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Wise Use of Antibiotics August 2021
I recently watched an episode of 20/20 featuring children who developed OCD, outbursts and tantrums, seizures, catatonia, and paranoia following a diagnosis of streptococcal pharyngitis. Some of the...
Outbreaks, Alerts and Hot Topics February 2021(2)
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.
Barber County
Center for Independent Living Prairie Independent Living Resource Center (620) 672-9600 Developmental Disability Organization Arrowhead West, Inc. (620) 227-8803 Department of Children and Families (DCF)
Kingman County
Center for Independent Living Prairie Independent Living Resource Center (620) 672-9600 Developmental Disability Organization Arrowhead West, Inc. (620) 227-8803 Department of Children and Families DCF...
Abstract: Evaluation of Child Opportunity Index 2.0 as a Predictor for Hemoglobin A1c in Youth with Type 1 Diabetes
Hamp Henning1, Kelsey Panfil1, Brent Lockee1, David D. Williams1, Erin M. Tallon1, Anna R. Kahkoska2, Angelica Cristello Sarteau2, Craig Vandervelden1, Susana R. Patton 3, Mark A. Clements1 1Children’s...
Abstract: Enhanced Classification of Diabetes Status and Type Using Structured Data from Nationwide U.S. Electronic Health Records: A High-Throughput Approach
Erin M. Tallon, PhD, RN1,2; Grant Scott, PhD2,3; Cintya Schweisberger, DO1; Joseph T. Cernich, MD1; Ryan McDonough, DO1; Camila Manrique-Acevedo, MD4; Mark A. Clements, MD, PhD1; Chi-Ren Shyu...
Dihydroergotamine (DHE)
In the pediatric patient diagnosed with a refractory migraine, what is the efficacy of DHE IV to decrease migraine pain in the Emergency Department? Plain language summary from the office of evidence based...
Triptan
DHE cannot be given if the patient has received triptans with the previous 24 hours (Lexi-Comp, 2016). These pathways do not establish a standard of care to be followed in every case. It is recognized that...
Abdominal Pain: Metronidazole
Do not take on an empty stomach Even a small amount of food will decrease the chances of getting nausea with the medication Avoid alcohol while taking the medication, as this can cause vomiting Be sure...
Nonviable Tissue
Children’s Mercy obtained permission to use this picture for educational purposes. These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is...
Patella Tendonitis
USNWR Ortho Media Block Tendons are like ropes which connect muscles to bone. The patellar tendon connects the kneecap (the patella) to the shinbone (the tibia). Patellar tendonitis is the condition that...
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...
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...
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...
Bronchiolitis Feeding
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Migraine Therapy in the ED
Guideline inclusion criteria: Children up to 18 years of age. Physical exam normal. History consistent with primary headache. Guideline exclusion criteria: Abnormal physical exam normal. History...
Antihypertensive(s) and/or Lifestyle Modifications
Severe BP elevation means a BP consistently ≥ 99th percentile. Consult Nephrology if ≥ 2 doeses in 24 hours required to normalize BP.
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...