Charting Pediatrics

On today's episode we discuss the most common clinical presentations, causes and treatments of atopic eczema with Lori Prok, MD and Julieann Tibbetts, PNP.

Dr. Prok is a Pediatric Dermatologist at Children's Colorado and Associate Professor of Dermatology at the University of Colorado School of Medicine. Julieann is a Pediatric Nurse Practitioner in the Dermatology Department at Children's Colorado and Senior Instructor of Dermatology at the University of Colorado School of Medicine.

Today we discuss the art and science of caring for young mothers in the pediatric practice. Hana Smith, MD and Amy Ehmer, PsyD, join us to discuss the Young Mothers Clinic and the Colorado Adolescent Maternity Program and opportunities to adopt aspects of this care model into the primary care practice. Dr. Smith is the Medical Director of the Young Mother's Clinic at Children's Colorado and assistant professor at the University of Colorado School of Medicine. Dr. Ehmer is a psychologist at the Young Mothers Clinic and Colorado Adolescent Maternity Program, and a Senior Instructor at the University of Colorado School of Medicine.

In today's episode:

• PHQ-9 Screening Tool - Modified for Teens
• Edinburgh Postnatal Depression Scale (EPDS)
• Nurse Family Partnership
• Supporting clinical documentation and tests for young mothers
• Colorado Adolescent Maternity Program (CAMP)
• Washington Post article about Children's CO CAMP Program

This episode was recorded live from the 2018 American Academy of Pediatrics (AAP) National Conference and Exhibition in Orlando, Fla. with Leslie Walker-Harding, MD discussing addiction prevention in primary care.

Dr. Walker-Harding is the chair of the Department of Pediatrics and the pediatrician-in-chief at Penn State Health Milton S. Hershey Medical Center and the Medical Director of Penn State Children's Hospital.

This episode was recorded live from the 2018 American Academy of Pediatrics (AAP) National Conference and Exhibition in Orlando, Fla. with Elissa Miller, MD and Sam Wang, MD discussing the timely and controversial cultural topic of marijuana as medicine. Dr. Miller is the Chief of the Division of Palliative Medicine at Nemours/Alfred I. duPont Hospital for Children and Clinical Associate Professor of Pediatrics at Thomas Jefferson University in Philadelphia, Pa. Dr. Wang is a Pediatric Emergency Physician and Medical Toxicologist at Children's Hospital Colorado and Assistant Professor at the University of Colorado School of Medicine in Denver.

• Marijuana Exposure in Kids Rose after Recreational Use Legalized in Colorado: Retrospective Study Finds Significant Increase in Unintentional Exposure
• Marijuana Safety in the Home
• Acute Marijuana Intoxication
• Medical Marijuana Research

This episode was recorded live from the 2018 American Academy of Pediatrics (AAP) National Conference and Exhibition in Orlando, Fla. with Rachel Moon, MD discussing safe infant sleep. Dr. Moon is the Division Head of General Pediatrics and professor of pediatrics at the University of Virginia School of Medicine, and Chair of the AAP SIDS Task Force.

• SIDS and other Sleep-Related Infant Deaths: Updated 2016 Recommendations for Safe Infant Sleeping Environment

Welcome back Charting Pediatrics listeners! Today we are excited to announce that with Season 2 of Charting Pediatrics, we are taking our show on the road. We are going to be live podcasting from Orlando next month at the American Academy of Pediatrics National Conference and Exhibition, which of course is the big general pediatrics conference of the year!

Dr. David Brumbaugh and Dr. Alison Brent are thrilled to have the opportunity to sit down and record with some wonderful pediatric experts from around the US and discuss the timely topics they are covering in their specific conference presentations. Our guests will include Dr. Elissa Miller from Nemours/Alfred I. duPont Hospital for Children, and Dr. Sam Wang from our own Children's Hospital Colorado. In addition, we have Dr. Leslie Walker-Harding from Penn State Children's Hospital, as well as Dr. Rachel Moon from the University of Virginia School of Medicine.

We'd love the opportunity to meet you, our listeners. So please stop by the exhibit hall where we will be live podcasting from Booth 1113. Stop in, say hello, and catch some of the live recordings that will be taking place on Saturday, November 3rd with this fantastic panel of guests. Until next time, keep on keeping kids safe out there!

Today we are discussing the diagnosis and treatment of Henoch–Schönlein purpura, HSP with Jens Goebel, MD, and Robert Fuhlbrigge, MD. Dr. Goebel is the Chief of Nephrology at Children's Colorado and professor of pediatrics at the University of Colorado School of Medicine. Dr. Fuhlbrigge is Chief of Rheumatology at Children's Colorado and Professor of Pediatrics also at the University of Colorado School of Medicine.

