center for Independent Living Resource Center for Independent Living (620) 342-1648 Developmental Disability Organization Harvey-Marion County CDDO (316) 283-7997 Department of Children and Families DCF...
Best Children's Hospitals: Children's Mercy Ranked by U.S. News & World Report
Children's Mercy is proud to be named by U.S. News and World Report as one of the nation's best children's hospitals, ranking in all 11 pediatric specialties.
PGY 1 and PGY2 Alumni
Former PGY1 Pharmacy Residents: 2024-2025 Brady Gholson, PharmD Ali Goldensoph, PharmD Berkley Peiker, PharmD 2023-2024 Cami Bizal, PharmD Hayley Kendrick, PharmD Catherine Morton, PharmD 2022-2023 Jenna...
Atopic Dermatitis: Noninfected and Infected - Topical Steroids
Classification of Topical Steroids Most Potent - Class I, Least Potent - Class VII *High potency Class I: Super-potent: Clobetasol 0.05% ointment, cream, solution, and foam. Class II: High...
Atopic Dermatitis: Infected - Eczema Herpeticum
Symptoms: widespread skin involvement, pain, fever. Rapidly spreading lesions. Likely history of exposure to HSV. Pustules or vesicles rapidly changing into painful erosions. Occasionally vesicles or...
ADHD Assessment: Options for Assessing Functional Impairment
Options for assessing functional impairment: History Vanderbilt items: Parent Scale Questions (48-55)* Teacher Scale Questions (36-43)* Impairment Rating Scale *Children’s Mercy providers may access these...
Bronchiolitis Synopsis
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...
Azithromycin
Rationale, current evidence, and consensus statement: The 2015 Red Book and the 2015 CDC Treatment Guidelines for STD's recommends that young infants with C. trachomafis conjunctivitis may be treated with...
Recommendations for Inclusion or Exclusion from Daycare/School
There is no evidence based support for exclusion or isolation of children with bacterial or viral conjunctivitis. Arguments in support of isolation include reports of epidemic outbreaks in enclosed...
Febrile Infant: Observing Closely at Home
Infant may be managed at home if parent and clinician agree that the following are present: reliable phone and transportation, parent willingness to observe and communicate changes in condition, and...
Metoclopramine With or Without diphenhydrAMINE
In the pediatric patient diagnosed with refractory migraine, is metoclopramide an effective treatment? Plain language summary from the office of evidence based practice: Based on very low quality evidence...
Genotyping
CYP2C9 and VKORC1 genotype results may provide directional guidance for warfarin dosing in pediatric patients. Clinical genotyping is available through the CMH Laboratory. Approximately 50% of the...
Patient is Suspected to Have TLS
Patients may present with metabolic derangements along (laboratory TLS) or both laboratory and clinical sequalae. Laboratory TLS (LTLS): Level above or below normal limits for age for 2 or more of the...
Typical Laboratory Findings in Sickle Cell Disease
Genotype Hb* (g/dL)† HbS* (%) HbA* (%) HbA2* (%) HbF *(%) HbC* (%) SS 6–9 >90 0 <3.5 <10 0 Sβ0-thalassemia 7–9 >80 0 >3.5 <20 0 Sβ+-thalassemia 9–12 >60 10–30 >3.5 <20...