Charting Pediatrics

About 14 out of every 1,000 healthy infants born full term develop a fever during the ages 8 days to 60 days old. While most fevers do not lead to severe illness, it can be challenging to immediately identify the cause of a baby's fever and identifying infants who may be at risk for developing serious bacterial infections. In this episode, we will discuss the updated AAP guidelines for well-appearing infants between 8-60 days old who develop a fever at or above 100.4 degrees Fahrenheit (38 degrees Celsius). We will take a deep dive into the changing epidemiology of serious bacterial infection in febrile infants, advances in technology, and evolving research strategies.

This episode is being broadcasted live from the AAP NCE in Anaheim California. Today, I am delighted to be speaking with Dr. Samir Shah.

Dr. Shah is joining us from Cincinnati Children's hospital where he is the Director of the Division of Hospital Medicine and a professor of pediatrics.

Data from multiple countries have shown an uptick in eating disorder presentations in youth during the pandemic. Here in Colorado, we have certainly seen an increase in medically unstable eating disorder patients admitted to the hospital. As part of our series this year on mental health today we will focus on disordered eating, which encompasses a spectrum of different problems in children. I am joined by two experts between them with many decades of experience caring for children and adolescents with disordered eating so this is going to be a lot of fun.

This episode is part of our 12-episode mental health series where we aim to give primary care providers useful tools and relevant clinical information to support them in the care of patients with mental health needs.

Today I am happy to be speaking with Dr. Amy Sass and Dr. Jennifer Hagman.

Dr. Sass works in the adolescent medicine department at Children's Hospital Colorado and is a professor at the University of Colorado School of Medicine. Dr. Jennifer Hagman works in the child and adolescent psychiatry department here at Children's Colorado and is professor at the University of Colorado school of medicine.

Resources:

AAP -

https://publications.aap.org/pediatrics/article/147/1/e2020040279/33504/Identification-and-Management-of-Eating-Disorders

NEDA – National Eating Disorders Association​

www.nationaleatingdisorders.org​

Families Empowered And Supporting Treatment of Eating Disorders (FEAST)​

www.feast-ed.org​

Academy of Eating Disorders​

www.aedweb.org​

NIH - National Institutes of Health​

www.nlm.nih.gov (Search "Eating Disorders")​

Information on Maudsley Method​

www.eatingwithyouranorexic.com, http://www.maudsleyparents.org/, www.aroundthedinnertable.org

This episode is underwritten by Ent Credit Union, a proud supporter of Charting Pediatrics and Children's Hospital Colorado. Ent, Colorado's largest credit union, has a passion for people, not for profit. Ent has more than 45 service centers located up and down the Front Range, including the Denver Metro area and Northern Colorado. Insured by NCUA.

In our series, the Resident Files, we feature the thoughts and work of talented pediatric residents here in Colorado and around the country.

The section on pediatric trainees has implemented several initiatives into making pediatrics a more diverse and inclusive workforce. This group is working towards achieving child health equity in a global sense. The equity, diversity, and inclusion work group has focused their efforts on increasing visibility of underrepresented in medicine groups highlighting both trainees and faculty members using social media campaigns.

This episode was broadcasted live from the AAP conference in Anaheim California. Today I am privileged to be joined by Jeffrey Edwards.

Jeffrey is a member of the section on pediatric trainees currently wrapping up his time as the executive coordinator for equity diversity and inclusion with the section on pediatric trainees leadership council.

Although Acute Appendicitis(AA) is the most common acute surgical conditions encountered by children, multiple aspects of the approach to management of AA remain well debated. Despite recent advancements in management, including scoring systems, imaging, antibiotics, the variations in management options, from appendectomy to a laparotomic approach to non-operative management (NOM) remain topics of intense discussion. And with no absolute consensus in the literature, controversy among surgeons and faculty persists.

This episode was broadcasted live from the AAP conference in Anaheim California. Today, I am delighted to be speaking with Dr. Lorraine Kelley-Quon.

Dr. Kelley-Quon is joining us from Children's Hospital Los Angeles, where she practices as a pediatric surgeon and is an assistant professor of surgery and population and public health sciences at Keck school of Medicine at the University of Southern California.

Today, a vast majority of teenagers and adolescents dedicate their time to athletics. In fact, nearly 8 million students participate in high school sports. With the increasing popularity of club sports, most kids are practicing and playing their dedicated sports year-round. Participating in organized sports allows kids to become a part of a team and improves both physical and mental health. However, an injury to an athlete can impact their ability to perform and practice and can be devastating mentally. On today's episode, we will be discussing common orthopedic injuries among student athletes and how these injuries can be treated and prevented.