Key Points From This Episode:

• Effects of systemic corticosteroids on HSP symptoms and potential complications.
• The incidence of HSP in the community and what ages are most likely to be affected.
• Classification criteria for the onset of HSP in patients.
• Understanding the events and drive of HSP at a molecular level.
• Tests that are helpful to understand risk of progression or to confirm diagnosis of HSP.
• How often HSP patients who are at risk for nephritis should be screened.
• Treatment decisions for patients with more severe HSP and complications.
• The percentage of recurrent flares of HSP symptoms in patients.
• Unusual presentation of HSP symptoms in pediatric patients.

In today's episode, we're examining a case that started in a primary care pediatrician's office and ended in the Children's Hospital Colorado Aerodigestive Program.

Joining us are the three physicians involved in the patient's care examine: Larissa Applegate, MD, a pediatrician at Pediatrics West in Wheat Ridge, Colorado; RyanCaltagirone, MD, a pediatricemergency room physician at Children's Colorado; and Sven Streubel, MD, an otolaryngologist with Children's Colorado.

In this episode:

• Our three guests examine their roles in the patient's care and share their key takeaways to inform other medical professionals
• The origins of the case and how the patient, baby Rachel, first presented in the hospital
• Steps taken once Rachel's respiratory struggles were evident and next steps to get her to the Emergency Department
• Importance of clear communication between departments and with patient families in complex, multidisciplinary cases
• Approaching a patient who presents with laryngomalacia from an ENT perspective
• Using a bedside scope to determine the severity of the laryngomalacia
• The various elements of Rachel's multidisciplinary care, including: admission procedure, observation of feedings, continued oxygen support and plan for next steps
• Most common medical treatment plan for patients with laryngomalacia
• Designing a long-term management plan for a child with laryngomalacia that supports the patient as well as their family
• Accounting for comorbidities that come along with laryngomalacia
• Update from patient and key takeaways from the case

Welcome back Charting Pediatrics listeners! Today we are excited to announce that with Season 2 of Charting Pediatrics, we are taking our show on the road. We are going to be live podcasting from Orlando next month at the American Academy of Pediatrics National Conference and Exhibition, which of course is the big general pediatrics conference of the year!

Dr. David Brumbaugh and Dr. Alison Brent are thrilled to have the opportunity to sit down and record with some wonderful pediatric experts from around the US and discuss the timely topics they are covering in their specific conference presentations. Our guests will include Dr. Elissa Miller from Nemours/Alfred I. duPont Hospital for Children, and Dr. Sam Wang from our own Children's Hospital Colorado. In addition, we have Dr. Leslie Walker-Harding from Penn State Children's Hospital, as well as Dr. Rachel Moon from the University of Virginia School of Medicine.

We'd love the opportunity to meet you, our listeners. So please stop by the exhibit hall where we will be live podcasting from Booth 1113. Stop in, say hello, and catch some of the live recordings that will be taking place on Saturday, November 3rd with this fantastic panel of guests. Until next time, keep on keeping kids safe out there!

Navigating the waters of child sexual abuse is difficult. This patient population necessitates a delicate approach. Andy Sirotnak, MD, Director of the Child ProtectionTeam and nurse practitionerDenise Abdoo, PhDdiscuss adolescent and child sexual abuse, its indicators and how to approach and care for these patients.

In this episode:

• How providers can normalize conversations around sexual abuse with patients and families
• When concerns about child sexual abuse most commonly arise
• Most common indicators and signs of sexual abuse in children
• Why it is critical to teach children not to take photos of their bodies or keep secrets and good touch versus bad touch
• What a pediatrician should do when a parent calls with concerns of possible child sexual abuse
• Key components of a sexual abuse exam and the focus on external genitalia
• The bathing suit concept for talking to children about private parts
• Importance of building the family story and why having the parents' history is crucial for treating patients of childhood sexual abuse
• The role of mental health issues in the spectrum of child sexual abuse
• Recommended follow-up care and resources to help families through child sexual abuse

Resources for sexual abuse:

• Sirotnak recommends physicians:
  • Be familiar with local child advocacy center and victim assistance programs
  • Use local experts in their communities
  • Call other pediatricians for insight or resources
• National Child Traumatic Stress Network
• International Society for the Prevention of Child Abuse & Neglect
• Child abuse and neglect resourcesfrom the American Academy of Pediatrics
• The Resilience Project
• Council on Child Abuse and Neglect