Primary Care Perspectives

Gil Binenbaum, MD, MSCE, reviews Children’s Hospital of Philadelphia’s new clinical pathway on the management of patients with suspected preseptal or orbital cellulitis, including the differential diagnosis, physical exam for orbital signs, reasons for admission, and outpatient management of preseptal cellulitis. Published May 2019.

This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.

Paul Offit, MD, Director of the Vaccine Education Center and attending physician in the Division of Infectious Diseases at Children’s Hospital of Philadelphia, defines fever in children and talks about counseling families about the benefits of fevers. He discusses strategies for treating fevers appropriately, with emphasis on why treating fever with antipyretic drugs is often NOT the right thing to do. Published May 2019.

This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.

In honor of National Occupational Therapy Month, occupational therapist Ashley Binkowski, MS, OTR/L, CKTP, talks about what an occupational therapist can do for a child, examples of when a child might need occupational therapy in an outpatient setting, issues commonly seen at different ages, tips for pediatricians when dealing with sensory challenges, and more. Published April 2019.

This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.

Licensed social worker Sara Kurlansik, MSW, LSW, discusses how primary care providers can help children and families deal with divorce and separation. The episode covers custody issues that frequently come up in primary care and offers tips for physicians to share with parents to ease the transition for children when parents are separating. She also discusses the importance of keeping the focus on the child when issues arise in the office. Published April 2019.

This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.

Pediatric dermatologist Patrick McMahon, MD, talks about when skin cultures may be indicated for various skin conditions in children. He talks through common examples seen by pediatricians, such as tinea corporis and tinea capitis, when to culture versus when to proceed with treatment following your clinical judgement, tips for obtaining a quality culture, and more. Published March 2019.

This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.

Jesse Taylor, MD, Chief of the Division of Plastic and Reconstructive Surgery at Children’s Hospital of Philadelphia sits down to discuss positional plagiocephaly (development of a flat spot on a baby’s head), the impact of the Back to Sleep campaign, risk factors for developing plagiocephaly, how it can be clinically differentiated from craniosynostosis and more. Published March 2019.

This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.

To maximize safe participation in sports, a pre-participation physical evaluation is recommended for all children and adolescents before the season begins. This cardiovascular evaluation should be routinely done at pre-adolescent and adolescent annual well visits, with the goal of identifying medical problems that could have life-threatening complications or require treatment before participation. Maully Shah, MBBS, an attending cardiologist at Children’s Hospital of Philadelphia, discusses what PCPs should know about the cardiovascular sports physical, symptoms and history to look for, and more. Published February 2019.

This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.

Research shows that about 50 percent of children with a complex congenital heart defect requiring surgical or catheter intervention in the first year of life have some level of neurodevelopmental disability. Alisa Burnham, MD, Lyla Hampton, PhD, and Kate Wallis, MD, MPH, sit down to talk about the importance of routine neurodevelopmental assessments for children born with complex congenital heart disease, deficits to watch for at different ages, follow-ups and support services pediatricians should be aware of and more. Published February 2019.

This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.

Rachana Shah, MD, attending physician and Director of the Polycystic Ovarian Syndrome (PCOS) Clinic at CHOP, discusses diagnostic criteria and screening for PCOS in adolescents, diseases that mimic PCOS, the first labs that should be considered by primary care providers, appropriate use of ultrasound, and more. Published January 2019.

This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.

Joanna Parga-Belinkie, MD, a neonatologist at Children’s Hospital of Philadelphia, talks about the potential harmful effects of plastics, in particular BPA, phthalates, PFCs and perchlorates; new recommendations from the AAP in response to emerging child health concerns related to environmental toxins; and reasonable recommendations and substitutes pediatricians can suggest to parents to minimize the effects of plastics and other environmental toxins on children. Published January 2019.

This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.