Welcome to Charting Pediatrics. I'm your host Dan Nicklas. If you are new with us, welcome to our pediatric provider community where we release an episode every Tuesday, and special updates to cover hot topics that impact pediatric providers.

Today I am happy to be speaking with Dr. Curtis VandenBerg.

Dr. Curt VandenBerg is a Sports medicine surgeon with Children's Hospital Colorado and the University of Colorado school of medicine.

Resources:

https://www.joinmyhuddle.com/about

It is no surprise that more and more kids are experiencing stress and anxiety. With the recent current events including COVID-19, these last few years have been stressful for everyone. As kids get older and begin to take on more responsibility and experience more changes in life, stress becomes more apparent. Today we are going to talk about strategies that provider can incorporate into clinic, the right questions to ask patients and families, and talk about the post pandemic stress epidemic that we are seeing in kids.

This episode is part of our 12-episode mental health series where we aim to give primary care providers useful tools and relevant clinical information to support them in the care of patients with mental health needs.

Today I am happy to be speaking with Dr. Jenna Glover and Dr. Jessica Hawks.

Today's episode is underwritten by Ent Credit Union, proud supporter of Charting Pediatrics and Children's Hospital Colorado. Ent, Colorado's largest credit union, has a passion for people, not for profit. Ent has more than 45 service centers located up and down the Front Range, including the Denver Metro area and Northern Colorado. Visit Ent.com. Insured by NCUA.

Today's episode is underwritten by Transamerica, a proud supporter of Charting Pediatrics and Children's Hospital Colorado. Transamerica is committed to helping improve the overall wellness within all communities. Their partnership supports the urgent need in our community of pediatric mental health. Thank you Transamerica.

When a child is diagnosed with a serious illness, it is important for the whole family to get the support and care that they need. Palliative care not only helps children and families with the pain and symptoms of their illnesses, but it also helps to enhance the child's quality of life. In this episode, we are going to discuss how palliative care teams can partner with Primary care providers to help treat and ease the symptoms, pain, and stress of seriously ill patients.

Today I am happy to be speaking with Dr. Adam B. Hill.

Dr. Adam B Hill is the Palliative Medicine Department Chair here at Children's Hospital Colorado.

Getting your tonsils out used to mean spending a few days in the hospital and getting ice cream for breakfast, lunch, and dinner. Tonsillectomy and adenoidectomy, or T&A, is the second most common childhood surgery performed. It is important for pediatricians to have a detailed understanding of indication for referral, pre- and post-surgical management, and how this procedure has evolved over time. Today we are joined by an Otolaryngology expert to talk about tonsillectomy and adenoidectomy surgeries, when it is needed, and how this surgery is beneficial to patients.

Today I am happy to be speaking with Dr. Soham Roy.

Dr. Roy Soham is the chair of Pediatric Otolaryngology at Children's Hospital Colorado and is a professor and vice chair at the university of Colorado school of medicine.

Approximately 35 to 45 million youths, 6 to 18 years of age, participate in some form of athletics. The COVID-19 pandemic has affected many aspects of the lives of children and families, including youth sport activity. As children present for health supervision visits and preparticipation physical evaluations, parents and athletes likely will ask questions about how best to ensure safety when considering a return to sports participation and physical activity. In addition, there are lingering concerns about the risk of myocarditis in this population, from disease and vaccination. In this episode we will evaluate the most current guidance on this topic and discuss the risk of myocarditis, all from a cardiology perspective.

Today I am happy to be speaking with Dr. Chris Rausch.

Resources:

https://www.jacc.org/doi/abs/10.1016/j.jacc.2022.02.003

https://www.aap.org/en/pages/2019-novel-coronavirus-covid-19-infections/clinical-guidance/covid-19-interim-guidance-return-to-sports/

Recently, the American Academy of Pediatrics (AAP) revised clinical guidelines on hyperbilirubinemia and how to treat infants born at at least 35 weeks. Although it is common for many newborn infants to experience jaundice, it is important for physicians and primary care providers to understand and monitor newborn babies to ensure they don't develop hyperbilirubinemia. In this episode, we are going to discuss what primary care providers should know about these new guidelines and how they are different than the previous guidelines.

Today I am happy to be speaking with Dr. Christine Gold.

Resources:

New 2022 AAP Hyperbilirubinemia guidelines: https://publications.aap.org/pediatrics/article/150/3/e2022058859/188726/Clinical-Practice-Guideline-Revision-Management-of?autologincheck=redirected?nfToken=00000000-0000-0000-0000-000000000000 Old 2004 AAP guidelines: https://publications.aap.org/pediatrics/article/114/1/297/64771/Management-of-Hyperbilirubinemia-in-the-Newborn Bili Tool: https://bilitool.org Pedicalc: https://peditools.org/bili2022/