Down Syndrome or Trisomy 21, is one of the most commonly encountered syndromes seen in the primary care office. Guidelines for the care of the patient with Down Syndrome has changed several times in the past couple of decades, and in keeping with this tradition, the AAP came out with yet another set of guidelines in May of 2022. This Clinical Report for the Health Supervision of Patients with Down Syndrome is packed with awesome updates and tips of how to successfully navigate the well child encounter, and is a must read for every primary care provider. Here to help us unpack this great bundle of information is Dr. Eyal Ben-Isaac, general pediatrician from CHLA. Explore Our Podcasts: hippoed.com/podcasts

Nirsevimab - the new RSV monoclonal antibody has been FDA approved for use in infants. Parul and Sol review what it is, how effective it is in preventing severe RSV bronchiolitis, and who should receive it. Explore Our Podcasts: hippoed.com/podcasts

Patients sometimes ask us about further testing for lipids beyond the standard lipid profile. Neda Frayha sits down with cardiologist, Dr. Stanley Liu, to dive into advanced testing for lipids and how to evaluate and treat the results of that testing. Explore Our Podcasts: hippoed.com/podcasts

It's well-documented that the insertion of an IUD can be painful, sometimes excruciatingly so. But somehow it has taken a public outcry about this extreme discomfort to bring the issue to the forefront of the medical community. Neda sits down with Matt to explore new recommendations from the CDC, evidence-based options for pain and anxiety management, and a toolkit of strategies we can use when inserting IUDs to make our patients as comfortable as possible. Explore Our Podcasts: hippoed.com/podcasts

Thyroid disorders can be confusing. In this episode, Neda Frayha, MD sits down with endocrinologist Rana Malek, MD for a thyroid Q&A lightning round. Listen as Dr. Malek answers our burning questions about T3, subclinical hypothyroidism, thyroid antibodies, levothyroxine formulations, and more. Explore Our Podcasts: hippoed.com/podcasts

Primary Care RAP presents a segment on Hypogonadism Featuring Margaret Wierman, MD and Andrew Buelt, DO

Mike and Rob dive back in to give you some new finds on Smoking Cessation from the March 2016 Edition of Urgent Care RAP.

Dr. Ilene Claudius discusses the safety, risks and laws relating to hoverboards.

Solomon Behar, MD and Danelle Fisher, MD discuss the most common skin conditions in children and basic approaches to management.

Pearls:

• First line management of atopic dermatitis includes good skin hygiene and topical moisturizers; topical corticosteroids are often needed to control flares as well as help with relapses.

• Topical calcineurin inhibitors are used as second line treatment in children older than 2 years of age.

• Topical corticosteroids come in varying potencies and formulations and should be tailored to the specific clinical situation.

• Atopic Dermatitis (AD). AD is one of the most common skin findings in the pediatric population. AD can present in early infancy and with varying clinical presentation.